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This is VAERS ID 262354

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 262354
VAERS Form:
Age:64.0
Sex:Female
Location:Arkansas
Vaccinated:2006-08-23
Onset:2006-08-26
Submitted:2006-08-30
Entered:2006-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER VACCINE LIVE (OKA/MERCK) (ZOSTAVAX) / MERCK & CO. INC. 0622F / 0 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Herpes simplex, Malaise, Pyrexia, Rash erythematous

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin, Benicar/HCTZ
Current Illness: none
Preexisting Conditions: History of hypothyroidism, hypertension, anemia, hypokalemia, esophogeal cancer, colon cancer and fatigue.
Allergies:
Diagnostic Lab Data: CBC and Basic Metabolic Panel drawn at office visit today.
CDC 'Split Type':

Write-up: Cold Sores on lips within 24 hours of vaccination, generalized arthralgia, elevated temperature, general ill feeling 3-4 days post vaccination, raised rash on right shoulder 7 days post vaccination.


Changed on 12/8/2009

VAERS ID: 262354 Before After
VAERS Form:
Age:64.0
Sex:Female
Location:Arkansas
Vaccinated:2006-08-23
Onset:2006-08-26
Submitted:2006-08-30
Entered:2006-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER VACCINE LIVE (OKA/MERCK) (ZOSTAVAX) ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0622F / 0 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Herpes simplex, Malaise, Pyrexia, Rash erythematous

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin, Benicar/HCTZ
Current Illness: none
Preexisting Conditions: History of hypothyroidism, hypertension, anemia, hypokalemia, esophogeal cancer, colon cancer and fatigue.
Allergies:
Diagnostic Lab Data: CBC and Basic Metabolic Panel drawn at office visit today.
CDC 'Split Type':

Write-up: Cold Sores on lips within 24 hours of vaccination, generalized arthralgia, elevated temperature, general ill feeling 3-4 days post vaccination, raised rash on right shoulder 7 days post vaccination.


Changed on 9/14/2017

VAERS ID: 262354 Before After
VAERS Form:(blank) 1
Age:64.0
Sex:Female
Location:Arkansas
Vaccinated:2006-08-23
Onset:2006-08-26
Submitted:2006-08-30
Entered:2006-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0622F / 0 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Herpes simplex, Malaise, Pyrexia, Rash erythematous

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin, Benicar/HCTZ
Current Illness: none
Preexisting Conditions: History of hypothyroidism, hypertension, anemia, hypokalemia, esophogeal cancer, colon cancer and fatigue.
Allergies:
Diagnostic Lab Data: CBC and Basic Metabolic Panel drawn at office visit today.
CDC 'Split Type':

Write-up: Cold Sores on lips within 24 hours of vaccination, generalized arthralgia, elevated temperature, general ill feeling 3-4 days post vaccination, raised rash on right shoulder 7 days post vaccination.


Changed on 2/14/2018

VAERS ID: 262354 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Arkansas
Vaccinated:2006-08-23
Onset:2006-08-26
Submitted:2006-08-30
Entered:2006-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0622F / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Herpes simplex, Malaise, Pyrexia, Rash erythematous

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin, Benicar/HCTZ
Current Illness: none
Preexisting Conditions: History of hypothyroidism, hypertension, anemia, hypokalemia, esophogeal cancer, colon cancer and fatigue.
Allergies:
Diagnostic Lab Data: CBC and Basic Metabolic Panel drawn at office visit today.
CDC 'Split Type':

Write-up: Cold Sores on lips within 24 hours of vaccination, generalized arthralgia, elevated temperature, general ill feeling 3-4 days post vaccination, raised rash on right shoulder 7 days post vaccination.


Changed on 6/14/2018

VAERS ID: 262354 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Arkansas
Vaccinated:2006-08-23
Onset:2006-08-26
Submitted:2006-08-30
Entered:2006-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0622F / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Herpes simplex, Malaise, Pyrexia, Rash erythematous

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin, Benicar/HCTZ
Current Illness: none
Preexisting Conditions: History of hypothyroidism, hypertension, anemia, hypokalemia, esophogeal cancer, colon cancer and fatigue.
Allergies:
Diagnostic Lab Data: CBC and Basic Metabolic Panel drawn at office visit today.
CDC 'Split Type':

Write-up: Cold Sores on lips within 24 hours of vaccination, generalized arthralgia, elevated temperature, general ill feeling 3-4 days post vaccination, raised rash on right shoulder 7 days post vaccination.


Changed on 8/14/2018

VAERS ID: 262354 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Arkansas
Vaccinated:2006-08-23
Onset:2006-08-26
Submitted:2006-08-30
Entered:2006-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0622F / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Herpes simplex, Malaise, Pyrexia, Rash erythematous

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin, Benicar/HCTZ
Current Illness: none
Preexisting Conditions: History of hypothyroidism, hypertension, anemia, hypokalemia, esophogeal cancer, colon cancer and fatigue.
Allergies:
Diagnostic Lab Data: CBC and Basic Metabolic Panel drawn at office visit today.
CDC 'Split Type':

Write-up: Cold Sores on lips within 24 hours of vaccination, generalized arthralgia, elevated temperature, general ill feeling 3-4 days post vaccination, raised rash on right shoulder 7 days post vaccination.


