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This is VAERS ID 262456

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 262456
VAERS Form:
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER VACCINE LIVE (OKA/MERCK) (ZOSTAVAX) / MERCK & CO. INC. 0621F / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/"0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was trea


Changed on 12/8/2009

VAERS ID: 262456 Before After
VAERS Form:
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER VACCINE LIVE (OKA/MERCK) (ZOSTAVAX) ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0608USA03617

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/"0621F). 65295/0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was trea treated with triamcinolone cream and diphenhydramine hydrochloride (Benadryl). The pt reported that she was very sick, but was feeling better. The pt reported that she was seen by another physician who noted that she had a rash inside her esophagus, chest and lung. The week of 14Aug06 the pt was fine, but on 23Aug06 she broke out in blisters. The pt had been taking diphenhydramine hydrochloride (Benadryl) 25mg TID. On 24Aug06 the pt was going to take two 25mg tablets of diphenhydramine hydrochloride (Benadryl) since her rash is always worse in the afternoon. The nurse reported that the pt had a history of cancer and had a tumor in her head a year ago, in 2005. The pt was in remission and was in between her chemotherapy treatments, with the last treatment in May 2006. At the time of the report, the pt had not yet recovered. There was no product quality complaint involved. The pt''s chest pain was considered to be an other important medical event (OMIC). Additional information has been requested.


Changed on 1/5/2010

VAERS ID: 262456 Before After
VAERS Form:
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No 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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0608USA03617

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was treated with triamcinolone cream and diphenhydramine hydrochloride (Benadryl). The pt reported that she was very sick, but was feeling better. The pt reported that she was seen by another physician who noted that she had a rash inside her esophagus, chest and lung. The week of 14Aug06 the pt was fine, but on 23Aug06 she broke out in blisters. The pt had been taking diphenhydramine hydrochloride (Benadryl) 25mg TID. On 24Aug06 the pt was going to take two 25mg tablets of diphenhydramine hydrochloride (Benadryl) since her rash is always worse in the afternoon. The nurse reported that the pt had a history of cancer and had a tumor in her head a year ago, in 2005. The pt was in remission and was in between her chemotherapy treatments, with the last treatment in May 2006. At the time of the report, the pt had not yet recovered. There was no product quality complaint involved. The pt''s chest pain was considered to be an other important medical event (OMIC). Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 262456 Before After
VAERS Form:
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0608USA03617

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was treated with triamcinolone cream and diphenhydramine hydrochloride (Benadryl). The pt reported that she was very sick, but was feeling better. The pt reported that she was seen by another physician who noted that she had a rash inside her esophagus, chest and lung. The week of 14Aug06 the pt was fine, but on 23Aug06 she broke out in blisters. The pt had been taking diphenhydramine hydrochloride (Benadryl) 25mg TID. On 24Aug06 the pt was going to take two 25mg tablets of diphenhydramine hydrochloride (Benadryl) since her rash is always worse in the afternoon. The nurse reported that the pt had a history of cancer and had a tumor in her head a year ago, in 2005. The pt was in remission and was in between her chemotherapy treatments, with the last treatment in May 2006. At the time of the report, the pt had not yet recovered. There was no product quality complaint involved. The pt''s chest pain was considered to be an other important medical event (OMIC). Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 262456 Before After
VAERS Form:
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0608USA03617

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was treated with triamcinolone cream and diphenhydramine hydrochloride (Benadryl). The pt reported that she was very sick, but was feeling better. The pt reported that she was seen by another physician who noted that she had a rash inside her esophagus, chest and lung. The week of 14Aug06 the pt was fine, but on 23Aug06 she broke out in blisters. The pt had been taking diphenhydramine hydrochloride (Benadryl) 25mg TID. On 24Aug06 the pt was going to take two 25mg tablets of diphenhydramine hydrochloride (Benadryl) since her rash is always worse in the afternoon. The nurse reported that the pt had a history of cancer and had a tumor in her head a year ago, in 2005. The pt was in remission and was in between her chemotherapy treatments, with the last treatment in May 2006. At the time of the report, the pt had not yet recovered. There was no product quality complaint involved. The pt''s chest pain was considered to be an other important medical event (OMIC). Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 262456 Before After
VAERS Form:(blank) 1
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / - UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0608USA03617

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was treated with triamcinolone cream and diphenhydramine hydrochloride (Benadryl). The pt reported that she was very sick, but was feeling better. The pt reported that she was seen by another physician who noted that she had a rash inside her esophagus, chest and lung. The week of 14Aug06 the pt was fine, but on 23Aug06 she broke out in blisters. The pt had been taking diphenhydramine hydrochloride (Benadryl) 25mg TID. On 24Aug06 the pt was going to take two 25mg tablets of diphenhydramine hydrochloride (Benadryl) since her rash is always worse in the afternoon. The nurse reported that the pt had a history of cancer and had a tumor in her head a year ago, in 2005. The pt was in remission and was in between her chemotherapy treatments, with the last treatment in May 2006. At the time of the report, the pt had not yet recovered. There was no product quality complaint involved. The pt''s chest pain was considered to be an other important medical event (OMIC). Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 262456 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0608USA03617

