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This is VAERS ID 25756

Case Details

VAERS ID: 25756 (history)  
Form: Version 1.0  
Age: 30.0  
Sex: Male  
Location: California  
Vaccinated:0000-00-00
Onset:1990-01-10
Submitted: 0000-00-00
Entered: 1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 256951 / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Cellulitis, Injection site reaction
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No hx of trauma to area. hx of recurrent pneumonia. lst pneumococcal vaccine
Allergies:
Diagnostic Lab Data:
CDC Split Type: 9000065.01

Write-up: 30 YO man developed erythema, tenderness & warmth below injection site 2 days after immunization. Ellipsoid area 4X6CM, Injection site itself is clear. Dx : Cellulitis vs injection site reaction.


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