oo~oo:mj.)~~~~loo~or5~~oo~ool - som - state of … ii . j, peuralgia (~~q/i,,s):;x)]g o')~02gll...

2
KAREN C ) GJ ) Herpes Zoster, Zoster ,;- ., QC 0 0 Q .. ,c" 2 4'" G '\'10> O)m01 :t:)(\)l::t:unu 07 1 q""'. 1\ -1.[! f " 1, ;' '-. ( I " T r'. r' r'Tor' I l,--_, --_.-.1 I ,,• ',_ I .I J \\ " ( , . \ \ :\ i. '1\ _''''''' .j;1 " (encephalitIs) , "'-.,. , ... (\)1<?1 5 t I \ f 1_1 '" J' 031. ooh-31rf5:0(\)] Post-herpetic II . J, peuralgia I' / (Varicella Zoster) oom¥. cO::t (\)1 :O;D:0?1 ;).)::t1- J.?o t.?03,. 001 <j><J1 001 00:r.iJ oom8: 5 'Cj00'Cj1 steroids 'i0)'Cj1 Of?0l1 wl:qjl y1 I 001 C1J ) 10001(\)10)1 0]'1 b 2006 50 d52}.103 60 . Y'(\)l- gelatin, neomycin, <j>'Cj1m8:c3S£ G( C G G 0 G( Q" ,\,lmOl]()1e:J601;).)(J')r'0l1(\)lOl<tj(\)1 mOOl:;;n- - AIDS '100'Cj1 Q QC 0.( G 0" (\)1 <j>lOlmO:>OOl;).)(J')r'" - 0)?8 steroids ooSooS£::ol:01(\)] - 0.0" J:jJ10l<tj0l(,J r' - 'Cj00'Cj1 'Cjm'Cj1 (lymphoma) :8?£:l1(:;).):. 'Cjm'Cjl (\)1 10010-(1 X? 00 loom (\),4 £ t.?Nl. • yloom(\)]:o:8p£:mlooloo<i>:0?0?1. ml9? "tm"t1 Shingles Vaccine (10/06/09) - Karen Over

Upload: duongdang

Post on 20-May-2018

216 views

Category:

Documents


0 download

TRANSCRIPT

KAREN

oo~oo:mJ.)~~~~loo~or5~~oo~ool C ~--=~=--~(Y)_~C\)_'......;....cf(Y)_':f)----:....-~~___:.o )

GJ OO~O?~~~'i~OO~a;lro~. ) O)~O]'~:>?~ 'Cj~l9:J?~O)~ool(\)l ~;)'):o:JmC\fS, ~1~~~O]'S£:

m8ciJ03~0t.~031. 0)~d5:~~r?5d1C\)1 Herpes Zoster, 'Cj0)~~

Zoster t.~031.

O)~o],~~~~'l'~03~MGS;).)~ 'Cj0)~~ ,;- .,

QC 0 0 Q .. ,c" 2 4'" G U·'\'10>O)m01 :t:)(\)l::t:unu 071 ~t.r'(\)1. q""'. O)~ool~O?~O;?~~J.?~t.~ool.~:0):r.iJ00 1\ ~ -1.[! ~~colo'\':'1':m~J.t031. O)~O]'~~~ f " ~o)~Ot~~m(\)l :o<tjl03~~oo)l9~ .~ 1, ;' '-.

(\;'~OO)~c31rf5~. 8~;).)?tDoo1. I 0)~fi~nS~:(J')w10)~lSo),,;).)"0)l9"£"03,. "

T r'. r' r'Tor' I l ,--_, --_.-.1 O)~O]'l~~O)~ool(\)l:oO)~()S:ill'f:~~03~0t.~I· I 'Cj~ooJ3~O)~y~ , , • ',_ I

.I J \ \ 0)~2:dool. " ( , . \\:\ ~ d<j>~urI:odri5O)~QO)(9? i.

