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This is VAERS ID 269012

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 269012
VAERS Form:
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-12-12
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER VACCINE LIVE (OKA/MERCK) (ZOSTAVAX) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Unknown
Symptoms: Blood glucose increased, Cold sweat, Dehydration, Dizziness, Fatigue

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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Enlarged prostate, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: Chest X ray 11/29/06 hypoexpanded lungs, otherwise within normal limits. Lymphocyte count 11/29/06 14.5, serum glucose 134, serum hemoglobin test 13.8, serum potassium 3.2, hematocrit 41.
CDC 'Split Type':

Write-up: Information has been received from a investigator concerning a 71 year old male with an enlarged prostate (April 2005) and an allergy to Sulfonamide who entered a study. On 29 Nov 2006, the patient was vaccinated SC in the deltoid with a 0.65 ml dose of v"aricella Zoster vaccine. Concomitant vaccination on 15 Nov 2006 included a dose of influenza virus vaccine (unspecified). On 29 Nov 2006, prior to vaccination with study therapy, the patient arose early and went exercising without having breakfast. The pa


Changed on 12/8/2009

VAERS ID: 269012 Before After
VAERS Form:
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-12-12
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER VACCINE LIVE (OKA/MERCK) (ZOSTAVAX) ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Unknown Other
Symptoms: Blood glucose increased, Cold sweat, Dehydration, Dizziness, Fatigue, Hypersensitivity, Hypoaesthesia, Lung disorder, Lymphopenia, Nausea, Pallor, Vertigo, Vomiting

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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Enlarged prostate, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: Chest X ray 11/29/06 hypoexpanded lungs, otherwise within normal limits. Lymphocyte count 11/29/06 14.5, serum glucose 134, serum hemoglobin test 13.8, serum potassium 3.2, hematocrit 41.
CDC 'Split Type': (blank) WAES0612USA00197

Write-up: Information has been received from a investigator concerning a 71 year old male with an enlarged prostate (April 2005) and an allergy to Sulfonamide who entered a study. On 29 Nov 2006, the patient was vaccinated SC in the deltoid with a 0.65 ml dose of v"aricella varicella Zoster vaccine. Concomitant vaccination on 15 Nov 2006 included a dose of influenza virus vaccine (unspecified). On 29 Nov 2006, prior to vaccination with study therapy, the patient arose early and went exercising without having breakfast. The pa patient was then screened and vaccainted with Varicella Zoster vaccine. He was observed for 30 minutes and was released feeling well. The patient went home and had breakfast that consisted of eggs and cinnamon bread. Two hours post vaccination, the patient suddenly felt dizzy and nauseated followed by episodes of vomiting. The patient also experienced the sensation of numbness affection his arms, legs and neck. The patient felt clammy and looked pale to his wife who called the study site and spoke with the investigator and his primary care physician. The patient was taken by ambulance to the emergency room on 29 Nov 2006 for nausea, vomiting and vertigo. he was hospitalized for 24 hours in the emergency room and was discharged on 30 Nov 2006. The discharge diagnosis was rule out myocardial infarction with the additional diagnoses of benign paroxym/smal vertigo, dehydration, possible allergic reaction to varicella zoster vaccine. On 01 Dec 2006, the patient was called post release from the emergency department and he felt well. Again, he skipped breakfast and went to exercise. He arrived home to feel lightheaded and fatigues. He took a nap and felt better. On 04 Dec 2006, the patient was called again for an update. He rested over the weekend without further nausea or vomiting. He stated that he felt about 90 percent. Again, he exercised without breakfast and felt lightheaded. He stated the he has continued to have intermittent feelings of dizziness. The patient considered recovered on 30 Nov 2006. The patient''s naus


Changed on 3/14/2014

VAERS ID: 269012 Before After
VAERS Form:
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-12-12
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / - - UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose increased, Cold sweat, Dehydration, Dizziness, Fatigue, Hypersensitivity, Hypoaesthesia, Lung disorder, Lymphopenia, Nausea, Pallor, Vertigo, Vomiting

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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Enlarged prostate, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: Chest X ray 11/29/06 hypoexpanded lungs, otherwise within normal limits. Lymphocyte count 11/29/06 14.5, serum glucose 134, serum hemoglobin test 13.8, serum potassium 3.2, hematocrit 41.
CDC 'Split Type': WAES0612USA00197

