National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 11/26/2021 release of VAERS data:

This is VAERS ID 81016

Government Disclaimer on use of this data

Case Details

VAERS ID: 81016 (history)  
Form: Version 1.0  
Age: 56.0  
Sex: Male  
Location: Unknown  
   Days after vaccination:3
Submitted: 1995-06-12
   Days after onset:31
Entered: 1995-09-22
   Days after submission:102
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Chills, Conjunctivitis, Myalgia, Neck pain, Pyrexia, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: insulin
Current Illness:
Preexisting Conditions: diabetes
Diagnostic Lab Data:
CDC Split Type: 950050081

Write-up: pt recvd vax;3-4 days later reported myalgia in lower limb,thighs & buttocks;pain & tenderness in neck muscles;fever 102.5 w/ shaking chills;myalgia present regardless of motion;exp mild conjunctivitis;studies done by rheumatologist

New Search

Link To This Search Result:

Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166