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This is VAERS ID 607913

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2016

VAERS ID: 607913
VAERS Form:
Age:62.0
Gender:Female
Location:Vermont
Vaccinated:2015-11-02
Onset:2015-11-03
Submitted:2015-11-06
Entered:2015-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - LA / SC

Administered by: Unknown      Purchased by: Other
Symptoms: Abdominal pain upper, Arthralgia, Back pain, Body temperature increased, Chest pain, Chest X-ray, Headache, Nausea, Neck pain, Blood test, Cardiovascular examination

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SYNTHROID
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: CHEST X-RAYS BLOOD WORK ALSO CHECKED HEART
CDC 'Split Type':

Write-up: HEADACHE-STOMACH ACHE-JOINT PAIN BACKACHE-NECK ACHE-ON 11/4-CHEST PAIN NAUSEA ALONG WITH OTHER SYMPTOMS TEMP 101 B/P 70 OVER 40 THOUGHT I WAS HAVING HEART ATTACK AMBULANCE CALL ENDED IN ER.


Changed on 9/14/2017

VAERS ID: 607913 Before After
VAERS Form:(blank) 1
Age:62.0
Gender:Female
Location:Vermont
Vaccinated:2015-11-02
Onset:2015-11-03
Submitted:2015-11-06
Entered:2015-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - UNK LA / SC

Administered by: Unknown      Purchased by: Other
Symptoms: Abdominal pain upper, Arthralgia, Back pain, Body temperature increased, Chest pain, Chest X-ray, Headache, Nausea, Neck pain, Blood test, Cardiovascular examination

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SYNTHROID
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: CHEST X-RAYS BLOOD WORK ALSO CHECKED HEART
CDC 'Split Type':

Write-up: HEADACHE-STOMACH ACHE-JOINT PAIN BACKACHE-NECK ACHE-ON 11/4-CHEST PAIN NAUSEA ALONG WITH OTHER SYMPTOMS TEMP 101 B/P 70 OVER 40 THOUGHT I WAS HAVING HEART ATTACK AMBULANCE CALL ENDED IN ER.


Changed on 2/14/2018

VAERS ID: 607913 Before After
VAERS Form:1
Age:62.0
Gender:Female
Location:Vermont
Vaccinated:2015-11-02
Onset:2015-11-03
Submitted:2015-11-06
Entered:2015-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK LA / SC

Administered by: Unknown      Purchased by: Other
Symptoms: Abdominal pain upper, Arthralgia, Back pain, Body temperature increased, Chest pain, Chest X-ray, Headache, Nausea, Neck pain, Blood test, Cardiovascular examination

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SYNTHROID
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: CHEST X-RAYS BLOOD WORK ALSO CHECKED HEART
CDC 'Split Type':

Write-up: HEADACHE-STOMACH ACHE-JOINT PAIN BACKACHE-NECK ACHE-ON 11/4-CHEST PAIN NAUSEA ALONG WITH OTHER SYMPTOMS TEMP 101 B/P 70 OVER 40 THOUGHT I WAS HAVING HEART ATTACK AMBULANCE CALL ENDED IN ER.


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http://medalerts.org/vaersdb/findfield.php?IDNUMBER=607913&WAYBACKHISTORY=ON


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