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Found 191 cases where Vaccine is VARZOS and Patient Died and Submission Date on/before '2015-09-30'

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AgeVaccine CountCountPercent
44-65 Years12312.04%
total2312.04%
65-75 Years13317.28%
252.62%
total3819.9%
75+ Years14825.13%
294.71%
total5729.84%
Unknown16835.6%
242.09%
310.52%
total7338.22%
TOTAL191100%

Case Details

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VAERS ID: 273989 (history)  
Form: Version 1.0  
Age: 83.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-03-14
Entered: 2007-03-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / -

Administered by: Other       Purchased by: Other
Symptoms: Death, Herpes zoster
SMQs:, Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-02-23
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK PMH: COPD; breast cancer w/right mastectomy, nonrecurrent; hyperlipidemia; paroxysmal atrial fibrillation converted w/cardioversion; s/p throidectomy for nodule; pulmonary HTN; systemic HTN; current cigarette abuse; ETOH use; pulmonary nodule; carotid arterial disease s/p left carotid endarterectomy; mitral valve insufficiency; osteoporosis; peripheral edema; panic disorder; cellulitis of left leg; chronic back pain w/sciatica; and osteoarthritis.
Allergies:
Diagnostic Lab Data: UNK LABS from PCP: 1/31/07 ck elevated at 159; HDL elevated at 63, LDL elevated at 108, triglycerides elevated at 162. LS spine series o 12/06 revealed DDD, muscle spasm & atheroscerotic vascular dx w/prior renal artery stent placement. LABS from hospital 2/20/07: CXR revealed right pleural effusion & RLL pneumonia. WBC 18,000 w/left shift; H/H 11.9/33.1, creatinine 1.5, Na 130 EKG revealed left anterior hemiblock & complete right BBB w/degree of interventricular conduction delay. Blood, sputum & urine c/s done, results not reported.
CDC Split Type: WAES0703USA01404

Write-up: Information has been received from a physician concerning an 83 year old female who "within the last six months," in approximately 2007, was vaccinated with a dose of Zostavax. Subsequently the patient developed shingles. It was also reported that the patient was deceased from causes unrelated to the experience with Zostervax. Additional information has been requested. 3/22/07 Received Death Certificate which reveals COD as sepsis, right lower lobe pneumonia with contributing conditions of COPD & s/p right mastectomy for breast cancer. 6/8/07 Received medical records from PCP which included hospital records from 2/20-2/23/07 hospitalization after patient experienced SOB, nonproductive cough, chest pain, fever & chills, decreased appetitem malaise & weakness w/multiple falls while home. Family brought to ER & dx w/pneumonia. Admitted to ICU due to episode of hypotension & started on IV antibiotics. Respiratory status declined, developed respiratory acidosis & was intubated. Consult w/pulmonology & cardiology. Renal function then declined. Consult w/nephrology. Continued to decline, developed atrial fibrillation & arrested. Resuscitation efforts were unsuccessful & patient was pronounced. FINAL DX: Sepsis due to RLL pneumonia; respiratory failure due to sepsis & RLL pneumonia. PCP office visit of 11/15/06 notes that patient had recently received Zosavax & now had faint eruption of shingles. Tx w/Valtrex at that time. 2/2/07 office visit notes post herpes polyneuropathy tx w/cymbalta & lyrica.


VAERS ID: 277477 (history)  
Form: Version 1.0  
Age: 65.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2007-04-05
Onset:2007-04-14
   Days after vaccination:9
Submitted: 2007-04-26
   Days after onset:12
Entered: 2007-04-27
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 1212F / UNK RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Anoxic encephalopathy, Blood glucose increased, Carpal tunnel syndrome, Encephalitis, Endotracheal intubation, Inguinal hernia, Monocyte count decreased, Neutrophil count increased
SMQs:, Angioedema (broad), Haematopoietic leukopenia (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Ischaemic central nervous system vascular conditions (narrow), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-10-13
   Days after onset: 182
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 30 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown PMH: IDDM. Recent URI. Obstructive sleep apnea. Bells palsy x 2 in past 2 years. HTN, hypercholesterolemia.
Allergies:
Diagnostic Lab Data: Unknown LABS from pcp: HgA1C elevated at 9.1, high triglycerides & cholesterol. LABS from hospital: CT & MRI of brain were WNL. EEGs abnormal showing seizure activity & generalized severe encephalopathy. WBC 30,000, Creatinine 4.3, BUN 55, AST 550, ALT 157. CPK 61299. CK MB 82, Troponin 0.15. CSF protein 171, glucose 167, WBC 29, polys 14, neutros 14, lymphs 74, monos 12, c/s neg.Blood c/s (+). Urine & stool c/s (-). Doppler of legs (-).
CDC Split Type: WAES0704USA03666