Write-up: Information has been received from a investigator concerning a 71 year old male with an enlarged prostate (April 2005) and an allergy to Sulfonamide who entered a study. On 29 Nov 2006, the patient was vaccinated SC in the deltoid with a 0.65 ml dose of varicella Zoster vaccine. Concomitant vaccination on 15 Nov 2006 included a dose of influenza virus vaccine (unspecified). On 29 Nov 2006, prior to vaccination with study therapy, the patient arose early and went exercising without having breakfast. The patient was then screened and vaccainted with Varicella Zoster vaccine. He was observed for 30 minutes and was released feeling well. The patient went home and had breakfast that consisted of eggs and cinnamon bread. Two hours post vaccination, the patient suddenly felt dizzy and nauseated followed by episodes of vomiting. The patient also experienced the sensation of numbness affection his arms, legs and neck. The patient felt clammy and looked pale to his wife who called the study site and spoke with the investigator and his primary care physician. The patient was taken by ambulance to the emergency room on 29 Nov 2006 for nausea, vomiting and vertigo. he was hospitalized for 24 hours in the emergency room and was discharged on 30 Nov 2006. The discharge diagnosis was rule out myocardial infarction with the additional diagnoses of benign paroxym/smal vertigo, dehydration, possible allergic reaction to varicella zoster vaccine. On 01 Dec 2006, the patient was called post release from the emergency department and he felt well. Again, he skipped breakfast and went to exercise. He arrived home to feel lightheaded and fatigues. He took a nap and felt better. On 04 Dec 2006, the patient was called again for an update. He rested over the weekend without further nausea or vomiting. He stated that he felt about 90 percent. Again, he exercised without breakfast and felt lightheaded. He stated the he has continued to have intermittent feelings of dizziness. The patient considered recovered on 30 Nov 2006. The patient''s naus nausea, vomiting and vertigo was considered to be other important medical events (OMIC). The reporter felt that the patients nausea, vomiting and vertigo was possibly related to vaccination with varicella Zoster vaccine. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 269012 Before After
VAERS Form:(blank) 1
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-12-12
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / - UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose increased, Cold sweat, Dehydration, Dizziness, Fatigue, Hypersensitivity, Hypoaesthesia, Lung disorder, Lymphopenia, Nausea, Pallor, Vertigo, Vomiting

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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Enlarged prostate, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: Chest X ray 11/29/06 hypoexpanded lungs, otherwise within normal limits. Lymphocyte count 11/29/06 14.5, serum glucose 134, serum hemoglobin test 13.8, serum potassium 3.2, hematocrit 41.
CDC 'Split Type': WAES0612USA00197

Write-up: Information has been received from a investigator concerning a 71 year old male with an enlarged prostate (April 2005) and an allergy to Sulfonamide who entered a study. On 29 Nov 2006, the patient was vaccinated SC in the deltoid with a 0.65 ml dose of varicella Zoster vaccine. Concomitant vaccination on 15 Nov 2006 included a dose of influenza virus vaccine (unspecified). On 29 Nov 2006, prior to vaccination with study therapy, the patient arose early and went exercising without having breakfast. The patient was then screened and vaccainted with Varicella Zoster vaccine. He was observed for 30 minutes and was released feeling well. The patient went home and had breakfast that consisted of eggs and cinnamon bread. Two hours post vaccination, the patient suddenly felt dizzy and nauseated followed by episodes of vomiting. The patient also experienced the sensation of numbness affection his arms, legs and neck. The patient felt clammy and looked pale to his wife who called the study site and spoke with the investigator and his primary care physician. The patient was taken by ambulance to the emergency room on 29 Nov 2006 for nausea, vomiting and vertigo. he was hospitalized for 24 hours in the emergency room and was discharged on 30 Nov 2006. The discharge diagnosis was rule out myocardial infarction with the additional diagnoses of benign paroxym/smal vertigo, dehydration, possible allergic reaction to varicella zoster vaccine. On 01 Dec 2006, the patient was called post release from the emergency department and he felt well. Again, he skipped breakfast and went to exercise. He arrived home to feel lightheaded and fatigues. He took a nap and felt better. On 04 Dec 2006, the patient was called again for an update. He rested over the weekend without further nausea or vomiting. He stated that he felt about 90 percent. Again, he exercised without breakfast and felt lightheaded. He stated the he has continued to have intermittent feelings of dizziness. The patient considered recovered on 30 Nov 2006. The patient''s nausea, vomiting and vertigo was considered to be other important medical events (OMIC). The reporter felt that the patients nausea, vomiting and vertigo was possibly related to vaccination with varicella Zoster vaccine. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 269012 Before After
VAERS Form:1
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-12-12
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose increased, Cold sweat, Dehydration, Dizziness, Fatigue, Hypersensitivity, Hypoaesthesia, Lung disorder, Lymphopenia, Nausea, Pallor, Vertigo, Vomiting

