National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 262816

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 262816
VAERS Form:
Age:85.0
Sex:Female
Location:Idaho
Vaccinated:2006-08-24
Onset:2006-08-25
Submitted:2006-08-28
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER VACCINE LIVE (OKA/MERCK) (ZOSTAVAX) / MERCK & CO. INC. 0621F / 0 LA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: Erythema, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin, Attune, Phosomax, Topral
Current Illness:
Preexisting Conditions: High blood pressure, atrial fibrillation
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Woke up next morning with 11 red spots on right thigh. August 25. On Aug 27 3 more red spots appeared on the same area on right thigh. No other symptoms. Referred to her Dr.


Changed on 12/8/2009

VAERS ID: 262816 Before After
VAERS Form:
Age:85.0
Sex:Female
Location:Idaho
Vaccinated:2006-08-24
Onset:2006-08-25
Submitted:2006-08-28
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER VACCINE LIVE (OKA/MERCK) (ZOSTAVAX) ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 0 LA / SC

Administered by: Public      Purchased by: Unknown Private
Symptoms: Erythema, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin, Attune, Phosomax, Topral
Current Illness:
Preexisting Conditions: High blood pressure, atrial fibrillation
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) ID06033

Write-up: Woke up next morning with 11 red spots on right thigh. August 25. On Aug 27 3 more red spots appeared on the same area on right thigh. No other symptoms. Referred to her Dr.


Changed on 9/14/2017

VAERS ID: 262816 Before After
VAERS Form:(blank) 1
Age:85.0
Sex:Female
Location:Idaho
Vaccinated:2006-08-24
Onset:2006-08-25
Submitted:2006-08-28
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 0 1 LA / SC

Administered by: Public      Purchased by: Private
Symptoms: Erythema, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin, Attune, Phosomax, Topral
Current Illness:
Preexisting Conditions: High blood pressure, atrial fibrillation
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID06033

Write-up: Woke up next morning with 11 red spots on right thigh. August 25. On Aug 27 3 more red spots appeared on the same area on right thigh. No other symptoms. Referred to her Dr.


Changed on 2/14/2018

VAERS ID: 262816 Before After
VAERS Form:1
Age:85.0
Sex:Female
Location:Idaho
Vaccinated:2006-08-24
Onset:2006-08-25
Submitted:2006-08-28
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Public      Purchased by: Private
Symptoms: Erythema, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin, Attune, Phosomax, Topral
Current Illness:
Preexisting Conditions: High blood pressure, atrial fibrillation
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID06033

Write-up: Woke up next morning with 11 red spots on right thigh. August 25. On Aug 27 3 more red spots appeared on the same area on right thigh. No other symptoms. Referred to her Dr.


Changed on 6/14/2018

VAERS ID: 262816 Before After
VAERS Form:1
Age:85.0
Sex:Female
Location:Idaho
Vaccinated:2006-08-24
Onset:2006-08-25
Submitted:2006-08-28
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Public      Purchased by: Private
Symptoms: Erythema, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin, Attune, Phosomax, Topral
Current Illness:
Preexisting Conditions: High blood pressure, atrial fibrillation
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID06033

Write-up: Woke up next morning with 11 red spots on right thigh. August 25. On Aug 27 3 more red spots appeared on the same area on right thigh. No other symptoms. Referred to her Dr.


Changed on 8/14/2018

VAERS ID: 262816 Before After
VAERS Form:1
Age:85.0
Sex:Female
Location:Idaho
Vaccinated:2006-08-24
Onset:2006-08-25
Submitted:2006-08-28
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Public      Purchased by: Private
Symptoms: Erythema, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin, Attune, Phosomax, Topral
Current Illness:
Preexisting Conditions: High blood pressure, atrial fibrillation
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID06033

Write-up: Woke up next morning with 11 red spots on right thigh. August 25. On Aug 27 3 more red spots appeared on the same area on right thigh. No other symptoms. Referred to her Dr.