Write-up: Information has been received from a physician concerning a male who on 05-APR-2007 was vaccinated with a single dose of Zostavax. On 14-APR-2007 (also reported as 17-APR-2007) the patient experienced "encephalitis" and was hospitalized. It was reported that the patient was air lifted to a hospital and was in the ICU. There was no product quality complaint involved. No further information. Additional information has been requested. 5/1/07 T/C to reporter to request missing info. Received patient demographics. 6/15/07 Received provider medical records which included vax lot #. VAERS database updated. Seen in PCP office on 4/5/07 for diet consult re diabetes, wt 301. left inguinal hernia & possible right hand CTS noted. 8/21/07 Received hospital medical records which reveal patient experienced unresponsiveness while at home. Out of state daughter called EMS when no response. Daughter stated patient had c/o stiff neck, sour stomach, weakness & febrile to 104 since zostavax on 4/5/07. Found to be unresponsive w/rash on abdominal area. Glucose was 326. Intubated & helicoptered to ER. Admitted 4/14-5/14/07. Found to be in acute renal failure secondary to rhabdomyolysis & hypotension. Tx w/hemodialysis, pressors, antivirals & antibiotics. Nephrology, neurology & ID consults done. Trached & weaned to trach collar oxygen, feeding tube placement. Weaned from hemodialysis & renal function slowly improving. Remained in comatose state w/poor prognosis at transfer. FINAL DX: viral meningitis, anoxic brain injury. 7/25/08-ventricular arrhythmia. arteriosclerotic cardiovascular disease. 1/4/2010 My brother died Oct 13, 2007. There were mistakes performed in medical center which caused him to go without 02 for 15 minutes. He was only minimaly conscious after that point.


VAERS ID: 278688 (history)  
Form: Version 1.0  
Age: 79.0  
Sex: Female  
Location: Unknown  
Vaccinated:2007-03-09
Onset:2007-03-16
   Days after vaccination:7
Submitted: 2007-05-15
   Days after onset:60
Entered: 2007-05-16
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 00324 / UNK LA / UN

Administered by: Other       Purchased by: Other
Symptoms: Death, Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-03-16
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown PMH: cholelithiasis, symptomatic but deferred surgery. Positive PPD in past. Ex-smoker. HCM, HOH, hypercholesterolemia, transaminase, insomnia, osteopenia, glaucoma, cataracts, GERD/IBS,
Allergies:
Diagnostic Lab Data: Unknown LABS: EKG showed ST elevations. Troponin 4.44. CXR showed clear lungs. AST 69, Ca 7.7, t. protein 4.4. RBC 3.02, H/H 9.7/29.9, lymphs 5.9, monos 0.8. HBA1C 8.2, free testosterone 7.1
CDC Split Type: WAES0705USA00976

Write-up: Information has been received from a medical assistant concerning a patient who approximately one month ago on 03-APR-2007 was vaccinated with a dose of zoster vaccine live. Within a week, the patient died of a heart attack. No additional information was provided. Additional ifnormation has been requested. 5/18/07 Received records from reporter which included Death Certificate which reveals COD as Inferior myocardial infarction. Records from PCP incidate patient had tetanus updated 1/24/07. Records from ER of 3/16/07 indicate patient seen for syncope or unresponsiveness when passed out in church after complaining to friends that she did not feel well for several days because of her gallbladder. EMS called. BP was unobtainable. Started on Dopamine & given IV fluid bolus. Denied pain & good respiratory effort but restless. O2 sats remained in high 80''s but w/poor perfusion signal. Preparing to administer thrombolytics when became unresponsive & lost pulse. Intubated & coded but unsuccessful resuscitation. FINAL ER DX: acute myocardial infarction, perhaps remote w/continued expansion of infarct leading to cardiopulmonary decline.