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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Enlarged prostate, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: Chest X ray 11/29/06 hypoexpanded lungs, otherwise within normal limits. Lymphocyte count 11/29/06 14.5, serum glucose 134, serum hemoglobin test 13.8, serum potassium 3.2, hematocrit 41.
CDC 'Split Type': WAES0612USA00197

Write-up: Information has been received from a investigator concerning a 71 year old male with an enlarged prostate (April 2005) and an allergy to Sulfonamide who entered a study. On 29 Nov 2006, the patient was vaccinated SC in the deltoid with a 0.65 ml dose of varicella Zoster vaccine. Concomitant vaccination on 15 Nov 2006 included a dose of influenza virus vaccine (unspecified). On 29 Nov 2006, prior to vaccination with study therapy, the patient arose early and went exercising without having breakfast. The patient was then screened and vaccainted with Varicella Zoster vaccine. He was observed for 30 minutes and was released feeling well. The patient went home and had breakfast that consisted of eggs and cinnamon bread. Two hours post vaccination, the patient suddenly felt dizzy and nauseated followed by episodes of vomiting. The patient also experienced the sensation of numbness affection his arms, legs and neck. The patient felt clammy and looked pale to his wife who called the study site and spoke with the investigator and his primary care physician. The patient was taken by ambulance to the emergency room on 29 Nov 2006 for nausea, vomiting and vertigo. he was hospitalized for 24 hours in the emergency room and was discharged on 30 Nov 2006. The discharge diagnosis was rule out myocardial infarction with the additional diagnoses of benign paroxym/smal vertigo, dehydration, possible allergic reaction to varicella zoster vaccine. On 01 Dec 2006, the patient was called post release from the emergency department and he felt well. Again, he skipped breakfast and went to exercise. He arrived home to feel lightheaded and fatigues. He took a nap and felt better. On 04 Dec 2006, the patient was called again for an update. He rested over the weekend without further nausea or vomiting. He stated that he felt about 90 percent. Again, he exercised without breakfast and felt lightheaded. He stated the he has continued to have intermittent feelings of dizziness. The patient considered recovered on 30 Nov 2006. The patient''s nausea, vomiting and vertigo was considered to be other important medical events (OMIC). The reporter felt that the patients nausea, vomiting and vertigo was possibly related to vaccination with varicella Zoster vaccine. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 269012 Before After
VAERS Form:1
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-12-12
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose increased, Cold sweat, Dehydration, Dizziness, Fatigue, Hypersensitivity, Hypoaesthesia, Lung disorder, Lymphopenia, Nausea, Pallor, Vertigo, Vomiting

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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Enlarged prostate, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: Chest X ray 11/29/06 hypoexpanded lungs, otherwise within normal limits. Lymphocyte count 11/29/06 14.5, serum glucose 134, serum hemoglobin test 13.8, serum potassium 3.2, hematocrit 41.
CDC 'Split Type': WAES0612USA00197

