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This is VAERS ID 26398

Case Details

VAERS ID: 26398 (history)  
Form: Version 1.0  
Age: 54.0  
Sex: Male  
Location: Louisiana  
Vaccinated:1990-10-13
Onset:1990-10-13
   Days after vaccination:0
Submitted: 1990-10-22
   Days after onset:9
Entered: 1990-10-30
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military       Purchased by: Military
Symptoms: Arthralgia, Myalgia, Nausea, Pyrexia, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: WBC 2.8, HGB & HCT- WNL
CDC Split Type:

Write-up: Pt vaccinated with Typhoid/Influenza at approx 1255PM on 13OCT90 presented in the ER @1655 on 13OCT90 BP 98/60, pulse 132, resp 24, temp 102.4, nausea, vomiting, myalgia & arthralgia.


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