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From the 1/7/2022 release of VAERS data:

This is VAERS ID 266376

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Case Details

VAERS ID: 266376 (history)  
Form: Version 1.0  
Age: 60.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:2006-11-05
Submitted: 2006-11-06
   Days after onset:1
Entered: 2006-11-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / -
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Carotid artery occlusion, Cerebrovascular accident, Nuclear magnetic resonance imaging brain abnormal
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, arterial (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No hypertension, no diabetes no comorbidities except for hyperlipidemia well controlled with statin Zocor therapy for years.
Allergies:
Diagnostic Lab Data: Normal lab. Normal vital signs. MRA/MRI findings above for complete R internal carotid artery occlusion involving an MCA stroke. CXR: Normal, MRA of brain acute infarct in the distribution of right middle cerebral artery. MRA of carotids impaired flow in right internal carotid artery. Repeat MRA showed improved flow. CT cineangiography showed dissection of right middle cerebral artery with intact blood flow. EEG abnormal slow activity on right. Sylvian area is consistent with recent right middle cerebral artery distribution stroke.
CDC Split Type:

Write-up: This pt my brother received Zostavax and a flu vaccine on the same visit approx 7-10 days prior to developing a stroke. The stroke by MRI MRA was a complete occlusion of his R internal carotid artery with the MCA arterial distribution affected. Risk factors were hyperlipidemia but this was well controlled with statin Zocor 40 for years. No hypertension. No diabetes. Healthy life style, occasional daily cocktail, non smoker ever. Only prior medical history otherwise was a urethral stone two or three years ago. 02/27/07-records received and reviewed for DOS 11/5-11/8/06 DC DX: cerebrovascular accident secondary to carotid dissection on the right side. hyperlipidemia. Admitted with left sided facial droopiness. He had a right internal carotid artery dissection is hole. He still has cognitive impairment (mild), R facial droop. He wil never be able to believe Per 60 day follow up: Pt had a right internal carotid artery dissection. He had a large R MCA stroke. He has regained most use of left hand. He still has a large left lip droop. He has difficulty with speech, of math calculations and difficulty concentrating.


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