This is VAERS ID 297249
(NOTE: This result is from the 5/13/2011 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? Yes | | 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 12/6/07-records received-PMH: UTIs, hypertension, osteoarthritis, gastric reflux, hyperlipidema. | | Diagnostic Lab Data: Spinal CT scan (11/12/07): large pericardial fluid collection; Echocardiogram (11/13/07): moderate to large pericardial present, no tamponade 12/6/07-records received- 2 D echo and CT pulmonary angiogram revealed moderaly large pericardial effusion. CXR normal. Sed rate, erythropoietin and D-dimer elevated. Urinalysis contained WBC.stool leukocyte positive | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) | UNKNOWN MANUFACTURER | | | UN | UN | | VARZOS: ZOSTER (ZOSTAVAX) | MERCK & CO. INC. | | | UN | UN | |
| Administered by: Unknown Purchased by: Unknown | Symptoms: Asthenia,
Atrial fibrillation,
Computerised tomogram abnormal,
Dyspnoea,
Echocardiogram abnormal,
Fatigue,
Malaise,
Pericardial effusion,
Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (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, abdominal 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.12/06/07-records received for DOS 11/7-11/14/07- Developed diarrhea and stool leukocyte positive.Weak, low grade fever, malaise, dyspnea, atrial fibrillation. Impression: probably autoimmune phenomenon possible related to recent immunizations, Pericarditis. Per 60 day follow up: Atrial fibrillation developed during hospitalization related to acute pericarditis. Pt was discharged home 11/14/2007. Patient is still alive, had lab work 1/21/2008. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20110513&IDNUMBER=297249
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