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This is VAERS ID 25756

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25756
VAERS Form:
Age:30.0
Sex:Male
Location:California
Vaccinated:0000-00-00
Onset:1990-01-10
Submitted:0000-00-00
Entered:1990-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - - / -
PPV: PNU-IMUNE(R)23 / LEDERLE 256951 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: INJECT SITE REACT, CELLULITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
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':

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.


Changed on 12/8/2009

VAERS ID: 25756 Before After
VAERS Form:
Age:30.0
Sex:Male
Location:California
Vaccinated:0000-00-00
Onset:1990-01-10
Submitted:0000-00-00
Entered:1990-08-28 1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -
PPV: PNU-IMUNE(R)23 PNEUMO (PNU-IMUNE) / LEDERLE LEDERLE LABORATORIES 256951 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Cellulitis, Injection site reaction, INJECT SITE REACT, CELLULITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
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': (blank) 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.


Changed on 7/7/2013

VAERS ID: 25756 Before After
VAERS Form:
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
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 256951 / - - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
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.


Changed on 12/14/2016

VAERS ID: 25756 Before After
VAERS Form:
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
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES 256951 / - - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
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.


Changed on 5/14/2017

VAERS ID: 25756 Before After
VAERS Form:
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 - / - - / -
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 256951 / - - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2017

VAERS ID: 25756 Before After
VAERS Form:(blank) 1
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 2/14/2018

VAERS ID: 25756 Before After
VAERS Form:1
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 6/14/2018

VAERS ID: 25756 Before After
VAERS Form:1
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 8/14/2018

VAERS ID: 25756 Before After
VAERS Form:1
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 9/14/2018

VAERS ID: 25756 Before After
VAERS Form:1
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.


Changed on 10/14/2018

VAERS ID: 25756 Before After
VAERS Form:1
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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