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This is VAERS ID 587901

Case Details

VAERS ID: 587901 (history)  
Form: Version 1.0  
Age: 69.0  
Gender: Female  
Location: Vermont  
Vaccinated:2015-07-10
Onset:2015-07-10
   Days after vaccination:0
Submitted: 2015-07-27
   Days after onset:17
Entered: 2015-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L72442 / UNK UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Injected limb mobility decreased, Injection site hypoaesthesia, Pain in extremity
SMQs:, Tendinopathies and ligament disorders (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:
Other Medications:
Current Illness: No
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient''s arm was really sore for a week (also and she said her arm felt numb at the site of injection) and she couldn''t lift the arm for few days. She had to go to the ER where she was told the needle might have hit the blood vessel.


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