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This is VAERS ID 375651

Case Details

VAERS ID: 375651 (history)  
Form: Version 1.0  
Age: 65.0  
Sex: Female  
Location: Washington  
Vaccinated:2009-12-31
Onset:2009-12-31
   Days after vaccination:0
Submitted: 2010-01-01
   Days after onset:1
Entered: 2010-01-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 RA / -

Administered by: Private       Purchased by: Other
Symptoms: Contusion, Dizziness, Fall, Joint injury, Poisoning
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Accidents and injuries (narrow), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Temporary Paralysis~Tetanus Toxoid (no brand name)~UN~12.50~Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Between 4:30 PM and 5:15PM, I consumed several alcohol drinks for New Years Eve and became immediately intoxicated. The amount of alcohol consumed has never intoxicated me. My husband drove me home and after arriving home, became dizzy and collapsed on bathroom floor. Bruised hip and top of hand is only injuries. I have never had this happen to me before and feel it was possibly due to the recent vaccination for Shingles that caused this immediate intoxication. The paperwork provided at the time of vaccination did not say you could not consume alcohol within the few hours after receiving it but obviously it had an adverser effect on me.


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