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This is VAERS ID 844005

History of Changes from the VAERS Wayback Machine

First Appeared on 3/14/2020

VAERS ID: 844005
VAERS Form:2
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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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

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