National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 844005

Case Details

VAERS ID: 844005 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2019-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARZOS: ZOSTER (SHINGRIX) / GLAXOSMITHKLINE BIOLOGICALS - / 2 - / -

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

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: DEGLAXOSMITHKLINEDE2019EM

Write-up: herpes type 1; This case was reported by a physician and described the occurrence of herpes simplex type i in a male patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, less than 6 months after receiving Shingrix, the patient experienced herpes simplex type i (serious criteria death). On an unknown date, the outcome of the herpes simplex type i was fatal. The reported cause of death was herpes simplex type i. It was unknown if the reporter considered the herpes simplex type i to be related to Shingrix. Additional case details were reported as follows: The age at vaccination was not reported. The patient died after about 6 months after the 2nd dose of Shingrix and one of the cause was herpes type 1.; Reported Cause(s) of Death: herpes type 1


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=844005


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166