Already in VAERS on 12/31/2003 |
| VAERS ID: |
58373
|
Vaccinated: |
1993-01-23 |
| Age: |
29.3 |
Onset: |
1993-01-25 |
| Gender: |
Female |
Submitted: |
1993-12-01 |
| Location: |
Unknown |
Entered: |
1993-12-23 |
|
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? No |
| ER or Doctor Visit? No |
| Hospitalized? Yes, days: |
| Extended hospital stay? No |
| Previous Vaccinations: |
| Other Medications: |
| Current Illness: |
| Preexisting Conditions: |
| Diagnostic Lab Data: mp significant growth w/blood & urine cultures; |
| CDC 'Split Type': |
|
| Vaccination |
Manufacturer |
Lot |
Dose |
Route |
Site |
| HIBV: UNK. HAEMOPHILUS B |
UNCLASSIFIED |
|
|
|
|
| MEN: MENOMUNE A/C |
CONNAUGHT LABS |
|
|
|
|
| PPV: PNEUMOVAX 23 |
MSD |
|
|
|
|
|
| Administered by: Unknown
Purchased by: Unknown |
| Symptoms: FEVER |
| Write-up: pyrogenic react suspected due to vax administrered 2 days prior for past splenectomy prophylaxis; |
|
|
Changed on 12/8/2009 |
| VAERS ID: |
58373 Before
After
|
Vaccinated: |
1993-01-23 |
| Age: |
29.3 |
Onset: |
1993-01-25 |
| Gender: |
Female |
Submitted: |
1993-12-01 |
| Location: |
Unknown |
Entered: |
1993-12-23/1993-12-22 |
|
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? No |
| ER or Doctor Visit? No |
| Hospitalized? Yes, days: |
| Extended hospital stay? No |
| Previous Vaccinations: |
| Other Medications: |
| Current Illness: |
| Preexisting Conditions: |
| Diagnostic Lab Data: mp significant growth w/blood & urine cultures; |
| CDC 'Split Type': |
|
| Vaccination |
Manufacturer |
Lot |
Dose |
Route |
Site |
| HIBV: UNK. HAEMOPHILUS B/HIB (NO BRAND NAME) |
UNCLASSIFIED/UNKNOWN MANUFACTURER |
|
|
|
|
| MEN: MENOMUNE A/C/MENINGOCOCCAL (MENOMUNE-A/C) |
CONNAUGHT LABS/CONNAUGHT LABORATORIES |
|
|
|
|
| PPV: PNEUMOVAX 23/PNEUMO (PNEUMOVAX) |
MSD/MERCK & CO. INC. |
|
|
|
|
|
| Administered by: Unknown
Purchased by: Unknown |
| Symptoms: Pyrexia, FEVER |
| Write-up: pyrogenic react suspected due to vax administrered 2 days prior for past splenectomy prophylaxis; |
|
|
