This is VAERS ID 281654
First Appeared on 12/31/2007 |
| VAERS ID: |
281654
|
Vaccinated: |
2007-04-15 |
| Age: |
82.0 |
Onset: |
2007-04-17 |
| Gender: |
Female |
Submitted: |
2007-06-13 |
| Location: |
Missouri |
Entered: |
2007-06-14 |
|
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? Yes |
| ER or Doctor Visit? Yes |
| Hospitalized? Yes, days: 0 |
| Extended hospital stay? Yes |
| Previous Vaccinations: |
| Other Medications: FOSAMAX, SYNTHROID |
| Current Illness: Osteoporosis; Hypothyroidism |
| Preexisting Conditions: |
| Diagnostic Lab Data: computed axial - negative, diagnostic laboratory - Blood tests; results not provided, electrocardiogram - negative, magnetic resonance - negative |
| CDC 'Split Type': |
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| Vaccination |
Manufacturer |
Lot |
Dose |
Route |
Site |
| VARZOS: ZOSTER (ZOSTAVAX) |
MERCK & CO. INC. |
|
|
UN |
UN |
|
| Administered by: Other
Purchased by: Unknown |
| Symptoms: Chest pain, Computerised tomogram normal, Electrocardiogram normal, Allergy to vaccine, Blood test |
| Write-up: Information has been received from an 82 year old female patient with osteoporosis, hypothyroidism and no allergies who on 15-APR-2007 (also reported as 12-APR-2007) was vaccinated with a dose of Zostavax. Concomitant therapy included alendronate sodium a"nd Synthroid. On 17-APR-2007 (also reported as 12-APR-2007), 2 days after vaccination the patient woke up sweating and could hardly stand up. It was reported that the patient started throwing up and was taken to the hospital by ambulance. The patient was |
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Changed on 12/8/2009 |
| VAERS ID: |
281654 Before
After
|
Vaccinated: |
2007-04-15 |
| Age: |
82.0 |
Onset: |
2007-04-17 |
| Gender: |
Female |
Submitted: |
2007-06-13 |
| Location: |
Missouri |
Entered: |
2007-06-14 |
|
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? Yes |
| ER or Doctor Visit? Yes |
| Hospitalized? Yes, days: 0 |
| Extended hospital stay? Yes |
| Previous Vaccinations: |
| Other Medications: FOSAMAX, SYNTHROID |
| Current Illness: Osteoporosis; Hypothyroidism |
| Preexisting Conditions: |
| Diagnostic Lab Data: computed axial - negative, diagnostic laboratory - Blood tests; results not provided, electrocardiogram - negative, magnetic resonance - negative |
CDC 'Split Type':
(blank)
WAES0706USA01016 |
|
| Vaccination |
Manufacturer |
Lot |
Dose |
Route |
Site |
| VARZOS: ZOSTER (ZOSTAVAX) |
MERCK & CO. INC. |
|
|
UN |
UN |
|
| Administered by: Other
Purchased by: Unknown/Other |
| Symptoms: Chest pain, Computerised tomogram normal, Electrocardiogram normal, Hyperhidrosis, Movement disorder, Nausea, Nuclear magnetic resonance imaging normal, Vomiting, Allergy to vaccine, Laboratory test, Blood test |
Write-up:
Information has been received from an 82 year old female patient with osteoporosis, hypothyroidism and no allergies who on 15-APR-2007 (also reported as 12-APR-2007) was vaccinated with a dose of Zostavax. Concomitant therapy included alendronate sodium a"nd and Synthroid. On 17-APR-2007 (also reported as 12-APR-2007), 2 days after vaccination the patient woke up sweating and could hardly stand up. It was reported that the patient started throwing up and was taken to the hospital by ambulance. The patient was admitted to the hospital where they ran "some blood tests" and MRI. It was determined that patient was having an allergic reaction to vaccine. Unspecified medical attention was sought. At the time of report the patient had recovered with 2 days of hospitalization. A product quality complaint was not involved. It was reported that two days after vaccination patient experienced chest pain and nausea. She was admitted to the hospital for 2 days to rule out myocardial infarction. All tests including an MRI, CT scan and EKG were all negative. Additional information has been requested.
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New Search
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281654&WAYBACKHISTORY=ON
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