'1\ _''''''' .j;1 O)~GSoociJ~~:lo)~. ~~*S2::00;~O';>~0)(9~ " (encephalitIs) 'Cj00~~ O)~:Doo~y~J.?o~~

, "'-.,. 0)~oo~00~O)m03~2'l'b;).):0)~. , ... (\)1<?1 5 m:OrliJl1mt.~.

t I (;00~m§lm803~m(9~(J')1(,JbOll

\ f ~~c0S. dmool9?l:i:o<j>:<j>:mc0St.~

1_1 '" J' 031. ooh-31rf5:0(\)] Post-herpetic II . J, peuralgia (~~q/i,,s):;x)]G O')~02Gll

I' / O')~Oi'~3Ti~Crl(g~Q) 'l~031.

0)~O]'h?~:61m03~:t:);).):~~ 00~0]'~::t?~ (Varicella Zoster) O)~oolw~ oom¥. c\)l:ro~~001001d oomcy,03(\)l:r;)1d~03~00~03~

colO)~ 001t.~031.

cO::t ~Y'(\)l :t:)0)~0?1d03 ~col001 001-'Cj0)~~ 0):r.iJ0)~~Y1 (\)1

:O;D:0?1 O)~ 03~colm:D~~ ;).)::t1- 0)l9~0)~0)~0]'1~ ~ J.?o t.?03,.

dool:o().)1~1 m~~c\)1<j>~1~:Olll" ~:II1():?S:olt~(,J:m1 ::8~

03~odO]'~::t?~O)l 001 t.~03].

<j><J1 t.~001oy1:>? ~oo~ wl~l~<{j)1(\)l:O~ ~£ :m'ioy~ ~ ~d 001

mmooJ.?O)~' 'Cj~£c0~Q1" Yloom(\)]:OOOo)~00103~col;

00:r.iJ ('Cj<XJ'i~ OO;D:o:>~oo~a'3~(X)lm:D~~ ;),)~]~00:r.iJ) oom8:

t.~~03~(X)1~ool~<{jY1C\)]:o~~~:0)~oy~~~001oo1J.?o031"

00~~100(,J12'l'~:O;),):0)~·

dO]'~::t?~oo~ ool~12t1md5~:o;).)::ol(\)lY1(\)l:o;).)::8~ 50t~

Q:j/:o88~J.?~00l9~. :olt.1:i:Yl;)'):0l~J.?~0)l9~t.~031. oo~ ool~lm03?

:o:»::ol'll1~:C\)]Yl(\)]:ot18n18°01;)')u3~ :A?~0)l9?0l10310~~Q0l1~

oo~ool. 'Cj00'Cj1 m:D~m:>3£:o'i~ steroids <A~~m:D~ 'i0)'Cj1

oo~ Of?0l1 wl:qjl ~<{j';'~ ~ ~0)l9~ t.~c31.

:Oo/lmOOl~OOt~:Olll" y1 I mo?1mC\)l:00"lm1(r'5~0l1?~:r;)II' ~:t.10)~

0010]'~ ~~001 001 t.~031.

C1J OO~~:OOO)~~O:>~loo~0?~~~oo~oo1 ) m:D~ ;D:~;)')~ 10001(\)10)1 0]'1 ~ ~m'i;;ol:o I\~ t.?~:t. b ~001 ~

d~ 2006 t~t.~c31. ~~00~()1"21J.?~0)l9~.m:D~;D:~l

()lo/lc310010-(~~~:ooob~03~50 'i.I:mo)lt.~031. m:D~

~W1 d52}.103 ~'ll1J3:m1;;ol(\)]Yl(\)1 :nO)~d 0]'1~ ~00l9~~:n

;D:m:D?61:OOllp'~031.

m:D~~;)')::t]m10-(~~~0?1oo100<tj1~t.~001~~cr'51;)'):(\)lm 'Cj~Y1~~

cDS8~<;>1(\)m;).)::8~ 60 t~~:o8~~00(9~:o1\1 t.~031.

~)1ootl006l:00:00O)~ OO:~O:>~lOO~O?~~~:Y.>~ 'iOO'i~ 6l:~~2:o

Y1mm(\)lm61:;D:m:D~;D:¥;).)::tlm10]'~~~0)?-p'~'Cj1 Y'(\)l­

• :o:8~¥:m~m&:c3S~:m:D~(\)l:r;)031 0)~03~(\)1:n;).):;).)1T

:oIM:n'CjlmO)~c3S~: gelatin, m:D~(,Jl:D001;;olw~

neomycin, 'Cjm'Cj~ m:D~oo:~;).)::t16?10]'1~~oom¥(\)\

(\))Ql-p'~031. <j>'Cj1m8:c3S£ :m:D~m~l ~l<j>:<j>:mc0S~~o?

