This is VAERS ID 293571
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| VAERS ID: | 293571 (history) | Vaccinated: | 2007-08-30 | | Age: | | Onset: | 2007-10-05, Days after vaccination: 36 | | Gender: | Female | Submitted: | 2007-10-17, Days after onset: 12 | | Location: | Florida | Entered: | 2007-10-18, Days after submission: 1 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: Unknown | | Current Illness: | | Preexisting Conditions: Unknown | | Diagnostic Lab Data: Unknown | | CDC 'Split Type': WAES0710USA02991 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | VARZOS: ZOSTER (ZOSTAVAX) | MERCK & CO. INC. | | | UN | UN | |
| Administered by: Other Purchased by: Other | Symptoms: Guillain-Barre syndrome,
Muscular weakness,
Musculoskeletal pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalopathy/delirium (broad), Demyelination (narrow)
| | Write-up: Information has been received from a physician concerning a female (age not reported) who on approximately 30-AUG-2007 "6 weeks ago" was vaccinated with Zostavax (Oka/Merck). On approximately 05-OCT-2007 "one week ago", the patient experienced pain in the buttocks to weakness to the lower extremities. The physician believes the patient may have Guillain-Barre Syndrome. The patient''s experience caused hospitalization. At the time of the report, the patient remained hospitalized. Additional information has been requested. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=293571
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