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This is VAERS ID 601520

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2015

VAERS ID: 601520
VAERS Form:
Age:84.0
Gender:Female
Location:Vermont
Vaccinated:2015-09-24
Onset:2015-09-25
Submitted:2015-10-08
Entered:2015-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UI428AB / - LA / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH U361230 / 0 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Injection site pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine; BENICAR; CENTRUM; B12; DITROPAN; EVISTA; KLOR-CON; MIROLAX; NEXIUM; Loratidine
Current Illness: None
Preexisting Conditions: GERD; HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Right upper extremity erythema, pruritis surrounding injection site. Onset 12 hours after vaccination. Improving with BENADRYL, loratadine added. Erythema persistent $g 1 week after vaccination.


Changed on 9/14/2017

VAERS ID: 601520 Before After
VAERS Form:(blank) 1
Age:84.0
Gender:Female
Location:Vermont
Vaccinated:2015-09-24
Onset:2015-09-25
Submitted:2015-10-08
Entered:2015-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UI428AB / - UNK LA / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH U361230 / 0 1 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Injection site pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine; BENICAR; CENTRUM; B12; DITROPAN; EVISTA; KLOR-CON; MIROLAX; NEXIUM; Loratidine
Current Illness: None
Preexisting Conditions: GERD; HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Right upper extremity erythema, pruritis surrounding injection site. Onset 12 hours after vaccination. Improving with BENADRYL, loratadine added. Erythema persistent $g 1 week after vaccination.


Changed on 2/14/2018

VAERS ID: 601520 Before After
VAERS Form:1
Age:84.0
Gender:Female
Location:Vermont
Vaccinated:2015-09-24
Onset:2015-09-25
Submitted:2015-10-08
Entered:2015-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UI428AB / UNK LA / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH U361230 / 1 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Injection site pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine; BENICAR; CENTRUM; B12; DITROPAN; EVISTA; KLOR-CON; MIROLAX; NEXIUM; Loratidine
Current Illness: None
Preexisting Conditions: GERD; HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Right upper extremity erythema, pruritis surrounding injection site. Onset 12 hours after vaccination. Improving with BENADRYL, loratadine added. Erythema persistent $g 1 week after vaccination.


Changed on 6/14/2018

VAERS ID: 601520 Before After
VAERS Form:1
Age:84.0
Gender:Female
Location:Vermont
Vaccinated:2015-09-24
Onset:2015-09-25
Submitted:2015-10-08
Entered:2015-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UI428AB / UNK LA / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH U361230 / 1 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Injection site pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine; BENICAR; CENTRUM; B12; DITROPAN; EVISTA; KLOR-CON; MIROLAX; NEXIUM; Loratidine
Current Illness: None
Preexisting Conditions: GERD; HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Right upper extremity erythema, pruritis surrounding injection site. Onset 12 hours after vaccination. Improving with BENADRYL, loratadine added. Erythema persistent $g 1 week after vaccination.


Changed on 8/14/2018

VAERS ID: 601520 Before After
VAERS Form:1
Age:84.0
Gender:Female
Location:Vermont
Vaccinated:2015-09-24
Onset:2015-09-25
Submitted:2015-10-08
Entered:2015-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UI428AB / UNK LA / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH U361230 / 1 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Injection site pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine; BENICAR; CENTRUM; B12; DITROPAN; EVISTA; KLOR-CON; MIROLAX; NEXIUM; Loratidine
Current Illness: None
Preexisting Conditions: GERD; HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Right upper extremity erythema, pruritis surrounding injection site. Onset 12 hours after vaccination. Improving with BENADRYL, loratadine added. Erythema persistent $g 1 week after vaccination.


Changed on 9/14/2018

VAERS ID: 601520 Before After
VAERS Form:1
Age:84.0
Gender:Female
Location:Vermont
Vaccinated:2015-09-24
Onset:2015-09-25
Submitted:2015-10-08
Entered:2015-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UI428AB / UNK LA / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH U361230 / 1 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Erythema, Injection site pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Amlodipine; BENICAR; CENTRUM; B12; DITROPAN; EVISTA; KLOR-CON; MIROLAX; NEXIUM; Loratidine
Current Illness: None
Preexisting Conditions: GERD; HTN
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Right upper extremity erythema, pruritis surrounding injection site. Onset 12 hours after vaccination. Improving with BENADRYL, loratadine added. Erythema persistent $g 1 week after vaccination.

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