Write-up: Information has been received from a investigator concerning a 71 year old male with an enlarged prostate (April 2005) and an allergy to Sulfonamide who entered a study. On 29 Nov 2006, the patient was vaccinated SC in the deltoid with a 0.65 ml dose of varicella Zoster vaccine. Concomitant vaccination on 15 Nov 2006 included a dose of influenza virus vaccine (unspecified). On 29 Nov 2006, prior to vaccination with study therapy, the patient arose early and went exercising without having breakfast. The patient was then screened and vaccainted with Varicella Zoster vaccine. He was observed for 30 minutes and was released feeling well. The patient went home and had breakfast that consisted of eggs and cinnamon bread. Two hours post vaccination, the patient suddenly felt dizzy and nauseated followed by episodes of vomiting. The patient also experienced the sensation of numbness affection his arms, legs and neck. The patient felt clammy and looked pale to his wife who called the study site and spoke with the investigator and his primary care physician. The patient was taken by ambulance to the emergency room on 29 Nov 2006 for nausea, vomiting and vertigo. he was hospitalized for 24 hours in the emergency room and was discharged on 30 Nov 2006. The discharge diagnosis was rule out myocardial infarction with the additional diagnoses of benign paroxym/smal vertigo, dehydration, possible allergic reaction to varicella zoster vaccine. On 01 Dec 2006, the patient was called post release from the emergency department and he felt well. Again, he skipped breakfast and went to exercise. He arrived home to feel lightheaded and fatigues. He took a nap and felt better. On 04 Dec 2006, the patient was called again for an update. He rested over the weekend without further nausea or vomiting. He stated that he felt about 90 percent. Again, he exercised without breakfast and felt lightheaded. He stated the he has continued to have intermittent feelings of dizziness. The patient considered recovered on 30 Nov 2006. The patient''s nausea, vomiting and vertigo was considered to be other important medical events (OMIC). The reporter felt that the patients nausea, vomiting and vertigo was possibly related to vaccination with varicella Zoster vaccine. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 269012 Before After
VAERS Form:1
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-12-12
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose increased, Cold sweat, Dehydration, Dizziness, Fatigue, Hypersensitivity, Hypoaesthesia, Lung disorder, Lymphopenia, Nausea, Pallor, Vertigo, Vomiting

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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Enlarged prostate, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: Chest X ray 11/29/06 hypoexpanded lungs, otherwise within normal limits. Lymphocyte count 11/29/06 14.5, serum glucose 134, serum hemoglobin test 13.8, serum potassium 3.2, hematocrit 41.
CDC 'Split Type': WAES0612USA00197

Write-up: Information has been received from a investigator concerning a 71 year old male with an enlarged prostate (April 2005) and an allergy to Sulfonamide who entered a study. On 29 Nov 2006, the patient was vaccinated SC in the deltoid with a 0.65 ml dose of varicella Zoster vaccine. Concomitant vaccination on 15 Nov 2006 included a dose of influenza virus vaccine (unspecified). On 29 Nov 2006, prior to vaccination with study therapy, the patient arose early and went exercising without having breakfast. The patient was then screened and vaccainted with Varicella Zoster vaccine. He was observed for 30 minutes and was released feeling well. The patient went home and had breakfast that consisted of eggs and cinnamon bread. Two hours post vaccination, the patient suddenly felt dizzy and nauseated followed by episodes of vomiting. The patient also experienced the sensation of numbness affection his arms, legs and neck. The patient felt clammy and looked pale to his wife who called the study site and spoke with the investigator and his primary care physician. The patient was taken by ambulance to the emergency room on 29 Nov 2006 for nausea, vomiting and vertigo. he was hospitalized for 24 hours in the emergency room and was discharged on 30 Nov 2006. The discharge diagnosis was rule out myocardial infarction with the additional diagnoses of benign paroxym/smal vertigo, dehydration, possible allergic reaction to varicella zoster vaccine. On 01 Dec 2006, the patient was called post release from the emergency department and he felt well. Again, he skipped breakfast and went to exercise. He arrived home to feel lightheaded and fatigues. He took a nap and felt better. On 04 Dec 2006, the patient was called again for an update. He rested over the weekend without further nausea or vomiting. He stated that he felt about 90 percent. Again, he exercised without breakfast and felt lightheaded. He stated the he has continued to have intermittent feelings of dizziness. The patient considered recovered on 30 Nov 2006. The patient''s nausea, vomiting and vertigo was considered to be other important medical events (OMIC). The reporter felt that the patients nausea, vomiting and vertigo was possibly related to vaccination with varicella Zoster vaccine. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 269012 Before After
VAERS Form:1
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-12-12
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose increased, Cold sweat, Dehydration, Dizziness, Fatigue, Hypersensitivity, Hypoaesthesia, Lung disorder, Lymphopenia, Nausea, Pallor, Vertigo, Vomiting

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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Enlarged prostate, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: Chest X ray 11/29/06 hypoexpanded lungs, otherwise within normal limits. Lymphocyte count 11/29/06 14.5, serum glucose 134, serum hemoglobin test 13.8, serum potassium 3.2, hematocrit 41.
CDC 'Split Type': WAES0612USA00197

