National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 11/12/2021 release of VAERS data:

This is VAERS ID 29302

Government Disclaimer on use of this data



Case Details

VAERS ID: 29302 (history)  
Form: Version 1.0  
Age: 61.0  
Sex: Female  
Location: California  
Vaccinated:1990-11-01
Onset:1990-11-01
   Days after vaccination:0
Submitted: 1991-02-19
   Days after onset:110
Entered: 1991-03-25
   Days after submission:34
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11203 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 285909 / 1 RA / SC

Administered by: Public       Purchased by: Unknown
Symptoms: Injection site hypersensitivity, Movement disorder, Pain
SMQs:, Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Hypersensitivity (narrow)

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: Heart valve condition, lower back pathology, allergic Iodine
Allergies:
Diagnostic Lab Data:
CDC Split Type: CA9131

Write-up: Rt arm "extremely sore since pneumonia shot"; States "fever @ site when touched @ exactly where needle went in"; "Can''t raise arm w/out excruciating pain"; "cannot hook bra"; Sleeping w/heating pad; Has not seen MD for arm; Aches X 8 hrs/dy


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=29302


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166