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This is VAERS ID 25489

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25489
VAERS Form:
Age:46.4
Sex:Male
Location:Pennsylvania
Vaccinated:1986-12-09
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNU-IMUNE(R)23 / LEDERLE - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: ENCEPHALITIS, MYALGIA, LEUKOCYTOSIS, CONFUS, ASTHENIA

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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: hx of traumatic splenectomy 8 yrs ago
Allergies:
Diagnostic Lab Data: WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative
CDC 'Split Type':

Write-up: Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved


Changed on 12/8/2009

VAERS ID: 25489 Before After
VAERS Form:
Age:46.4
Sex:Male
Location:Pennsylvania
Vaccinated:1986-12-09
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-18 1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNU-IMUNE(R)23 PNEUMO (PNU-IMUNE) / LEDERLE LEDERLE LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Confusional state, Encephalitis, Leukocytosis, Myalgia, Otitis media, Pharyngitis, Thrombocythaemia, ENCEPHALITIS, MYALGIA, LEUKOCYTOSIS, CONFUS, ASTHENIA

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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: hx of traumatic splenectomy 8 yrs ago
Allergies:
Diagnostic Lab Data: WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative
CDC 'Split Type': (blank) 890003001

Write-up: Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved


Changed on 2/14/2017

VAERS ID: 25489 Before After
VAERS Form:
Age:46.4 46.0
Sex:Male
Location:Pennsylvania
Vaccinated:1986-12-09
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Confusional state, Encephalitis, Leukocytosis, Myalgia, Otitis media, Pharyngitis, Thrombocythaemia

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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: hx of traumatic splenectomy 8 yrs ago
Allergies:
Diagnostic Lab Data: WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative
CDC 'Split Type': 890003001

Write-up: Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved


Changed on 5/14/2017

VAERS ID: 25489 Before After
VAERS Form:
Age:46.0
Sex:Male
Location:Pennsylvania
Vaccinated:1986-12-09
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Confusional state, Encephalitis, Leukocytosis, Myalgia, Otitis media, Pharyngitis, Thrombocythaemia

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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of traumatic splenectomy 8 yrs ago
Allergies:
Diagnostic Lab Data: WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative
CDC 'Split Type': 890003001

Write-up: Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved


Changed on 9/14/2017

VAERS ID: 25489 Before After
VAERS Form:(blank) 1
Age:46.0
Sex:Male
Location:Pennsylvania
Vaccinated:1986-12-09
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Confusional state, Encephalitis, Leukocytosis, Myalgia, Otitis media, Pharyngitis, Thrombocythaemia

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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of traumatic splenectomy 8 yrs ago
Allergies:
Diagnostic Lab Data: WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative
CDC 'Split Type': 890003001

Write-up: Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved


Changed on 2/14/2018

VAERS ID: 25489 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Pennsylvania
Vaccinated:1986-12-09
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Confusional state, Encephalitis, Leukocytosis, Myalgia, Otitis media, Pharyngitis, Thrombocythaemia

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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of traumatic splenectomy 8 yrs ago
Allergies:
Diagnostic Lab Data: WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative
CDC 'Split Type': 890003001

Write-up: Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved


Changed on 6/14/2018

VAERS ID: 25489 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Pennsylvania
Vaccinated:1986-12-09
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Confusional state, Encephalitis, Leukocytosis, Myalgia, Otitis media, Pharyngitis, Thrombocythaemia

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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of traumatic splenectomy 8 yrs ago
Allergies:
Diagnostic Lab Data: WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative
CDC 'Split Type': 890003001

Write-up: Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved


Changed on 8/14/2018

VAERS ID: 25489 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Pennsylvania
Vaccinated:1986-12-09
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Confusional state, Encephalitis, Leukocytosis, Myalgia, Otitis media, Pharyngitis, Thrombocythaemia

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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of traumatic splenectomy 8 yrs ago
Allergies:
Diagnostic Lab Data: WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative
CDC 'Split Type': 890003001

Write-up: Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved


Changed on 9/14/2018

VAERS ID: 25489 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Pennsylvania
Vaccinated:1986-12-09
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Confusional state, Encephalitis, Leukocytosis, Myalgia, Otitis media, Pharyngitis, Thrombocythaemia

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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of traumatic splenectomy 8 yrs ago
Allergies:
Diagnostic Lab Data: WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative
CDC 'Split Type': 890003001

Write-up: Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved


Changed on 10/14/2018

VAERS ID: 25489 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Pennsylvania
Vaccinated:1986-12-09
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Confusional state, Encephalitis, Leukocytosis, Myalgia, Otitis media, Pharyngitis, Thrombocythaemia

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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of traumatic splenectomy 8 yrs ago
Allergies:
Diagnostic Lab Data: WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative
CDC 'Split Type': 890003001

Write-up: Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved


Changed on 12/24/2020

VAERS ID: 25489 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Pennsylvania
Vaccinated:1986-12-09
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Confusional state, Encephalitis, Leukocytosis, Myalgia, Otitis media, Pharyngitis, Thrombocythaemia

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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of traumatic splenectomy 8 yrs ago
Allergies:
Diagnostic Lab Data: WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative
CDC 'Split Type': 890003001

Write-up: Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved


Changed on 12/30/2020

VAERS ID: 25489 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Pennsylvania
Vaccinated:1986-12-09
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Confusional state, Encephalitis, Leukocytosis, Myalgia, Otitis media, Pharyngitis, Thrombocythaemia

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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of traumatic splenectomy 8 yrs ago
Allergies:
Diagnostic Lab Data: WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative
CDC 'Split Type': 890003001

Write-up: Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved


Changed on 5/7/2021

VAERS ID: 25489 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Pennsylvania
Vaccinated:1986-12-09
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Confusional state, Encephalitis, Leukocytosis, Myalgia, Otitis media, Pharyngitis, Thrombocythaemia

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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of traumatic splenectomy 8 yrs ago
Allergies:
Diagnostic Lab Data: WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative
CDC 'Split Type': 890003001

Write-up: Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved


Changed on 5/14/2021

VAERS ID: 25489 Before After
VAERS Form:1
Age:46.0
Sex:Male
Location:Pennsylvania
Vaccinated:1986-12-09
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Confusional state, Encephalitis, Leukocytosis, Myalgia, Otitis media, Pharyngitis, Thrombocythaemia

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? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of traumatic splenectomy 8 yrs ago
Allergies:
Diagnostic Lab Data: WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative
CDC 'Split Type': 890003001

Write-up: Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved

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