Write-up: Information has been received from a investigator concerning a 71 year old male with an enlarged prostate (April 2005) and an allergy to Sulfonamide who entered a study. On 29 Nov 2006, the patient was vaccinated SC in the deltoid with a 0.65 ml dose of varicella Zoster vaccine. Concomitant vaccination on 15 Nov 2006 included a dose of influenza virus vaccine (unspecified). On 29 Nov 2006, prior to vaccination with study therapy, the patient arose early and went exercising without having breakfast. The patient was then screened and vaccainted with Varicella Zoster vaccine. He was observed for 30 minutes and was released feeling well. The patient went home and had breakfast that consisted of eggs and cinnamon bread. Two hours post vaccination, the patient suddenly felt dizzy and nauseated followed by episodes of vomiting. The patient also experienced the sensation of numbness affection his arms, legs and neck. The patient felt clammy and looked pale to his wife who called the study site and spoke with the investigator and his primary care physician. The patient was taken by ambulance to the emergency room on 29 Nov 2006 for nausea, vomiting and vertigo. he was hospitalized for 24 hours in the emergency room and was discharged on 30 Nov 2006. The discharge diagnosis was rule out myocardial infarction with the additional diagnoses of benign paroxym/smal vertigo, dehydration, possible allergic reaction to varicella zoster vaccine. On 01 Dec 2006, the patient was called post release from the emergency department and he felt well. Again, he skipped breakfast and went to exercise. He arrived home to feel lightheaded and fatigues. He took a nap and felt better. On 04 Dec 2006, the patient was called again for an update. He rested over the weekend without further nausea or vomiting. He stated that he felt about 90 percent. Again, he exercised without breakfast and felt lightheaded. He stated the he has continued to have intermittent feelings of dizziness. The patient considered recovered on 30 Nov 2006. The patient''s nausea, vomiting and vertigo was considered to be other important medical events (OMIC). The reporter felt that the patients nausea, vomiting and vertigo was possibly related to vaccination with varicella Zoster vaccine. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 269012 Before After
VAERS Form:1
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-12-12
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose increased, Cold sweat, Dehydration, Dizziness, Fatigue, Hypersensitivity, Hypoaesthesia, Lung disorder, Lymphopenia, Nausea, Pallor, Vertigo, Vomiting

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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Enlarged prostate, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: Chest X ray 11/29/06 hypoexpanded lungs, otherwise within normal limits. Lymphocyte count 11/29/06 14.5, serum glucose 134, serum hemoglobin test 13.8, serum potassium 3.2, hematocrit 41.
CDC 'Split Type': WAES0612USA00197

Write-up: Information has been received from a investigator concerning a 71 year old male with an enlarged prostate (April 2005) and an allergy to Sulfonamide who entered a study. On 29 Nov 2006, the patient was vaccinated SC in the deltoid with a 0.65 ml dose of varicella Zoster vaccine. Concomitant vaccination on 15 Nov 2006 included a dose of influenza virus vaccine (unspecified). On 29 Nov 2006, prior to vaccination with study therapy, the patient arose early and went exercising without having breakfast. The patient was then screened and vaccainted with Varicella Zoster vaccine. He was observed for 30 minutes and was released feeling well. The patient went home and had breakfast that consisted of eggs and cinnamon bread. Two hours post vaccination, the patient suddenly felt dizzy and nauseated followed by episodes of vomiting. The patient also experienced the sensation of numbness affection his arms, legs and neck. The patient felt clammy and looked pale to his wife who called the study site and spoke with the investigator and his primary care physician. The patient was taken by ambulance to the emergency room on 29 Nov 2006 for nausea, vomiting and vertigo. he was hospitalized for 24 hours in the emergency room and was discharged on 30 Nov 2006. The discharge diagnosis was rule out myocardial infarction with the additional diagnoses of benign paroxym/smal vertigo, dehydration, possible allergic reaction to varicella zoster vaccine. On 01 Dec 2006, the patient was called post release from the emergency department and he felt well. Again, he skipped breakfast and went to exercise. He arrived home to feel lightheaded and fatigues. He took a nap and felt better. On 04 Dec 2006, the patient was called again for an update. He rested over the weekend without further nausea or vomiting. He stated that he felt about 90 percent. Again, he exercised without breakfast and felt lightheaded. He stated the he has continued to have intermittent feelings of dizziness. The patient considered recovered on 30 Nov 2006. The patient''s nausea, vomiting and vertigo was considered to be other important medical events (OMIC). The reporter felt that the patients nausea, vomiting and vertigo was possibly related to vaccination with varicella Zoster vaccine. Additional information has been requested.


