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This is VAERS ID 465543

Case Details

VAERS ID: 465543 (history)  
Form: Version 1.0  
Age: 86.0  
Sex: Female  
Location: Florida  
Vaccinated:2012-08-18
Onset:2012-08-18
   Days after vaccination:0
Submitted: 2012-09-11
   Days after onset:24
Entered: 2012-09-19
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Cardiac disorder, Death, Dyspnoea, Gait disturbance, Pain
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Cardiomyopathy (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2012-08-22
   Days after onset: 4
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Heart Dr. did not want to see us in 6 months several days earlier.
Allergies:
Diagnostic Lab Data: Coroner assumed it was massive heart failure
CDC Split Type:

Write-up: Severe weakness, severe pain, difficulty breathing. Pain meds, heart meds, aspirin, TYLENOL. Could not walk without assistance.


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