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This is VAERS ID 683882

Case Details

VAERS ID: 683882 (history)  
Form: Version 1.0  
Age: 66.0  
Gender: Female  
Location: Vermont  
Vaccinated:2017-02-21
Onset:2017-02-22
   Days after vaccination:1
Submitted: 2017-02-26
   Days after onset:4
Entered: 2017-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. M040804 / UNK LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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: clopidogrel, fenofibrate, lisinopril 20 daily, atorvostatin daily, amlodipine 10 daily, hydrochlorothiazide 25 1/2 tab daily, metoprolol tartrate
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient has redness and sweeling at injection site that caused her to seek care at her doctor''s office. Doctor applied warm compresses, gave her oral benadryl and called to report incident to us for reporting a few days later.


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