Changed on 8/14/2019

VAERS ID: 269012 Before After
VAERS Form:1
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-12-12
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose increased, Cold sweat, Dehydration, Dizziness, Fatigue, Hypersensitivity, Hypoaesthesia, Lung disorder, Lymphopenia, Nausea, Pallor, Vertigo, Vomiting

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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Enlarged prostate, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: Chest X ray 11/29/06 hypoexpanded lungs, otherwise within normal limits. Lymphocyte count 11/29/06 14.5, serum glucose 134, serum hemoglobin test 13.8, serum potassium 3.2, hematocrit 41.
CDC 'Split Type': WAES0612USA00197

Write-up: Information has been received from a investigator concerning a 71 year old male with an enlarged prostate (April 2005) and an allergy to Sulfonamide who entered a study. On 29 Nov 2006, the patient was vaccinated SC in the deltoid with a 0.65 ml dose of varicella Zoster vaccine. Concomitant vaccination on 15 Nov 2006 included a dose of influenza virus vaccine (unspecified). On 29 Nov 2006, prior to vaccination with study therapy, the patient arose early and went exercising without having breakfast. The patient was then screened and vaccainted with Varicella Zoster vaccine. He was observed for 30 minutes and was released feeling well. The patient went home and had breakfast that consisted of eggs and cinnamon bread. Two hours post vaccination, the patient suddenly felt dizzy and nauseated followed by episodes of vomiting. The patient also experienced the sensation of numbness affection his arms, legs and neck. The patient felt clammy and looked pale to his wife who called the study site and spoke with the investigator and his primary care physician. The patient was taken by ambulance to the emergency room on 29 Nov 2006 for nausea, vomiting and vertigo. he was hospitalized for 24 hours in the emergency room and was discharged on 30 Nov 2006. The discharge diagnosis was rule out myocardial infarction with the additional diagnoses of benign paroxym/smal vertigo, dehydration, possible allergic reaction to varicella zoster vaccine. On 01 Dec 2006, the patient was called post release from the emergency department and he felt well. Again, he skipped breakfast and went to exercise. He arrived home to feel lightheaded and fatigues. He took a nap and felt better. On 04 Dec 2006, the patient was called again for an update. He rested over the weekend without further nausea or vomiting. He stated that he felt about 90 percent. Again, he exercised without breakfast and felt lightheaded. He stated the he has continued to have intermittent feelings of dizziness. The patient considered recovered on 30 Nov 2006. The patient''s nausea, vomiting and vertigo was considered to be other important medical events (OMIC). The reporter felt that the patients nausea, vomiting and vertigo was possibly related to vaccination with varicella Zoster vaccine. Additional information has been requested.


Changed on 12/24/2020

VAERS ID: 269012 Before After
VAERS Form:1
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-12-12
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose increased, Cold sweat, Dehydration, Dizziness, Fatigue, Hypersensitivity, Hypoaesthesia, Lung disorder, Lymphopenia, Nausea, Pallor, Vertigo, Vomiting

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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Enlarged prostate, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: Chest X ray 11/29/06 hypoexpanded lungs, otherwise within normal limits. Lymphocyte count 11/29/06 14.5, serum glucose 134, serum hemoglobin test 13.8, serum potassium 3.2, hematocrit 41.
CDC 'Split Type': WAES0612USA00197

Write-up: Information has been received from a investigator concerning a 71 year old male with an enlarged prostate (April 2005) and an allergy to Sulfonamide who entered a study. On 29 Nov 2006, the patient was vaccinated SC in the deltoid with a 0.65 ml dose of varicella Zoster vaccine. Concomitant vaccination on 15 Nov 2006 included a dose of influenza virus vaccine (unspecified). On 29 Nov 2006, prior to vaccination with study therapy, the patient arose early and went exercising without having breakfast. The patient was then screened and vaccainted with Varicella Zoster vaccine. He was observed for 30 minutes and was released feeling well. The patient went home and had breakfast that consisted of eggs and cinnamon bread. Two hours post vaccination, the patient suddenly felt dizzy and nauseated followed by episodes of vomiting. The patient also experienced the sensation of numbness affection his arms, legs and neck. The patient felt clammy and looked pale to his wife who called the study site and spoke with the investigator and his primary care physician. The patient was taken by ambulance to the emergency room on 29 Nov 2006 for nausea, vomiting and vertigo. he was hospitalized for 24 hours in the emergency room and was discharged on 30 Nov 2006. The discharge diagnosis was rule out myocardial infarction with the additional diagnoses of benign paroxym/smal vertigo, dehydration, possible allergic reaction to varicella zoster vaccine. On 01 Dec 2006, the patient was called post release from the emergency department and he felt well. Again, he skipped breakfast and went to exercise. He arrived home to feel lightheaded and fatigues. He took a nap and felt better. On 04 Dec 2006, the patient was called again for an update. He rested over the weekend without further nausea or vomiting. He stated that he felt about 90 percent. Again, he exercised without breakfast and felt lightheaded. He stated the he has continued to have intermittent feelings of dizziness. The patient considered recovered on 30 Nov 2006. The patient''s nausea, vomiting and vertigo was considered to be other important medical events (OMIC). The reporter felt that the patients nausea, vomiting and vertigo was possibly related to vaccination with varicella Zoster vaccine. Additional information has been requested.