Changed on 9/14/2018

VAERS ID: 262354 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Arkansas
Vaccinated:2006-08-23
Onset:2006-08-26
Submitted:2006-08-30
Entered:2006-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0622F / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Herpes simplex, Malaise, Pyrexia, Rash erythematous

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin, Benicar/HCTZ
Current Illness: none
Preexisting Conditions: History of hypothyroidism, hypertension, anemia, hypokalemia, esophogeal cancer, colon cancer and fatigue.
Allergies:
Diagnostic Lab Data: CBC and Basic Metabolic Panel drawn at office visit today.
CDC 'Split Type':

Write-up: Cold Sores on lips within 24 hours of vaccination, generalized arthralgia, elevated temperature, general ill feeling 3-4 days post vaccination, raised rash on right shoulder 7 days post vaccination.


Changed on 10/14/2018

VAERS ID: 262354 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Arkansas
Vaccinated:2006-08-23
Onset:2006-08-26
Submitted:2006-08-30
Entered:2006-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0622F / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Herpes simplex, Malaise, Pyrexia, Rash erythematous

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin, Benicar/HCTZ
Current Illness: none
Preexisting Conditions: History of hypothyroidism, hypertension, anemia, hypokalemia, esophogeal cancer, colon cancer and fatigue.
Allergies:
Diagnostic Lab Data: CBC and Basic Metabolic Panel drawn at office visit today.
CDC 'Split Type':

Write-up: Cold Sores on lips within 24 hours of vaccination, generalized arthralgia, elevated temperature, general ill feeling 3-4 days post vaccination, raised rash on right shoulder 7 days post vaccination.


Changed on 8/14/2019

VAERS ID: 262354 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Arkansas
Vaccinated:2006-08-23
Onset:2006-08-26
Submitted:2006-08-30
Entered:2006-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0622F / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Herpes simplex, Malaise, Pyrexia, Rash erythematous

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin, Benicar/HCTZ
Current Illness: none
Preexisting Conditions: History of hypothyroidism, hypertension, anemia, hypokalemia, esophogeal cancer, colon cancer and fatigue.
Allergies:
Diagnostic Lab Data: CBC and Basic Metabolic Panel drawn at office visit today.
CDC 'Split Type':

Write-up: Cold Sores on lips within 24 hours of vaccination, generalized arthralgia, elevated temperature, general ill feeling 3-4 days post vaccination, raised rash on right shoulder 7 days post vaccination.


Changed on 12/24/2020

VAERS ID: 262354 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Arkansas
Vaccinated:2006-08-23
Onset:2006-08-26
Submitted:2006-08-30
Entered:2006-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0622F / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Herpes simplex, Malaise, Pyrexia, Rash erythematous

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin, Benicar/HCTZ
Current Illness: none
Preexisting Conditions: History of hypothyroidism, hypertension, anemia, hypokalemia, esophogeal cancer, colon cancer and fatigue.
Allergies:
Diagnostic Lab Data: CBC and Basic Metabolic Panel drawn at office visit today.
CDC 'Split Type':

Write-up: Cold Sores on lips within 24 hours of vaccination, generalized arthralgia, elevated temperature, general ill feeling 3-4 days post vaccination, raised rash on right shoulder 7 days post vaccination.


Changed on 12/30/2020

VAERS ID: 262354 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Arkansas
Vaccinated:2006-08-23
Onset:2006-08-26
Submitted:2006-08-30
Entered:2006-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0622F / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Herpes simplex, Malaise, Pyrexia, Rash erythematous

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin, Benicar/HCTZ
Current Illness: none
Preexisting Conditions: History of hypothyroidism, hypertension, anemia, hypokalemia, esophogeal cancer, colon cancer and fatigue.
Allergies:
Diagnostic Lab Data: CBC and Basic Metabolic Panel drawn at office visit today.
CDC 'Split Type':

Write-up: Cold Sores on lips within 24 hours of vaccination, generalized arthralgia, elevated temperature, general ill feeling 3-4 days post vaccination, raised rash on right shoulder 7 days post vaccination.


Changed on 5/7/2021

VAERS ID: 262354 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Arkansas
Vaccinated:2006-08-23
Onset:2006-08-26
Submitted:2006-08-30
Entered:2006-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0622F / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Herpes simplex, Malaise, Pyrexia, Rash erythematous

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin, Benicar/HCTZ
Current Illness: none
Preexisting Conditions: History of hypothyroidism, hypertension, anemia, hypokalemia, esophogeal cancer, colon cancer and fatigue.
Allergies:
Diagnostic Lab Data: CBC and Basic Metabolic Panel drawn at office visit today.
CDC 'Split Type':

Write-up: Cold Sores on lips within 24 hours of vaccination, generalized arthralgia, elevated temperature, general ill feeling 3-4 days post vaccination, raised rash on right shoulder 7 days post vaccination.


Changed on 5/21/2021

VAERS ID: 262354 Before After
VAERS Form:1
Age:64.0
Sex:Female
Location:Arkansas
Vaccinated:2006-08-23
Onset:2006-08-26
Submitted:2006-08-30
Entered:2006-08-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0622F / 1 RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Herpes simplex, Malaise, Pyrexia, Rash erythematous

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Premarin, Benicar/HCTZ
Current Illness: none
Preexisting Conditions: History of hypothyroidism, hypertension, anemia, hypokalemia, esophogeal cancer, colon cancer and fatigue.
Allergies:
Diagnostic Lab Data: CBC and Basic Metabolic Panel drawn at office visit today.
CDC 'Split Type':

Write-up: Cold Sores on lips within 24 hours of vaccination, generalized arthralgia, elevated temperature, general ill feeling 3-4 days post vaccination, raised rash on right shoulder 7 days post vaccination.

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