VAERS ID: 286402 (history)  
Form: Version 1.0  
Age: 78.0  
Sex: Female  
Location: Arizona  
Vaccinated:2007-07-26
Onset:2007-07-28
   Days after vaccination:2
Submitted: 2007-07-31
   Days after onset:3
Entered: 2007-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U1952DA / UNK LA / IM
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0618U / 1 RA / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chills, Death, Feeling cold, Pain
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-07-29
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: hyperlipidemia, mild bronchiectasis, Chronic Kidney Disease III PMH: osteopenia/ostoporosis; hyperlipidemia; minimal change disease nephrotic syndrome w/acute renal dysfunction, resolved (2005); DJD; chronic loose stools; quit smoking 2004; muscle cramps (using quinine & magnesium); mild bronchiectasis; chronic airway obstruction; pulmonary insufficienty; diastolic heart dysfunction via echocardiogram; bilateral hearing loss & wears hearing aids; IBS & lactose intolerance; mild HTN; anxiety secondary to complicated bereavement of spouse (died 2005); anemia.
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: 7/26/07 routine exam, TD & Zostavax immun given, 7/28/2007 reported to family members aches, chills, "can''t get warm", did not contact medical personnel nor feel need to seek emergent care. retrospective report from family member. 7/29/2007found by family member in AM within a few hours after death. 8/3/07 Received pcp medical records which reveal patient seen 7/5 & 7/26 in office for right foot pain, RUQ abdominal pain. X-ray of right foot revealed arthritic changes. US of gallbladder revealed sludge. Labs revealed decreased kidney function c/w chronic kidney disease III. Urine c/s neg. Lipids significantly increased as patient had stopped on her own the statin drug presribed. CXR was WNL w/streaking due to scarring. EKG unchanged from prior tracings revealed right axis deviation & borderline R-wave progression. Last seen by nephrologist 4/06 & was d/c from service due to resolution of condition. Records include vax records which confirm dose & lot #s as reported. 9/11/07 Received Autopsy Report which states COD as hemopericardium w/cardiac tamponade due to acute MI w/cardiac rupture due to arteriosclerotic heart disease. Pathological diagnoses included: I. Arteriosclerotic heart disesae A. Atherosclerosis of coronary arteries w/acute thrombus. B. Acute MI w/cardiac rupture. C. Hemopericardium w/cardiac tamponade. II. Systemic atherosclerosis A. Atherosclerosis of cerebral arteries. B. Atherosclerosis of aorta. III. Nephrosclerosis. IV. Fibroma of ovary. V. Hyperlipidemia by clinical history. VI. IBS by clinical history. VII. Osteoporosis by clinical history.


VAERS ID: 286834 (history)  
Form: Version 1.0  
Age: 73.0  
Sex: Male  
Location: Unknown  
Vaccinated:2007-07-23
Onset:2007-07-23
   Days after vaccination:0
Submitted: 2007-08-03
   Days after onset:11
Entered: 2007-08-06
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / 1 UN / SC

Administered by: Other       Purchased by: Other
Symptoms: Aortic rupture, Death, Myocardial infarction
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow), Accidents and injuries (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-07-23
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Oxygen; COUMADIN
Current Illness: Cardiac disorder; Oxygen supplementation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0707USA04690

Write-up: Information has been received from a consumer concerning his friend, a 73 year old male with a "deteriorating heart" and no known allergies who on 23-JUL-2007 at "about 07:30" was vaccinated once SC with a 0.65 mL dose of Zostavax. Concomitant therapy included COUMADIN and oxygen (started "a few days before this happened"). Two hours after vaccination the patient "died from a heart attack when his aorta ruptured." It was reported that the patient was revived with CPR but when the patient got to the hospital the doctor stated that he had "died instantly." There was no product quality complaint involved. No further information was provided. Additional information has been requested. The reporter considered the patient''s to be serious as other important medical events. The patient''s events were also considered serious for death.