Changed on 12/30/2020

VAERS ID: 269012 Before After
VAERS Form:1
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-12-12
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose increased, Cold sweat, Dehydration, Dizziness, Fatigue, Hypersensitivity, Hypoaesthesia, Lung disorder, Lymphopenia, Nausea, Pallor, Vertigo, Vomiting

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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Enlarged prostate, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: Chest X ray 11/29/06 hypoexpanded lungs, otherwise within normal limits. Lymphocyte count 11/29/06 14.5, serum glucose 134, serum hemoglobin test 13.8, serum potassium 3.2, hematocrit 41.
CDC 'Split Type': WAES0612USA00197

Write-up: Information has been received from a investigator concerning a 71 year old male with an enlarged prostate (April 2005) and an allergy to Sulfonamide who entered a study. On 29 Nov 2006, the patient was vaccinated SC in the deltoid with a 0.65 ml dose of varicella Zoster vaccine. Concomitant vaccination on 15 Nov 2006 included a dose of influenza virus vaccine (unspecified). On 29 Nov 2006, prior to vaccination with study therapy, the patient arose early and went exercising without having breakfast. The patient was then screened and vaccainted with Varicella Zoster vaccine. He was observed for 30 minutes and was released feeling well. The patient went home and had breakfast that consisted of eggs and cinnamon bread. Two hours post vaccination, the patient suddenly felt dizzy and nauseated followed by episodes of vomiting. The patient also experienced the sensation of numbness affection his arms, legs and neck. The patient felt clammy and looked pale to his wife who called the study site and spoke with the investigator and his primary care physician. The patient was taken by ambulance to the emergency room on 29 Nov 2006 for nausea, vomiting and vertigo. he was hospitalized for 24 hours in the emergency room and was discharged on 30 Nov 2006. The discharge diagnosis was rule out myocardial infarction with the additional diagnoses of benign paroxym/smal vertigo, dehydration, possible allergic reaction to varicella zoster vaccine. On 01 Dec 2006, the patient was called post release from the emergency department and he felt well. Again, he skipped breakfast and went to exercise. He arrived home to feel lightheaded and fatigues. He took a nap and felt better. On 04 Dec 2006, the patient was called again for an update. He rested over the weekend without further nausea or vomiting. He stated that he felt about 90 percent. Again, he exercised without breakfast and felt lightheaded. He stated the he has continued to have intermittent feelings of dizziness. The patient considered recovered on 30 Nov 2006. The patient''s nausea, vomiting and vertigo was considered to be other important medical events (OMIC). The reporter felt that the patients nausea, vomiting and vertigo was possibly related to vaccination with varicella Zoster vaccine. Additional information has been requested.


Changed on 5/7/2021

VAERS ID: 269012 Before After
VAERS Form:1
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-12-12
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose increased, Cold sweat, Dehydration, Dizziness, Fatigue, Hypersensitivity, Hypoaesthesia, Lung disorder, Lymphopenia, Nausea, Pallor, Vertigo, Vomiting

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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Enlarged prostate, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: Chest X ray 11/29/06 hypoexpanded lungs, otherwise within normal limits. Lymphocyte count 11/29/06 14.5, serum glucose 134, serum hemoglobin test 13.8, serum potassium 3.2, hematocrit 41.
CDC 'Split Type': WAES0612USA00197

