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This is VAERS ID 261784

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 261784
VAERS Form:
Age:82.0
Sex:Male
Location:D.C.
Vaccinated:2006-07-31
Onset:2006-07-31
Submitted:2006-08-04
Entered:2006-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER VACCINE LIVE (OKA/MERCK) (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, ASA, Proscar, Lorazepam, Fosamax, Calcium, vitamin D, Xalectan, Prilosec
Current Illness: Spinal stenosis
Preexisting Conditions: Spinal Stenosis, Osteoporosis, Hypertension, BPH, Lumbar spinal stenosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.


Changed on 12/8/2009

VAERS ID: 261784 Before After
VAERS Form:
Age:82.0
Sex:Male
Location:D.C.
Vaccinated:2006-07-31
Onset:2006-07-31
Submitted:2006-08-04
Entered:2006-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER VACCINE LIVE (OKA/MERCK) (ZOSTAVAX) ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, ASA, Proscar, Lorazepam, Fosamax, Calcium, vitamin D, Xalectan, Prilosec
Current Illness: Spinal stenosis
Preexisting Conditions: Spinal Stenosis, Osteoporosis, Hypertension, BPH, Lumbar spinal stenosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.


Changed on 9/14/2017

VAERS ID: 261784 Before After
VAERS Form:(blank) 1
Age:82.0
Sex:Male
Location:D.C.
Vaccinated:2006-07-31
Onset:2006-07-31
Submitted:2006-08-04
Entered:2006-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, ASA, Proscar, Lorazepam, Fosamax, Calcium, vitamin D, Xalectan, Prilosec
Current Illness: Spinal stenosis
Preexisting Conditions: Spinal Stenosis, Osteoporosis, Hypertension, BPH, Lumbar spinal stenosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.


Changed on 2/14/2018

VAERS ID: 261784 Before After
VAERS Form:1
Age:82.0
Sex:Male
Location:D.C.
Vaccinated:2006-07-31
Onset:2006-07-31
Submitted:2006-08-04
Entered:2006-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, ASA, Proscar, Lorazepam, Fosamax, Calcium, vitamin D, Xalectan, Prilosec
Current Illness: Spinal stenosis
Preexisting Conditions: Spinal Stenosis, Osteoporosis, Hypertension, BPH, Lumbar spinal stenosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.


Changed on 6/14/2018

VAERS ID: 261784 Before After
VAERS Form:1
Age:82.0
Sex:Male
Location:D.C.
Vaccinated:2006-07-31
Onset:2006-07-31
Submitted:2006-08-04
Entered:2006-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, ASA, Proscar, Lorazepam, Fosamax, Calcium, vitamin D, Xalectan, Prilosec
Current Illness: Spinal stenosis
Preexisting Conditions: Spinal Stenosis, Osteoporosis, Hypertension, BPH, Lumbar spinal stenosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.


Changed on 8/14/2018

VAERS ID: 261784 Before After
VAERS Form:1
Age:82.0
Sex:Male
Location:D.C.
Vaccinated:2006-07-31
Onset:2006-07-31
Submitted:2006-08-04
Entered:2006-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, ASA, Proscar, Lorazepam, Fosamax, Calcium, vitamin D, Xalectan, Prilosec
Current Illness: Spinal stenosis
Preexisting Conditions: Spinal Stenosis, Osteoporosis, Hypertension, BPH, Lumbar spinal stenosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.


Changed on 9/14/2018

VAERS ID: 261784 Before After
VAERS Form:1
Age:82.0
Sex:Male
Location:D.C.
Vaccinated:2006-07-31
Onset:2006-07-31
Submitted:2006-08-04
Entered:2006-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, ASA, Proscar, Lorazepam, Fosamax, Calcium, vitamin D, Xalectan, Prilosec
Current Illness: Spinal stenosis
Preexisting Conditions: Spinal Stenosis, Osteoporosis, Hypertension, BPH, Lumbar spinal stenosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.


