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This is VAERS ID 465543

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2012

VAERS ID: 465543
VAERS Form:
Age:86.0
Sex:Female
Location:Florida
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2012-09-11
Entered:2012-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Death, Dyspnoea, Gait disturbance, Pain, Cardiac disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2012-08-21
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 5/14/2016

VAERS ID: 465543 Before After
VAERS Form:
Age:86.0
Sex:Female
Location:Florida
Vaccinated:0000-00-00 2012-08-18
Onset:0000-00-00 2012-08-18
Submitted:2012-09-11
Entered:2012-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Death, Dyspnoea, Gait disturbance, Pain, Cardiac disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2012-08-21 2012-08-22
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2017

VAERS ID: 465543 Before After
VAERS Form:(blank) 1
Age:86.0
Sex:Female
Location:Florida
Vaccinated:2012-08-18
Onset:2012-08-18
Submitted:2012-09-11
Entered:2012-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Death, Dyspnoea, Gait disturbance, Pain, Cardiac disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2012-08-22
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 2/14/2018

VAERS ID: 465543 Before After
VAERS Form:1
Age:86.0
Sex:Female
Location:Florida
Vaccinated:2012-08-18
Onset:2012-08-18
Submitted:2012-09-11
Entered:2012-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Death, Dyspnoea, Gait disturbance, Pain, Cardiac disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2012-08-22
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 6/14/2018

VAERS ID: 465543 Before After
VAERS Form:1
Age:86.0
Sex:Female
Location:Florida
Vaccinated:2012-08-18
Onset:2012-08-18
Submitted:2012-09-11
Entered:2012-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Death, Dyspnoea, Gait disturbance, Pain, Cardiac disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2012-08-22
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 8/14/2018

VAERS ID: 465543 Before After
VAERS Form:1
Age:86.0
Sex:Female
Location:Florida
Vaccinated:2012-08-18
Onset:2012-08-18
Submitted:2012-09-11
Entered:2012-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Death, Dyspnoea, Gait disturbance, Pain, Cardiac disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2012-08-22
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2018

VAERS ID: 465543 Before After
VAERS Form:1
Age:86.0
Sex:Female
Location:Florida
Vaccinated:2012-08-18
Onset:2012-08-18
Submitted:2012-09-11
Entered:2012-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Death, Dyspnoea, Gait disturbance, Pain, Cardiac disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2012-08-22
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 10/14/2018

VAERS ID: 465543 Before After
VAERS Form:1
Age:86.0
Sex:Female
Location:Florida
Vaccinated:2012-08-18
Onset:2012-08-18
Submitted:2012-09-11
Entered:2012-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Death, Dyspnoea, Gait disturbance, Pain, Cardiac disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2012-08-22
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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.


Changed on 8/14/2019

VAERS ID: 465543 Before After
VAERS Form:1
Age:86.0
Sex:Female
Location:Florida
Vaccinated:2012-08-18
Onset:2012-08-18
Submitted:2012-09-11
Entered:2012-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (ZOSTAVAX) ZOSTER LIVE (ZOSTAVAX) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Death, Dyspnoea, Gait disturbance, Pain, Cardiac disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2012-08-22
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? 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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