Changed on 9/14/2018

VAERS ID: 262816 Before After
VAERS Form:1
Age:85.0
Sex:Female
Location:Idaho
Vaccinated:2006-08-24
Onset:2006-08-25
Submitted:2006-08-28
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Public      Purchased by: Private
Symptoms: Erythema, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin, Attune, Phosomax, Topral
Current Illness:
Preexisting Conditions: High blood pressure, atrial fibrillation
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID06033

Write-up: Woke up next morning with 11 red spots on right thigh. August 25. On Aug 27 3 more red spots appeared on the same area on right thigh. No other symptoms. Referred to her Dr.


Changed on 10/14/2018

VAERS ID: 262816 Before After
VAERS Form:1
Age:85.0
Sex:Female
Location:Idaho
Vaccinated:2006-08-24
Onset:2006-08-25
Submitted:2006-08-28
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Public      Purchased by: Private
Symptoms: Erythema, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin, Attune, Phosomax, Topral
Current Illness:
Preexisting Conditions: High blood pressure, atrial fibrillation
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID06033

Write-up: Woke up next morning with 11 red spots on right thigh. August 25. On Aug 27 3 more red spots appeared on the same area on right thigh. No other symptoms. Referred to her Dr.


Changed on 8/14/2019

VAERS ID: 262816 Before After
VAERS Form:1
Age:85.0
Sex:Female
Location:Idaho
Vaccinated:2006-08-24
Onset:2006-08-25
Submitted:2006-08-28
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Public      Purchased by: Private
Symptoms: Erythema, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin, Attune, Phosomax, Topral
Current Illness:
Preexisting Conditions: High blood pressure, atrial fibrillation
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID06033

Write-up: Woke up next morning with 11 red spots on right thigh. August 25. On Aug 27 3 more red spots appeared on the same area on right thigh. No other symptoms. Referred to her Dr.


Changed on 12/24/2020

VAERS ID: 262816 Before After
VAERS Form:1
Age:85.0
Sex:Female
Location:Idaho
Vaccinated:2006-08-24
Onset:2006-08-25
Submitted:2006-08-28
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Public      Purchased by: Private
Symptoms: Erythema, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin, Attune, Phosomax, Topral
Current Illness:
Preexisting Conditions: High blood pressure, atrial fibrillation
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID06033

Write-up: Woke up next morning with 11 red spots on right thigh. August 25. On Aug 27 3 more red spots appeared on the same area on right thigh. No other symptoms. Referred to her Dr.


Changed on 12/30/2020

VAERS ID: 262816 Before After
VAERS Form:1
Age:85.0
Sex:Female
Location:Idaho
Vaccinated:2006-08-24
Onset:2006-08-25
Submitted:2006-08-28
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Public      Purchased by: Private
Symptoms: Erythema, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin, Attune, Phosomax, Topral
Current Illness:
Preexisting Conditions: High blood pressure, atrial fibrillation
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID06033

Write-up: Woke up next morning with 11 red spots on right thigh. August 25. On Aug 27 3 more red spots appeared on the same area on right thigh. No other symptoms. Referred to her Dr.


Changed on 5/7/2021

VAERS ID: 262816 Before After
VAERS Form:1
Age:85.0
Sex:Female
Location:Idaho
Vaccinated:2006-08-24
Onset:2006-08-25
Submitted:2006-08-28
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Public      Purchased by: Private
Symptoms: Erythema, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin, Attune, Phosomax, Topral
Current Illness:
Preexisting Conditions: High blood pressure, atrial fibrillation
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID06033

Write-up: Woke up next morning with 11 red spots on right thigh. August 25. On Aug 27 3 more red spots appeared on the same area on right thigh. No other symptoms. Referred to her Dr.


Changed on 5/21/2021

VAERS ID: 262816 Before After
VAERS Form:1
Age:85.0
Sex:Female
Location:Idaho
Vaccinated:2006-08-24
Onset:2006-08-25
Submitted:2006-08-28
Entered:2006-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0621F / 1 LA / SC

Administered by: Public      Purchased by: Private
Symptoms: Erythema, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Coumadin, Attune, Phosomax, Topral
Current Illness:
Preexisting Conditions: High blood pressure, atrial fibrillation
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID06033

Write-up: Woke up next morning with 11 red spots on right thigh. August 25. On Aug 27 3 more red spots appeared on the same area on right thigh. No other symptoms. Referred to her Dr.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=262816&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166