VAERS ID: 288631 (history)  
Form: Version 1.0  
Age: 74.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2007-08-02
Onset:2007-08-06
   Days after vaccination:4
Submitted: 2007-08-21
   Days after onset:15
Entered: 2007-08-22
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-08-06
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Cardiac disorder
Preexisting Conditions: Stroke PMH: mitral valve replacement; atrial fibrillation; pacemaker 8/2006; CVA; TIA; well controlled HTN; right cerebellar stroke; dental prophylaxis antibiotics; endometrial cancer; dyslipidemia; osteopenia; hysterectomy; seasonal allergies. Allergic to sulfa & quinidine.
Allergies:
Diagnostic Lab Data: Unknown LABS: last done 7/26/07, CBC & chemistry WNL. Glucose elevated 142. Digoxin WNL. PT/INR therapeutic.
CDC Split Type: WAES0708USA01838

Write-up: Information has been received from a pharmacy technician concerning a 75 year old (previously reported as "about 75 year old") female "in poor health" with heart problems and a history of stroke and other unspecified medical conditions who on 02-AUG-2007 was vaccinated with a dose of Zostavax. For an unspecified amount of time after vaccination the patient was observed for any reaction. The patient then left the pharmacy without any signs of an untoward reaction. Several days later the pharmacy technician read in the paper obituaries that the patient passed away on 06-AUG-2007. The cause of death was not reported. There was no product quality complaint involved. No further information was available. Additional information has been requested. 08/23/2007 Per email from FDA: A 75 y/o female in poor health with heart problem and a hx of stroke died 3 days after receiving Zostavax. Her name was in newspaper obituaries. She did not experience any immediate AEs after vaccination. Called Meck for follow up information including cause of death. 8/27/07 FDA obtained patient name & DOB from Merck. No autopsy was done. COD was intracranial hemorrhage. Merck will provide additional medical records. 9/7/07 Reviewed pcp medical records which reveal patient on chronic anticoagulant therapy for mitral valve replacement & was seen approx every 2 weeks for labs & eval. Weight & vital signs stable. 10/29/07 Reviewed Death Certificate which states COD as subdural hematoma with anticoagulation for valvular heart disease as contributing factor.


VAERS ID: 290869 (history)  
Form: Version 1.0  
Age: 90.0  
Sex: Female  
Location: New York  
Vaccinated:2007-07-06
Onset:2007-07-07
   Days after vaccination:1
Submitted: 2007-09-05
   Days after onset:60
Entered: 2007-09-19
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK UN / UN

Administered by: Private       Purchased by: Other
Symptoms: Asthenia, Blood culture negative, Blood test normal, Computerised tomogram normal, Confusional state, Death, Dysphagia, Electroencephalogram normal, Facial palsy, Full blood count normal, Gait disturbance, Incontinence, Somnolence, Staring
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hearing impairment (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-07-28
   Days after onset: 21
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synthroid, Metoprolol, Lisinopril, Digitek, Zoloft, Warfarin, B-12 supplement
Current Illness: None
Preexisting Conditions: Hypothyroid, Atrial Fib, CHF, high blood pressure PMH: depression, osteoporosis, mitral regurgitation, dysuria, hyponatremia, anemia, B12 deficiency.
Allergies:
Diagnostic Lab Data: Complete Blood Work, Blood Cultures, on heart monitor, CT scan of Brain (3x), EEG - all normal LABS: EKG revealed a-fib & bradycardia.
CDC Split Type:

