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This is VAERS ID 294220

Event Details

VAERS ID:294220 (history)  Vaccinated:0000-00-00
Age:80.0  Onset:2007-10-16
Gender:Male  Submitted:2007-10-23, Days after onset: 7
Location:Unknown  Entered:2007-10-24, Days after submission: 1
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Living in care; Immune system disorder
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0710USA03512
Vaccination
Manufacturer
Lot
Dose
Route
Site
VARZOS: ZOSTER (ZOSTAVAX)MERCK & CO. INC.  UNUN
Administered by: Other     Purchased by: Other
Symptoms: Herpes zoster, Secondary transmission
SMQs:
Write-up: Information has been received from a registered nurse concerning an approximately 80 or 90 year old immunocompromised male who was in hospice care who was in the same room where the other residents of the retirement community were vaccinated with a dose of Zostavax (Oka/Merck). It was reported that the patient had a spouse or contact (s) who lived in the independent residences within the community and who were vaccinated with a dose of Zostavax vaccine (MSD). The patient was not vaccinated with the vaccine. On 16-OCT-2007 the patient developed shingles. At the time of report the patient had not recovered. The patient''s experience was considered to be life threatening, an other important medical event and disabling by the reporter. Additional information has been requested. This is one of several reports received from the same source.

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