Age: 78.0
Sex: F
Vaccine: TD, VARZOS
Symptoms: Acute myocardial infarction, Arteriosclerosis coronary artery, Autopsy, Cardiac tamponade, Chest X-ray normal
Clinical narrative: This report was identified from a line listing obtained on request by the Company under the Freedom of Information Act. A 78 year old  female patient with hyperlipidemia, mild bronchiectasis, chronic kidney disease III and degenerative joint disease, and a medical history of osteopenia, osteoporosis, minimal change disease nephritic syndrome with acute renal dysfunction (resolved in 2005), chronic loss stools, quit smoking in 2004, muscle cramps while using quinine and magnesium, chronic airway obstruction, pulmonary insufficiency and diastolic heart dysfunction, who on 26-JUL-2007 was vaccinated SQ in her right arm with a first dose of ZOSTAVAX (Merck) (lot # 657675/0618U). On 26-JUL-2007, the patient concomitantly received IM in her left arm a dose of (lot# U1952DA) (DECAVAC). On 28-JUL-2007, the patient experienced aches, chills and could not get warm. Per family members  the patient did not contact medical personnel nor feel need to seek emergency care. In the morning of 29-JUL-2007, the patient was found within a few hours after death by a family member. It was reported that the patient had been seen in the physician office for right foot pain and right upper quadrant abdominal pain in May 2007 and on 26-JUL-2007. X-ray of right foot revealed arthritic changes. An ultrasound of gallbladder revealed sludge. Other laboratory test revealed decreased kidney function compatible with kidney disease III. Urine cultures and sensitivity were negative. Lipids were significantly increased as patient had stopped on her won the statin drug prescribed. Chest X-ray results were within normal limits with streaking due to scarring. EKG unchanged from prior tracings revealed right axis deviation and borderline R-wave progression. The patient was last seen by a neurologist in April 2006, and was discharged from service due to resolution of condition. Records included vaccination records which confirm doses a lot numbers reported. On 11-SEP-2007, the autopsy report received which stated that the cause of death was hemopericardium with cardiac tamponade due to acute myocardial infarction rupture due to arteriosclerotic heart disease. Pathological diagnosis included: I, Arteriosclerotic heart disease; A. Arteriosclerotosis of coronary arteries with acute thrombus; B. Arteriosclerosis of aorta; III. Nephrosclerosis; IV. Fibroma of ovary; V. Hyperlipidemia by clinical history. VI. Irritable  bowel syndrome by clinical history' VII. Osteoporosis by clinical history. The listing indicated that one or more of the events resulted in death. NO further information is available. A standard lot check investigation was performed. All in-process quality checks for the lot number in question were satisfactory. In addition, an expanded lot check investigation was performed. The testing performed on the batch prior to release met all release specifications. The lot met the requirements of the Center and was released. This was original reporting source provided. The VAERS ID # is 286402. No further information is available.