National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 26888

Case Details

VAERS ID: 26888 (history)  
Form: Version 1.0  
Age: 80.0  
Sex: Female  
Location: California  
Vaccinated:1990-11-26
Onset:1990-11-26
   Days after vaccination:0
Submitted: 1990-11-27
   Days after onset:1
Entered: 1990-12-04
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / PFIZER/WYETH 4908201 / UNK - / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 287906 / UNK - / IM

Administered by: Military       Purchased by: Public
Symptoms: Pyrexia, Rash, Serum sickness
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Temezepam, Cefaclor, Furosemide, DSS KCL 10% Soln; Haldol, Nimotop
Current Illness: s/p Subarachnoid hemmorhage Parkinsons
Preexisting Conditions: Subarachnoid Hemmmorhage, Parkinsons Disease; CVA;
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with Pnu-Imune 23/Influenza developed minor rash; MD notified dx serum sickness, temp 100.1 (R); Pt w/vascular macular erythematous eruptions over extensor surfaces large joints. Treatment: Diphenhydramine & APAP.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26888


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166