0)~<j>m:D~;).)"l~000?1. G( (.(~ C G G 0 G( •Q"• ,\,lmOl]()1e:J601;).)(J')r'0l1(\)lOl<tj(\)1 mOOl:;;n­

- :8~£:oo~ool AIDS '100'Cj1 001001:om9')m¥(\)m(,J10l~ Q QC 0.( G 0"(\)1 <j>lOlmO:>OOl;).)(J')r'"

- ~ :o;(Q)l:o;)'):(\)lm:D?&~00(9~(\)l:O(,J1 0)?8 t~8n~060];).)<A~.

£:O'Cjb~'1I:mlom:D~ steroids ooSooS£::ol:01(\)] :o~<A~

"'rt~~~031. - ~~£:m~Of?OllQOli~ml;;ol~~03o)l;).)<A~ 'Cj00'Cj~ m~o;(Ollwl

~G 0.0"J:jJ10l<tj0l(,J r'

- m~<>olQ0l1~mO)~8o~~:Dw1~m1 'Cj00'Cj1 ;1~:b<iJ:D9'Jl:O

~m(9? £:D'Cj~::>2~olQOll~ 'Cjm'Cj1 ~18<iJ001oo1 (lymphoma) J.??m(9~t.~031.

• :8?£:l1(:;).):. 'Cjm'Cjl 0)~J.?~J.?~m::tla'3~00l9~-p'~031. ~~

(\)1 :o;D:m:D~~;).):; 10010-(1 X? ~001 00loom :O'll1mm1~ (\),4

~:>dcr'51111t.~006]:(\)1 :D:8?c8~ £:l1(:;).):0)~ t.?Nl.

• yloom(\)]:o:8p£:mlooloo<i>:0?0?1. £:O'Cj1m~y~0)~. ml9?

J)~J.?~J.?~m;D:m:D?£;)')~lnl'P.~031. 0)~oo~Y1mm(\)1

(\)1(\)l:r;):8~~:m~001<j>:03~ "tm"t1 <j>:<j>:mc0SJ.?~00(9~6]:~'l'h3~

Shingles Vaccine (10/06/09) - Karen Over

([J oo~la3'l~~l~~OJ~o.trol~£ro~. ) • o.'J<:'!21'1'Y1:P:c2<:'!21c2°o1 "'/00"'/1 ~P<tl.:PY1~:c2<:'!21c2oo1

:pmoomoo,,?l. :po~PlJ?P'1'ldoO:mo.'Jp~:D:tl:PrusdmJlp

~00",/1 mlJ?Pa;/p'1'l 001031:pmru1 :plJ?pdmJlpoo(9p J.?04\P 031. 1-888-767-4687

• oO:o:\'jJ: Centers for Disease Control and Preventionmo.'JpoO:~:D:t100(~j1P, £mo.'Jp0081ru1ru1:P:i3:, 1:~p03p

(CDC) 0­dQ1Mru1:P'1':00(9PJ.?0, £:p~1~?008:~:mo.'Jp:p0'3m03p

- J3: 1-800-232-4636 (1-800-CDC-INFO) ~00",/1dool8Sc2ru1:P'1':O'J(9p4\p031. £cDPQ1, doO:mo.'Jp~:D:t1

- cD1<:'!21 CDC :PySW1:Doji0 www.cdc.gov/vaccinesru1:P1:~p03pd:)')p!f:)')pc6:rul:P'1': ~00~1 0?1ru1do.'J

00,,?1.001 91 OO(9P4\P~lool ru1 :P,¥1 o!f p8:4\p031.

dooc6P4\100lMd~'1':'1':mc\)S)00(9p!5<.\jmo.'JpoO:~:D:t1001

oolO?l~p:)')p,

~lii~<mO:O'XI('O'J(J~

• ::J?p03P~l, 19:::J?p~l, ~:03p ~00~1 001:D:i9doO:031m o.'J p:P 031 (sn 3 m:pCY:(jl 1 mmpOJp)

• ~p:Dpo);;ol (sn 70 m:pCY:(jl I mmpOJp)

£mo.'JpoO::pm~pOO(9p:p:i3:, mo.'JpoO:~:D:t1dO?l:qpm1

;;ol:in001<:'!21c2mU(mcd)~1::r;/:::r;/:aJ1aJ10dMd~ruloo

~~181:P:D: "'/00"'/1 '1':'1':mc\)S)~p03p:p~l4\P031.

