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This is VAERS ID 570040

Case Details

VAERS ID: 570040 (history)  
Form: Version 1.0  
Age: 51.0  
Gender: Male  
Location: Vermont  
Vaccinated:2015-03-11
Onset:2015-03-13
   Days after vaccination:2
Submitted: 2015-03-17
   Days after onset:4
Entered: 2015-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. K006681 / UNK UN / SYR

Administered by: Public       Purchased by: Public
Symptoms: Cellulitis, Erythema, Peripheral swelling, Skin warm, White blood cell count increased
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Hep C; Smoker; Opioid dependence; TB s/p tx; COPD
Allergies:
Diagnostic Lab Data: 3/13/15 - WBC-17.23; 3/15/15 - WBC-12.79
CDC Split Type:

Write-up: LUE cellulitis s/p PNEUMOVAX injection 3/11/15 at health center. ED 3/13/15 for redness, warmth, swelling from shoulder to below elbow. Given TORADOL and IV ANCEF. D/C 3/15 from hospital and seen in f/u at health center 3/17/15.


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