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was treated with triamcinolone cream and diphenhydramine hydrochloride (Benadryl). The pt reported that she was very sick, but was feeling better. The pt reported that she was seen by another physician who noted that she had a rash inside her esophagus, chest and lung. The week of 14Aug06 the pt was fine, but on 23Aug06 she broke out in blisters. The pt had been taking diphenhydramine hydrochloride (Benadryl) 25mg TID. On 24Aug06 the pt was going to take two 25mg tablets of diphenhydramine hydrochloride (Benadryl) since her rash is always worse in the afternoon. The nurse reported that the pt had a history of cancer and had a tumor in her head a year ago, in 2005. The pt was in remission and was in between her chemotherapy treatments, with the last treatment in May 2006. At the time of the report, the pt had not yet recovered. There was no product quality complaint involved. The pt''s chest pain was considered to be an other important medical event (OMIC). Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 262456 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0608USA03617

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was treated with triamcinolone cream and diphenhydramine hydrochloride (Benadryl). The pt reported that she was very sick, but was feeling better. The pt reported that she was seen by another physician who noted that she had a rash inside her esophagus, chest and lung. The week of 14Aug06 the pt was fine, but on 23Aug06 she broke out in blisters. The pt had been taking diphenhydramine hydrochloride (Benadryl) 25mg TID. On 24Aug06 the pt was going to take two 25mg tablets of diphenhydramine hydrochloride (Benadryl) since her rash is always worse in the afternoon. The nurse reported that the pt had a history of cancer and had a tumor in her head a year ago, in 2005. The pt was in remission and was in between her chemotherapy treatments, with the last treatment in May 2006. At the time of the report, the pt had not yet recovered. There was no product quality complaint involved. The pt''s chest pain was considered to be an other important medical event (OMIC). Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 262456 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0608USA03617

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was treated with triamcinolone cream and diphenhydramine hydrochloride (Benadryl). The pt reported that she was very sick, but was feeling better. The pt reported that she was seen by another physician who noted that she had a rash inside her esophagus, chest and lung. The week of 14Aug06 the pt was fine, but on 23Aug06 she broke out in blisters. The pt had been taking diphenhydramine hydrochloride (Benadryl) 25mg TID. On 24Aug06 the pt was going to take two 25mg tablets of diphenhydramine hydrochloride (Benadryl) since her rash is always worse in the afternoon. The nurse reported that the pt had a history of cancer and had a tumor in her head a year ago, in 2005. The pt was in remission and was in between her chemotherapy treatments, with the last treatment in May 2006. At the time of the report, the pt had not yet recovered. There was no product quality complaint involved. The pt''s chest pain was considered to be an other important medical event (OMIC). Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 262456 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0608USA03617

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was treated with triamcinolone cream and diphenhydramine hydrochloride (Benadryl). The pt reported that she was very sick, but was feeling better. The pt reported that she was seen by another physician who noted that she had a rash inside her esophagus, chest and lung. The week of 14Aug06 the pt was fine, but on 23Aug06 she broke out in blisters. The pt had been taking diphenhydramine hydrochloride (Benadryl) 25mg TID. On 24Aug06 the pt was going to take two 25mg tablets of diphenhydramine hydrochloride (Benadryl) since her rash is always worse in the afternoon. The nurse reported that the pt had a history of cancer and had a tumor in her head a year ago, in 2005. The pt was in remission and was in between her chemotherapy treatments, with the last treatment in May 2006. At the time of the report, the pt had not yet recovered. There was no product quality complaint involved. The pt''s chest pain was considered to be an other important medical event (OMIC). Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 262456 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0608USA03617

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was treated with triamcinolone cream and diphenhydramine hydrochloride (Benadryl). The pt reported that she was very sick, but was feeling better. The pt reported that she was seen by another physician who noted that she had a rash inside her esophagus, chest and lung. The week of 14Aug06 the pt was fine, but on 23Aug06 she broke out in blisters. The pt had been taking diphenhydramine hydrochloride (Benadryl) 25mg TID. On 24Aug06 the pt was going to take two 25mg tablets of diphenhydramine hydrochloride (Benadryl) since her rash is always worse in the afternoon. The nurse reported that the pt had a history of cancer and had a tumor in her head a year ago, in 2005. The pt was in remission and was in between her chemotherapy treatments, with the last treatment in May 2006. At the time of the report, the pt had not yet recovered. There was no product quality complaint involved. The pt''s chest pain was considered to be an other important medical event (OMIC). Additional information has been requested.


Changed on 8/14/2019

VAERS ID: 262456 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0608USA03617

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was treated with triamcinolone cream and diphenhydramine hydrochloride (Benadryl). The pt reported that she was very sick, but was feeling better. The pt reported that she was seen by another physician who noted that she had a rash inside her esophagus, chest and lung. The week of 14Aug06 the pt was fine, but on 23Aug06 she broke out in blisters. The pt had been taking diphenhydramine hydrochloride (Benadryl) 25mg TID. On 24Aug06 the pt was going to take two 25mg tablets of diphenhydramine hydrochloride (Benadryl) since her rash is always worse in the afternoon. The nurse reported that the pt had a history of cancer and had a tumor in her head a year ago, in 2005. The pt was in remission and was in between her chemotherapy treatments, with the last treatment in May 2006. At the time of the report, the pt had not yet recovered. There was no product quality complaint involved. The pt''s chest pain was considered to be an other important medical event (OMIC). Additional information has been requested.