Write-up: Shot (vaccine) given 7/6/07. 7/7/07 Somewhat not responding to conversation. 7/8/07 - Very sleepy, hard time answering questions, difficulty getting out of chair - as the next 20 days progressed, she experienced feeling of weakness, some facial droop, swallowing difficulties, unable to answer questions (stare, then a shrug [I don''t know]), confusion, incontinence, walk very slowly, occasional dragging of foot. Just before she died (approx 17 hours earlier), she described some things that she did at rehab. Her descriptions were rather odd - after she said them, she realized they sounded odd and stated she thought she must be going crazy - she knew something wasn''t right. She went from being able bodied, alert, communicative, capable person to unable to do simple personal tasks. An otherwise healthy person does not have a rapid change as this one without a reason. All tests run came back perfectly normal - 3 Cat scans showed nothing wrong. Blood work - that of a 50 year old. No evidence of stroke. Drs - both primary MD and Hospital staff said vaccine couldn''t have done it. Symptoms occurred w/in 24 hours of getting vaccine. 9/25/07 Received medical records & death certificate from pcp which reveals COD as cardio-respiratory arrest with atrial fibrillation, mitral regurgitation, HTN, hypothyroid, anemia as contributing factors. Medical records reveal patient in usual state of health & on Coumadin for a. fib when received zostavax on 7/6/07 but no lot # provided. Returned to pcp on 7/9/07 after a fall 7/8/07 & now w/trouble ambulating & speech & memory were slow. No hx of neuro problems & no current head injury, but w/bruising of right arm. Dx at that time: syncope. Admitted directly to hospital. Returned to pcp on 7/18 for hospital f/u. Receiving home health RN, PT/OT & was doing poorly w/dysphagia, lethargy/sleepiness & incontinence. Readmitted to hospital directly. 10/9/07 Reviewed hospital medical records which reveal patient experienced fall at AL facility, seen in pcp office & direct admitted to hospital for mental status changes & inability to transfer or ambulate. Admitted 7/9-7/11/2007. Symptoms resolved w/med changes. FINAL DX: syncope, atrial fibrillation, bradycardia, HTN, deconditioning.


VAERS ID: 292125 (history)  
Form: Version 1.0  
Age: 93.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-10-03
Entered: 2007-10-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-08-22
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: antimicrobial (unspecified)
Current Illness: Pneumonia
Preexisting Conditions: Unknown PMH: chronic dementia, Alzheimer''s, hypothyroidism, hyperlipidemia, recurrent UTI, DJD
Allergies:
Diagnostic Lab Data: Unknown LABS: WBC 21.21, neutros 93.6 (H), lymphs 3.7 (L), monos 2.3 (L), segs 91 (H). UA (+) for UTI. Blood c/s neg.
CDC Split Type: WAES0709USA04329

Write-up: Information has been received from a nurse practitioner (N.P.) concerning a 93-year-old immunocompromised female who was vaccinated with a 0.65 ml dose of Zostavax. Concomitant therapy included an unspecified antibiotic. It was reported that the patient was just out of the hospital for pneumonia, received Zostavax. Subsequently, the patient died. The cause of death was unknown. No further information was available at the time of this report. No product quality complaint was involved. Additional information has been requested. 10/16/07 Reviewed ER medical records of 8/19/07 which reveal patient seen for UTI. Exam revealed bilateral basilar rales & cool purple feet. Tx w/IV antibiotics & IVF. Foley catheter inserted. D/C to nursing home to continue IV antibiotics x 5 more days. 4/1/08 Reviewed death certificate which states COD as urosepsis.


VAERS ID: 292395 (history)  
Form: Version 1.0  
Age: 63.0  
Sex: Male  
Location: Utah  
Vaccinated:2007-09-27
Onset:2007-09-29
   Days after vaccination:2
Submitted: 2007-10-03
   Days after onset:4
Entered: 2007-10-08
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. 0740U / 1 LA / SC

Administered by: Private       Purchased by: Other
Symptoms: Cardiac arrest, Death
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Cardiomyopathy (broad), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-09-29
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Hypertension
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: vaccine given 9/27/07 died in sleep 9/29/07 presumed cardiac arrest by autopsy. 1/15/08 Reviewed autopsy report which states COD as occlusive coronary artery disease with HTN & sleep apnea as contributing factors. Findings at autopsy included: RCA 70% occluded; LAD 80-90% occluded; LCA 70% occluded; microscopic evidence of ischemic heart disease w/increased fibrosis in tissue; fatty infiltration into RV wall of heart; and chronic HTN. Patient died in his sleep after recently c/o being tired.


VAERS ID: 293387 (history)  
Form: Version 1.0  
Age: 60.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-10-16
Entered: 2007-10-17
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / SC

Administered by: Other       Purchased by: Other
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0710USA02394

Write-up: Information has been received from a consumer concerning a 60 or 70 year old female who was vaccinated SC once with a 0.65 ml dose of Zostavax (Oka/Merck). The reporter stated that "her friend told her that she had heard of another person who died after receiving Zostavax (Oka/Merck)." The reporter stated that it was unknown whether the death was related to vaccination, and the reporter noted that she did not have complete adverse information. Additional information is not expected.


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