Write-up: Information has been received from a investigator concerning a 71 year old male with an enlarged prostate (April 2005) and an allergy to Sulfonamide who entered a study. On 29 Nov 2006, the patient was vaccinated SC in the deltoid with a 0.65 ml dose of varicella Zoster vaccine. Concomitant vaccination on 15 Nov 2006 included a dose of influenza virus vaccine (unspecified). On 29 Nov 2006, prior to vaccination with study therapy, the patient arose early and went exercising without having breakfast. The patient was then screened and vaccainted with Varicella Zoster vaccine. He was observed for 30 minutes and was released feeling well. The patient went home and had breakfast that consisted of eggs and cinnamon bread. Two hours post vaccination, the patient suddenly felt dizzy and nauseated followed by episodes of vomiting. The patient also experienced the sensation of numbness affection his arms, legs and neck. The patient felt clammy and looked pale to his wife who called the study site and spoke with the investigator and his primary care physician. The patient was taken by ambulance to the emergency room on 29 Nov 2006 for nausea, vomiting and vertigo. he was hospitalized for 24 hours in the emergency room and was discharged on 30 Nov 2006. The discharge diagnosis was rule out myocardial infarction with the additional diagnoses of benign paroxym/smal vertigo, dehydration, possible allergic reaction to varicella zoster vaccine. On 01 Dec 2006, the patient was called post release from the emergency department and he felt well. Again, he skipped breakfast and went to exercise. He arrived home to feel lightheaded and fatigues. He took a nap and felt better. On 04 Dec 2006, the patient was called again for an update. He rested over the weekend without further nausea or vomiting. He stated that he felt about 90 percent. Again, he exercised without breakfast and felt lightheaded. He stated the he has continued to have intermittent feelings of dizziness. The patient considered recovered on 30 Nov 2006. The patient''s nausea, vomiting and vertigo was considered to be other important medical events (OMIC). The reporter felt that the patients nausea, vomiting and vertigo was possibly related to vaccination with varicella Zoster vaccine. Additional information has been requested.


Changed on 5/21/2021

VAERS ID: 269012 Before After
VAERS Form:1
Age:71.0
Sex:Male
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-12-12
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose increased, Cold sweat, Dehydration, Dizziness, Fatigue, Hypersensitivity, Hypoaesthesia, Lung disorder, Lymphopenia, Nausea, Pallor, Vertigo, Vomiting

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? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Enlarged prostate, sulfonamide allergy.
Allergies:
Diagnostic Lab Data: Chest X ray 11/29/06 hypoexpanded lungs, otherwise within normal limits. Lymphocyte count 11/29/06 14.5, serum glucose 134, serum hemoglobin test 13.8, serum potassium 3.2, hematocrit 41.
CDC 'Split Type': WAES0612USA00197

Write-up: Information has been received from a investigator concerning a 71 year old male with an enlarged prostate (April 2005) and an allergy to Sulfonamide who entered a study. On 29 Nov 2006, the patient was vaccinated SC in the deltoid with a 0.65 ml dose of varicella Zoster vaccine. Concomitant vaccination on 15 Nov 2006 included a dose of influenza virus vaccine (unspecified). On 29 Nov 2006, prior to vaccination with study therapy, the patient arose early and went exercising without having breakfast. The patient was then screened and vaccainted with Varicella Zoster vaccine. He was observed for 30 minutes and was released feeling well. The patient went home and had breakfast that consisted of eggs and cinnamon bread. Two hours post vaccination, the patient suddenly felt dizzy and nauseated followed by episodes of vomiting. The patient also experienced the sensation of numbness affection his arms, legs and neck. The patient felt clammy and looked pale to his wife who called the study site and spoke with the investigator and his primary care physician. The patient was taken by ambulance to the emergency room on 29 Nov 2006 for nausea, vomiting and vertigo. he was hospitalized for 24 hours in the emergency room and was discharged on 30 Nov 2006. The discharge diagnosis was rule out myocardial infarction with the additional diagnoses of benign paroxym/smal vertigo, dehydration, possible allergic reaction to varicella zoster vaccine. On 01 Dec 2006, the patient was called post release from the emergency department and he felt well. Again, he skipped breakfast and went to exercise. He arrived home to feel lightheaded and fatigues. He took a nap and felt better. On 04 Dec 2006, the patient was called again for an update. He rested over the weekend without further nausea or vomiting. He stated that he felt about 90 percent. Again, he exercised without breakfast and felt lightheaded. He stated the he has continued to have intermittent feelings of dizziness. The patient considered recovered on 30 Nov 2006. The patient''s nausea, vomiting and vertigo was considered to be other important medical events (OMIC). The reporter felt that the patients nausea, vomiting and vertigo was possibly related to vaccination with varicella Zoster vaccine. Additional information has been requested.

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