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This is VAERS ID 290938

(NOTE: This result is from the 1/5/2010 version of the VAERS database)

Event Details

VAERS ID:290938 (history)  Vaccinated:2007-09-05
Age:  Onset:2007-09-05, Days after vaccination: 0
Gender:Female  Submitted:2007-09-19, Days after onset: 14
Location:Texas  Entered:2007-09-20, Days after submission: 1
Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0709USA01999
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  SCUN
Administered by: Other     Purchased by: Other
Symptoms: Cerebral haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhagic cerebrovascular conditions (narrow)
Write-up: Information has been received from a physician concerning a female consumer with no pertinent history who on approximately 05-SEP-2007 was vaccinated SC with a 0.65 ml dose of Zostavax. On approximately 05-SEP-2007 the patient developed a cerebral hemorrhage and was hospitalized. The condition was considered to be immediately life-threatening per the physician. No further information was provided. There was no product quality complaint involved. Additional information has been requested.

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http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20100105&IDNUMBER=290938


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