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This is VAERS ID 26818

Case Details

VAERS ID: 26818 (history)  
Form: Version 1.0  
Age: 30.0  
Sex: Male  
Location: Washington  
Vaccinated:1990-11-13
Onset:1990-11-14
   Days after vaccination:1
Submitted: 1990-11-16
   Days after onset:2
Entered: 1990-11-27
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES - / UNK RA / IM
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4898176 / 2 LA / SC

Administered by: Military       Purchased by: Military
Symptoms: Oedema, Rash, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), 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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with Typhoid/Fluzone developed swollen lt arm elbow to shoulder, hot to touch, not too painful. Pt did not apply ice packs as directed when vaccinated nor take ASA or Tylenol. This is the 2nd of this series.


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