National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 11/26/2021 release of VAERS data:

This is VAERS ID 311791

Government Disclaimer on use of this data

Case Details

VAERS ID: 311791 (history)  
Form: Version 1.0  
Age: 83.0  
Sex: Female  
Location: Unknown  
   Days after vaccination:6
Submitted: 2008-05-06
   Days after onset:75
Entered: 2008-05-07
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Death, Herpes zoster, Pneumonia
SMQs:, Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2008-04-12
   Days after onset: 51
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ZOVIRAX; Clorazepate dipotassium
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0804USA06377

Write-up: Information has been received from a nurse practitioner concerning an 83 year old female consumer who on 14-FEB-2008 was vaccinated SQ with a 0.65ml of ZOSTAVAX. Concomitant therapy included acyclovir (ZOVIRAX) and clorazepate dipotassium. Subsequently, on 20-FEB-2008, the patient developed shingles. Unspecified medical attention was sought. It was unspecified if lab studies were performed. It was reported that the patient was treated for shingles (treatment regimen not reported) and made a full recovery. It was also reported that the patient went on vacation and when she returned from vacation she developed pneumonia and died on 12-APR-2008. There was no product quality complaint involved. The cause of death was pneumonia. The nurse practitioner considered the event to be disabling. Additional information has been requested.

New Search

Link To This Search Result:

Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166