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This is VAERS ID 683882

History of Changes from the VAERS Wayback Machine

First Appeared on 4/14/2017

VAERS ID: 683882
VAERS Form:
Age:66.0
Gender:Female
Location:Vermont
Vaccinated:2017-02-21
Onset:2017-02-22
Submitted:2017-02-26
Entered:2017-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. M040804 / - LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: clopidogrel, fenofibrate, lisinopril 20 daily, atorvostatin daily, amlodipine 10 daily, hydrochlorothiazide 25 1/2 tab daily, metoprolol tartrate
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Patient has redness and sweeling at injection site that caused her to seek care at her doctor''s office. Doctor applied warm compresses, gave her oral benadryl and called to report incident to us for reporting a few days later.


Changed on 9/14/2017

VAERS ID: 683882 Before After
VAERS Form:(blank) 1
Age:66.0
Gender:Female
Location:Vermont
Vaccinated:2017-02-21
Onset:2017-02-22
Submitted:2017-02-26
Entered:2017-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. M040804 / - UNK LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: clopidogrel, fenofibrate, lisinopril 20 daily, atorvostatin daily, amlodipine 10 daily, hydrochlorothiazide 25 1/2 tab daily, metoprolol tartrate
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Patient has redness and sweeling at injection site that caused her to seek care at her doctor''s office. Doctor applied warm compresses, gave her oral benadryl and called to report incident to us for reporting a few days later.


Changed on 2/14/2018

VAERS ID: 683882 Before After
VAERS Form:1
Age:66.0
Gender:Female
Location:Vermont
Vaccinated:2017-02-21
Onset:2017-02-22
Submitted:2017-02-26
Entered:2017-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. M040804 / UNK LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: clopidogrel, fenofibrate, lisinopril 20 daily, atorvostatin daily, amlodipine 10 daily, hydrochlorothiazide 25 1/2 tab daily, metoprolol tartrate
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Patient has redness and sweeling at injection site that caused her to seek care at her doctor''s office. Doctor applied warm compresses, gave her oral benadryl and called to report incident to us for reporting a few days later.


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Link To This Search Result:

http://medalerts.org/vaersdb/findfield.php?IDNUMBER=683882&WAYBACKHISTORY=ON


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