National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 662645

Case Details

VAERS ID: 662645 (history)  
Form: Version 1.0  
Age: 50.0  
Gender: Female  
Location: Vermont  
Vaccinated:2016-10-21
Onset:2016-10-23
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2016-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU4: INFLUENZA (SEASONAL) (FLUARIX QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS 4A2E2 / UNK LA / IM
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. M027117 / 1 RA / SC

Administered by: Other       Purchased by: Other
Symptoms: Activities of daily living impaired, Burning sensation, Hypoaesthesia, Injection site rash, Injection site swelling, Pain, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Acyclovir
Current Illness:
Preexisting Conditions: Herpes Simplex with complication noted on 10/18/15
Allergies:
Diagnostic Lab Data: Pt. does have noted history of Herpes Simplex with complication noted 10/18/15
CDC Split Type:

Write-up: 10/23/16 - pt. woke up to her right arm being numb. This subsided through out the morning. Swelling with rash near the injection site extending down close to the elbow. Painful to close fingers - had little strength in hand. She couldn''t make a fist with right hand, difficulty removing a ring that was worn. 10/25/16 - pain and difficulty brushing teeth, chopping vegetables, lifting tea pot. Burning sensation in upper arm where rash is. 10/24/16 - pt. was seen for OV. Ibuprofen 400 mg - 600 mg every 6 hrs recommended. 10/31/16 - still mild hand/finger swelling.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=662645


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166