Changed on 12/24/2020

VAERS ID: 262456 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0608USA03617

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was treated with triamcinolone cream and diphenhydramine hydrochloride (Benadryl). The pt reported that she was very sick, but was feeling better. The pt reported that she was seen by another physician who noted that she had a rash inside her esophagus, chest and lung. The week of 14Aug06 the pt was fine, but on 23Aug06 she broke out in blisters. The pt had been taking diphenhydramine hydrochloride (Benadryl) 25mg TID. On 24Aug06 the pt was going to take two 25mg tablets of diphenhydramine hydrochloride (Benadryl) since her rash is always worse in the afternoon. The nurse reported that the pt had a history of cancer and had a tumor in her head a year ago, in 2005. The pt was in remission and was in between her chemotherapy treatments, with the last treatment in May 2006. At the time of the report, the pt had not yet recovered. There was no product quality complaint involved. The pt''s chest pain was considered to be an other important medical event (OMIC). Additional information has been requested.


Changed on 12/30/2020

VAERS ID: 262456 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0608USA03617

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was treated with triamcinolone cream and diphenhydramine hydrochloride (Benadryl). The pt reported that she was very sick, but was feeling better. The pt reported that she was seen by another physician who noted that she had a rash inside her esophagus, chest and lung. The week of 14Aug06 the pt was fine, but on 23Aug06 she broke out in blisters. The pt had been taking diphenhydramine hydrochloride (Benadryl) 25mg TID. On 24Aug06 the pt was going to take two 25mg tablets of diphenhydramine hydrochloride (Benadryl) since her rash is always worse in the afternoon. The nurse reported that the pt had a history of cancer and had a tumor in her head a year ago, in 2005. The pt was in remission and was in between her chemotherapy treatments, with the last treatment in May 2006. At the time of the report, the pt had not yet recovered. There was no product quality complaint involved. The pt''s chest pain was considered to be an other important medical event (OMIC). Additional information has been requested.


Changed on 5/7/2021

VAERS ID: 262456 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0608USA03617

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was treated with triamcinolone cream and diphenhydramine hydrochloride (Benadryl). The pt reported that she was very sick, but was feeling better. The pt reported that she was seen by another physician who noted that she had a rash inside her esophagus, chest and lung. The week of 14Aug06 the pt was fine, but on 23Aug06 she broke out in blisters. The pt had been taking diphenhydramine hydrochloride (Benadryl) 25mg TID. On 24Aug06 the pt was going to take two 25mg tablets of diphenhydramine hydrochloride (Benadryl) since her rash is always worse in the afternoon. The nurse reported that the pt had a history of cancer and had a tumor in her head a year ago, in 2005. The pt was in remission and was in between her chemotherapy treatments, with the last treatment in May 2006. At the time of the report, the pt had not yet recovered. There was no product quality complaint involved. The pt''s chest pain was considered to be an other important medical event (OMIC). Additional information has been requested.


Changed on 5/21/2021

VAERS ID: 262456 Before After
VAERS Form:1
Age:71.0
Sex:Female
Location:Alaska
Vaccinated:2006-07-19
Onset:2006-07-19
Submitted:2006-08-28
Entered:2006-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Blister, Chest pain, Malaise, Nasal congestion, Rash

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: NONE
Current Illness:
Preexisting Conditions: Cancer; neoplasm; chemotherapy; shingles; penicillin allergy; drug hypersensitivity.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0608USA03617

Write-up: Information has been received from a health professional concerning a 71 yr old female with penicillin and morphine allergies and a history of shingles who on 19Jul06 was vaccinated IM with a 0.65 ml dose of varicella zoster virus vaccine live (lot 65295/0621F). There was no concomitant medication. On 26Jul06 the pt experienced a rash with little tiny blisters. She also had a congested chest and chest pain associated with the rash. The rash would come and go and was worse in the afternoon. The pt was treated with triamcinolone cream and diphenhydramine hydrochloride (Benadryl). The pt reported that she was very sick, but was feeling better. The pt reported that she was seen by another physician who noted that she had a rash inside her esophagus, chest and lung. The week of 14Aug06 the pt was fine, but on 23Aug06 she broke out in blisters. The pt had been taking diphenhydramine hydrochloride (Benadryl) 25mg TID. On 24Aug06 the pt was going to take two 25mg tablets of diphenhydramine hydrochloride (Benadryl) since her rash is always worse in the afternoon. The nurse reported that the pt had a history of cancer and had a tumor in her head a year ago, in 2005. The pt was in remission and was in between her chemotherapy treatments, with the last treatment in May 2006. At the time of the report, the pt had not yet recovered. There was no product quality complaint involved. The pt''s chest pain was considered to be an other important medical event (OMIC). Additional information has been requested.

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