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This is VAERS ID 607913

Case Details

VAERS ID: 607913 (history)  
Form: Version 1.0  
Age: 62.0  
Gender: Female  
Location: Vermont  
Vaccinated:2015-11-02
Onset:2015-11-03
   Days after vaccination:1
Submitted: 2015-11-06
   Days after onset:3
Entered: 2015-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK LA / SC

Administered by: Unknown       Purchased by: Other
Symptoms: Abdominal pain upper, Arthralgia, Back pain, Blood test, Body temperature increased, Cardiovascular examination, Chest X-ray, Chest pain, Headache, Nausea, Neck pain
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Arthritis (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? No
Previous Vaccinations:
Other Medications: SYNTHROID
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: CHEST X-RAYS BLOOD WORK ALSO CHECKED HEART
CDC Split Type:

Write-up: HEADACHE-STOMACH ACHE-JOINT PAIN BACKACHE-NECK ACHE-ON 11/4-CHEST PAIN NAUSEA ALONG WITH OTHER SYMPTOMS TEMP 101 B/P 70 OVER 40 THOUGHT I WAS HAVING HEART ATTACK AMBULANCE CALL ENDED IN ER.


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