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This is VAERS ID 671390

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2017

VAERS ID: 671390
VAERS Form:
Age:65.0
Gender:Female
Location:Vermont
Vaccinated:2016-11-14
Onset:2016-11-15
Submitted:2016-11-18
Entered:2016-11-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. M023460 / 0 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Arthralgia, Cellulitis, Erythema, Myalgia, Swelling

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: WELLCOVORIN; lisinopril; PEPCID; Methotrexate; pravastatin; CELEBREX; folic acid
Current Illness:
Preexisting Conditions: HTN; hyperlipidemia; inflammatory arthritis (autoimmune)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Swelling, redness of upper arm, fever approximately 101 degrees F, debilitating muscle and joint pain 24 hrs after vaccine. Cellulitis on exam 4 day after injection. Prescribe clindamycin 300mg tid x 5d.


Changed on 9/14/2017

VAERS ID: 671390 Before After
VAERS Form:(blank) 1
Age:65.0
Gender:Female
Location:Vermont
Vaccinated:2016-11-14
Onset:2016-11-15
Submitted:2016-11-18
Entered:2016-11-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. M023460 / 0 1 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Arthralgia, Cellulitis, Erythema, Myalgia, Swelling

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: WELLCOVORIN; lisinopril; PEPCID; Methotrexate; pravastatin; CELEBREX; folic acid
Current Illness:
Preexisting Conditions: HTN; hyperlipidemia; inflammatory arthritis (autoimmune)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Swelling, redness of upper arm, fever approximately 101 degrees F, debilitating muscle and joint pain 24 hrs after vaccine. Cellulitis on exam 4 day after injection. Prescribe clindamycin 300mg tid x 5d.


Changed on 2/14/2018

VAERS ID: 671390 Before After
VAERS Form:1
Age:65.0
Gender:Female
Location:Vermont
Vaccinated:2016-11-14
Onset:2016-11-15
Submitted:2016-11-18
Entered:2016-11-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. M023460 / 1 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Arthralgia, Cellulitis, Erythema, Myalgia, Swelling

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: WELLCOVORIN; lisinopril; PEPCID; Methotrexate; pravastatin; CELEBREX; folic acid
Current Illness:
Preexisting Conditions: HTN; hyperlipidemia; inflammatory arthritis (autoimmune)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Swelling, redness of upper arm, fever approximately 101 degrees F, debilitating muscle and joint pain 24 hrs after vaccine. Cellulitis on exam 4 day after injection. Prescribe clindamycin 300mg tid x 5d.


Changed on 6/14/2018

VAERS ID: 671390 Before After
VAERS Form:1
Age:65.0
Gender:Female
Location:Vermont
Vaccinated:2016-11-14
Onset:2016-11-15
Submitted:2016-11-18
Entered:2016-11-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. M023460 / 1 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Arthralgia, Cellulitis, Erythema, Myalgia, Swelling

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: WELLCOVORIN; lisinopril; PEPCID; Methotrexate; pravastatin; CELEBREX; folic acid
Current Illness:
Preexisting Conditions: HTN; hyperlipidemia; inflammatory arthritis (autoimmune)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Swelling, redness of upper arm, fever approximately 101 degrees F, debilitating muscle and joint pain 24 hrs after vaccine. Cellulitis on exam 4 day after injection. Prescribe clindamycin 300mg tid x 5d.


Changed on 8/14/2018

VAERS ID: 671390 Before After
VAERS Form:1
Age:65.0
Gender:Female
Location:Vermont
Vaccinated:2016-11-14
Onset:2016-11-15
Submitted:2016-11-18
Entered:2016-11-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. M023460 / 1 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Arthralgia, Cellulitis, Erythema, Myalgia, Swelling

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: WELLCOVORIN; lisinopril; PEPCID; Methotrexate; pravastatin; CELEBREX; folic acid
Current Illness:
Preexisting Conditions: HTN; hyperlipidemia; inflammatory arthritis (autoimmune)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Swelling, redness of upper arm, fever approximately 101 degrees F, debilitating muscle and joint pain 24 hrs after vaccine. Cellulitis on exam 4 day after injection. Prescribe clindamycin 300mg tid x 5d.


Changed on 9/14/2018

VAERS ID: 671390 Before After
VAERS Form:1
Age:65.0
Gender:Female
Location:Vermont
Vaccinated:2016-11-14
Onset:2016-11-15
Submitted:2016-11-18
Entered:2016-11-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. M023460 / 1 RA / IM

Administered by: Private      Purchased by: Other
Symptoms: Arthralgia, Cellulitis, Erythema, Myalgia, Swelling

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: WELLCOVORIN; lisinopril; PEPCID; Methotrexate; pravastatin; CELEBREX; folic acid
Current Illness:
Preexisting Conditions: HTN; hyperlipidemia; inflammatory arthritis (autoimmune)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Swelling, redness of upper arm, fever approximately 101 degrees F, debilitating muscle and joint pain 24 hrs after vaccine. Cellulitis on exam 4 day after injection. Prescribe clindamycin 300mg tid x 5d.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=671390&WAYBACKHISTORY=ON


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