Changed on 10/14/2018

VAERS ID: 261784 Before After
VAERS Form:1
Age:82.0
Sex:Male
Location:D.C.
Vaccinated:2006-07-31
Onset:2006-07-31
Submitted:2006-08-04
Entered:2006-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, ASA, Proscar, Lorazepam, Fosamax, Calcium, vitamin D, Xalectan, Prilosec
Current Illness: Spinal stenosis
Preexisting Conditions: Spinal Stenosis, Osteoporosis, Hypertension, BPH, Lumbar spinal stenosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.


Changed on 8/14/2019

VAERS ID: 261784 Before After
VAERS Form:1
Age:82.0
Sex:Male
Location:D.C.
Vaccinated:2006-07-31
Onset:2006-07-31
Submitted:2006-08-04
Entered:2006-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, ASA, Proscar, Lorazepam, Fosamax, Calcium, vitamin D, Xalectan, Prilosec
Current Illness: Spinal stenosis
Preexisting Conditions: Spinal Stenosis, Osteoporosis, Hypertension, BPH, Lumbar spinal stenosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.


Changed on 12/10/2020

VAERS ID: 261784 Before After
VAERS Form:1
Age:82.0
Sex:Male
Location:D.C. Virginia
Vaccinated:2006-07-31
Onset:2006-07-31
Submitted:2006-08-04
Entered:2006-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, ASA, Proscar, Lorazepam, Fosamax, Calcium, vitamin D, Xalectan, Prilosec
Current Illness: Spinal stenosis
Preexisting Conditions: Spinal Stenosis, Osteoporosis, Hypertension, BPH, Lumbar spinal stenosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.


Changed on 12/24/2020

VAERS ID: 261784 Before After
VAERS Form:1
Age:82.0
Sex:Male
Location:Virginia
Vaccinated:2006-07-31
Onset:2006-07-31
Submitted:2006-08-04
Entered:2006-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, ASA, Proscar, Lorazepam, Fosamax, Calcium, vitamin D, Xalectan, Prilosec
Current Illness: Spinal stenosis
Preexisting Conditions: Spinal Stenosis, Osteoporosis, Hypertension, BPH, Lumbar spinal stenosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.


Changed on 12/30/2020

VAERS ID: 261784 Before After
VAERS Form:1
Age:82.0
Sex:Male
Location:Virginia
Vaccinated:2006-07-31
Onset:2006-07-31
Submitted:2006-08-04
Entered:2006-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, ASA, Proscar, Lorazepam, Fosamax, Calcium, vitamin D, Xalectan, Prilosec
Current Illness: Spinal stenosis
Preexisting Conditions: Spinal Stenosis, Osteoporosis, Hypertension, BPH, Lumbar spinal stenosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.


Changed on 5/7/2021

VAERS ID: 261784 Before After
VAERS Form:1
Age:82.0
Sex:Male
Location:Virginia
Vaccinated:2006-07-31
Onset:2006-07-31
Submitted:2006-08-04
Entered:2006-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, ASA, Proscar, Lorazepam, Fosamax, Calcium, vitamin D, Xalectan, Prilosec
Current Illness: Spinal stenosis
Preexisting Conditions: Spinal Stenosis, Osteoporosis, Hypertension, BPH, Lumbar spinal stenosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.


Changed on 5/21/2021

VAERS ID: 261784 Before After
VAERS Form:1
Age:82.0
Sex:Male
Location:Virginia
Vaccinated:2006-07-31
Onset:2006-07-31
Submitted:2006-08-04
Entered:2006-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 2 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: HCTZ, ASA, Proscar, Lorazepam, Fosamax, Calcium, vitamin D, Xalectan, Prilosec
Current Illness: Spinal stenosis
Preexisting Conditions: Spinal Stenosis, Osteoporosis, Hypertension, BPH, Lumbar spinal stenosis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Received Zostavax 7/31/06 developed rash along left T/O dermatome, entirely within 24 hours, seen 8/3/06 rash was starting to fade.

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