~CY)~d3OJ~~':~~ ~OJ~~ ,:,:mr06~~~~ ~~'l~OJ~m~l ~o.J:£ro~.

001 ~P:D:ru100~~181 ..:P:D:O'J81ru1ru1, £:p ~loog:c3>J~:m

o.'Jp:p001Q1M ",/00~1 d031(J31'1':'1':mc\)S)~p03p:pG>l031.

00100g:c3>J~:mo.'Jp:pdQ1M",/1~p<4jl03P4\P, m~p<4jl03p 00 oO:031mo.'Jp61:P031~'ln8:~::p~1)/10?1ru100'1'P~P:P ~l)/l4\P

031. 00100g:03S~:mo.'Jp:p001()tPOO(9pm~10m:Dl M~, 01<lJ1031,

dSSOj/1::D: "'/00"'/1 m:DlJ3p66, :D:<4j1p<DP<tl. 03p, 19:::J?pm~l03p,

~?~1, 19::J?p03lOl "'/00"'/1 dSSOj/1::i5~: 03pJ.?poo(9p4\p031.

oo§mn~~+1ro~.

• d3:mo.'Jp:D61p, "'/00"'/1 c(nJ3:Y104\P~mo.'Jp:D61p:P~P 00J:\J0300,,?1.

• ooJJpmo.'Jp:D61pru1d8~lm03p:p:D:, (N&:pd;;olm~l, ~:

doO:mo.'Jp~:D:t1,inru1:P;;olm~0cDp4\pOO,,?1.

G1Y1:P:c2<:'!21c2'1'14\pmuS<4jl03pd~p:D::P1~<.\j"9103p Vacci ne Adverse Event Reporting System (VAERS) (ooloo:)')pc3S~:mo.'J p~:D:t 1001 uS<4jl 03pd~ p:D::pruSoo02 p!f)

4\P 00,,?1. ~00~1 '1'''9103P001uS<4jb1~<.\j VAERS • :PySW1:D4\ www.vaers.hhs.gov.../oo.../l!5<.\jJ3:03mS

1-800-822-7967 J.?04\pc31.

VAERS :P100lJ?Pd~p")lp~p<tl.:pdlJ?Pa;/PlJ?P(9::)')P. DEPARTMENT OF HEALTH AND HUMAN SERVICES r~

Cente.rs for Disease Conl.rol and Prevenllon ,~ .~ ... ·" ...u .. ,<..........

DCR-1340KA Vaccine Information Statement

AUTR: P.R.S., Act 42, Sect. 2126. Shingles (10/06/09) - Karen 42 U.S.C. § 300aa-26

Translation provided by the Minnesota Department of Health

"-'1",lm<.J??1,,\,?~1 Yl<.J??~1",\:8?,\??<8?'lJ.0m<.J?mw')"'O?"-'1 """'\Q\",Iaj'poo?c\I ",\"" moO?j,,,,nm0bcclil(\),,,,c{l,d>\~'''''''~, 0')~(Y)~,03lo?~0~::n?w:oJ~U?J.?2~l:n?,% OJ~~:m ::0?~::.\nl ~:m~~~~:(I1t.9:mQ"~(\)lCf)~mm:m:::0?£J..nlc\)lel~~lr"g)~~:~:m?(d\o)\i)lc8:?m~02"

c\lm<.J?mw')",,,,I",c!l101"'~1(Michigan Care Improvement Registry) ",::'J?'i'?~1. y''''n\<pS'I''> ,s?£,,,,I~mlw')"-'lm'P.03?o

Y'''-'''''<.J??~,,,,o,,!?:pm\:8?''iI?:<!I?'il. ",i"'<.J?muJXno? (\)1,\, "'''I' ",1"""oO?hm:pQI",ccli' ,\?"'\~~10,m~m:<!l?"'0'~?~L