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This is VAERS ID 658584

Case Details

VAERS ID: 658584 (history)  
Form: Version 1.0  
Age: 70.0  
Gender: Female  
Location: Vermont  
Vaccinated:2016-10-03
Onset:2016-10-04
   Days after vaccination:1
Submitted: 2016-10-07
   Days after onset:3
Entered: 2016-10-11
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUA3: INFLUENZA (SEASONAL) (FLUAD) / NOVARTIS VACCINES AND DIAGNOSTICS 165803 / 1 LA / IM
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH M94708 / 1 RA / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Asthenia, Blood pressure increased, Blood test normal, Cardiac stress test normal, Chest discomfort, Electrocardiogram, Fatigue, Feeling cold, Heart rate increased, Injection site erythema, Injection site swelling, Pyrexia, Tremor, Vaccination complication, Ventricular extrasystoles, White blood cell count increased
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Ventricular tachyarrhythmias (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypertension (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (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: Atorvastatin; Losartan; Levothyroxine; Clobetasol
Current Illness: No
Preexisting Conditions: Hypertension; Hyperlipidemia; Hypothyroidism
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: At approximately 3:00am on 10/04/16, patient awoke with her chest feeling heavy. She felt that her heart was beating heavily. She went back to sleep then awoke again shaking and feeling cold, heart still felt like it was beating fast/strong. She again fell back to sleep. She awoke at 6:00 AM(when she normally would prepare for work) but felt very tired and weak, her chest still felt heavy. She had recently (7/30/16) suffered a stroke so she was worried that something serious was happening. Her right arm at the site where she had received the PREVNAR 13 vaccine was red and raised. She measured her blood pressure and found it to be 144/102 (her usual reading would be 135/75), her heart rate was 113 (her usual was appx 70). She took her blood pressure medication and a low dose aspirin. She called 911. The EMT found her to have a low grade fever (100.3). She was given an EKG. She was told that she was having PVC''s at the rate of 1 every 5 seconds. Her blood work and stress test were normal. She had an elevated WBC which was expected due to her fever. Doctor diagnosed her to have had an adverse reaction to her PREVNAR 13 vaccine. Over time, (2-3 hours) she felt better and her symptoms went away. She was discharged.


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