This is VAERS ID 294545
First Appeared on 12/31/2007 |
| VAERS ID: |
294545
|
Vaccinated: |
2007-10-11 |
| Age: |
67.0 |
Onset: |
2007-10-11 |
| Gender: |
Female |
Submitted: |
2007-10-25 |
| Location: |
Michigan |
Entered: |
2007-10-27 |
|
| Life Threatening? Yes |
| Died? No |
| Permanent Disability? No |
| Recovered? No |
| ER or Doctor Visit? No |
| Hospitalized? Yes, days: 18 |
| Extended hospital stay? No |
| Previous Vaccinations: |
| Other Medications: Unknown |
| Current Illness: |
| Preexisting Conditions: Unknown |
| Diagnostic Lab Data: Unknown |
| CDC 'Split Type': |
|
| Vaccination |
Manufacturer |
Lot |
Dose |
Route |
Site |
| PPV: PNEUMO (PNEUMOVAX) |
MERCK & CO. INC. |
0964U |
|
IM |
LA |
| VARZOS: ZOSTER (ZOSTAVAX) |
MERCK & CO. INC. |
0883U |
|
SC |
LA |
|
| Administered by: Other
Purchased by: Unknown |
| Symptoms: Ammonia decreased, Asthenia, Blood thyroid stimulating hormone decreased, CSF culture negative, Balance disorder |
| Write-up: Information has been received from a physician concerning a 67 year old female who on 11-OCT-2007 was vaccinated with a dose of Zostavax (Oka/Merck) (lot# 658207/0883U). In October 2007, the patient developed encephalitis. On 16-OCT-2007 the patient was a"dmitted to the hospital. The patient was treated with steroids and acyclovir. The patient''''s encephalitis persisted. There was no product quality complaint. The physician considered encephalitis to be immediately life-threatening and an other important me |
|
|
Changed on 12/8/2009 |
| VAERS ID: |
294545 Before
After
|
Vaccinated: |
2007-10-11 |
| Age: |
67.0 |
Onset: |
2007-10-11 |
| Gender: |
Female |
Submitted: |
2007-10-25 |
| Location: |
Michigan |
Entered: |
2007-10-27 |
|
| Life Threatening? Yes |
| Died? No |
| Permanent Disability? No |
| Recovered? No |
| ER or Doctor Visit? No |
| Hospitalized? Yes, days: 18 |
| Extended hospital stay? No |
| Previous Vaccinations: |
| Other Medications: Unknown |
| Current Illness: |
Preexisting Conditions:
Unknown PMH: diverticulitis, colectomy. spinal stenosis & lumbar disk disease. Arthritis. Hypothyroid. Vit D deficiency. ALLERGIES: levaquin, sulfa & demerol. |
Diagnostic Lab Data:
Unknown LABS: CT & MRI head WNL. CT abdomen/pelvis. CBC WNL. TSH 0.06 (L). Ammonia 11 (L). 10/18 CSF: glucose 108, protein 255, csf culture neg. WBC 8,200, segs 67, lymphs 24. UA (+) nitrite. Urine culture (+) E. coli. EEG abnormal. |
CDC 'Split Type':
(blank)
WAES0710USA04429 |
|
| Vaccination |
Manufacturer |
Lot |
Dose |
Route |
Site |
| PPV: PNEUMO (PNEUMOVAX) |
MERCK & CO. INC. |
0964U |
|
IM |
LA |
| VARZOS: ZOSTER (ZOSTAVAX) |
MERCK & CO. INC. |
0883U |
|
SC |
LA |
|
| Administered by: Other
Purchased by: Unknown/Other |
| Symptoms: Ammonia decreased, Asthenia, Blood thyroid stimulating hormone decreased, Computerised tomogram normal, CSF culture negative, CSF protein increased, Culture urine positive, Diverticulitis, Dyspnoea, Electroencephalogram abnormal, Encephalitis, Encephalopathy, Full blood count normal, Injection site erythema, Intensive care, Malaise, Nuclear magnetic resonance imaging brain normal, Pain, Pyrexia, Speech disorder, Urinary tract infection, Balance disorder, CSF glucose increased, Gastrointestinal tube insertion, Injection site swelling, Escherichia infection, Urine analysis abnormal, Injection site streaking |
Write-up:
Information has been received from a physician concerning a 67 year old female who on 11-OCT-2007 was vaccinated with a dose of Zostavax (Oka/Merck) (lot# 658207/0883U). In October 2007, the patient developed encephalitis. On 16-OCT-2007 the patient was a"dmitted admitted to the hospital. The patient was treated with steroids and acyclovir. The patient''''s patient''s encephalitis persisted. There was no product quality complaint. The physician considered encephalitis to be immediately life-threatening and an other important me medical event. Additional information has been requested. 10/30/07 Follow up initiated at request of CDC. 11/16/07 Reviewed hospital & pcp medical records which also included vax info. VAERS database updated w/same. Records reveal patient experienced trouble talking, body aches, weakness, balance difficulty, SOB, malaise & fever x 2-3 days. Admitted 10/16-10/30/2007 & then to swing bed from 10/30-11/1/07. LP done. Had seen her pcp 10/11 w/complaints of LLQ abdominal pain, diarrhea, nausea & back/left leg pain. Started on oral antibiotics at that time for diverticulitis & received zoster & pneumo vax that day. On 10/15 left arm very red & swollen w/red streaking by phone & instructed to apply ice.Apparently had word retrieval difficulty beginning 2 days s/p vax. Neuro consult. Tx w/IV antibiotics & antiviral. Tx w/steroids & antiseizure meds & transferred to ICU. PICC & feeding tube inserted. FINAL DX: Encephalopathy; UTI.
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=294545&WAYBACKHISTORY=ON
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