This is VAERS ID 297249
(NOTE: This result is from the 12/31/2007 version of the VAERS database)
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| VAERS ID: | 297249 (history) | Vaccinated: | 2007-10-22 | | Age: | 77.0 | Onset: | 2007-11-07, Days after vaccination: 16 | | Gender: | Female | Submitted: | 2007-11-14, Days after onset: 7 | | Location: | Michigan | Entered: | 2007-11-19, Days after submission: 5 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: aspirin, calcium with vitamin D, Centrum, hyzaar, ocuvite, gluten, plendil, Prilosec, Zocor, terazostin | | Current Illness: | | Preexisting Conditions: hypertension; hypercholesterolemia; allergies to : amoxicillin, beta blockers, and ciproflaxacin | | Diagnostic Lab Data: Spinal CT scan (11/12/07): large pericardial fluid collection; Echocardiogram (11/13/07): moderate to large pericardial present, no tamponade | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU: INFLUENZA (NO BRAND NAME) | UNKNOWN MANUFACTURER | | | UN | UN | | VARZOS: ZOSTER (ZOSTAVAX) | MERCK & CO. INC. | | | UN | UN | |
| Administered by: Unknown Purchased by: Unknown | Symptoms: Angiogram,
Asthenia,
Blood erythropoietin increased,
Chest X-ray normal,
Computerised tomogram abnormal
SMQs:, Guillain-Barre syndrome (broad)
| | Write-up: Patient received influenza and Zostavax vaccines on 10/22. the next day she began to feel tired, weak, and generally not well. Over time she noticed shortness of breath with mild exertion. On admission she denied any fever, nausea, vomiting, diarrhea, abd"ominal pain, chest pain, headache, or neck stiffness. During hospitalization she did present with low grade fever along with previously described symptoms. A large pericardial effusion was detected upon further testing. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=297249
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