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This is VAERS ID 25524

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25524
VAERS Form:
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMOVAX 23 / MSD - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: ANEMIA HEMOL DCP

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type':

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed ""rip roaring"" Coombs'' positive hemolytic anemia.


Changed on 12/30/2006

VAERS ID: 25524 Before After
VAERS Form:
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMOVAX 23 / MSD - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: ANEMIA HEMOL DCP

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' Combs'''' test positive
CDC 'Split Type':

Write-up: Pt hx of Coombs'' Coombs'''' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed ""rip roaring"" Coombs'' /"rip roaring/" Coombs'''' positive hemolytic anemia.


Changed on 12/8/2009

VAERS ID: 25524 Before After
VAERS Form:
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-18 1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMOVAX 23 PNEUMO (PNEUMOVAX) / MSD MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia, ANEMIA HEMOL DCP

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'''' Combs'' test positive
CDC 'Split Type': (blank) WAES90060508

Write-up: Pt hx of Coombs'''' Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed /"rip roaring/" Coombs'''' "rip roaring" Coombs'' positive hemolytic anemia.


Changed on 8/31/2010

VAERS ID: 25524 Before After
VAERS Form:
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type': WAES90060508

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed "rip roaring" Coombs'' positive hemolytic anemia.


Changed on 4/13/2011

VAERS ID: 25524 Before After
VAERS Form:
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type': WAES90060508

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed "rip roaring" Coombs'' positive hemolytic anemia.


Changed on 5/13/2011

VAERS ID: 25524 Before After
VAERS Form:
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type': WAES90060508

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed "rip roaring" Coombs'' positive hemolytic anemia.


Changed on 6/11/2011

VAERS ID: 25524 Before After
VAERS Form:
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type': WAES90060508

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed "rip roaring" Coombs'' positive hemolytic anemia.


Changed on 5/14/2017

VAERS ID: 25524 Before After
VAERS Form:
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type': WAES90060508

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed "rip roaring" Coombs'' positive hemolytic anemia.


Changed on 9/14/2017

VAERS ID: 25524 Before After
VAERS Form:(blank) 1
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type': WAES90060508

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed "rip roaring" Coombs'' positive hemolytic anemia.


Changed on 2/14/2018

VAERS ID: 25524 Before After
VAERS Form:1
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type': WAES90060508

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed "rip roaring" Coombs'' positive hemolytic anemia.


Changed on 6/14/2018

VAERS ID: 25524 Before After
VAERS Form:1
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type': WAES90060508

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed "rip roaring" Coombs'' positive hemolytic anemia.


Changed on 8/14/2018

VAERS ID: 25524 Before After
VAERS Form:1
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type': WAES90060508

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed "rip roaring" Coombs'' positive hemolytic anemia.


Changed on 9/14/2018

VAERS ID: 25524 Before After
VAERS Form:1
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type': WAES90060508

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed "rip roaring" Coombs'' positive hemolytic anemia.


Changed on 10/14/2018

VAERS ID: 25524 Before After
VAERS Form:1
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type': WAES90060508

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed "rip roaring" Coombs'' positive hemolytic anemia.


Changed on 12/24/2020

VAERS ID: 25524 Before After
VAERS Form:1
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type': WAES90060508

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed "rip roaring" Coombs'' positive hemolytic anemia.


Changed on 12/30/2020

VAERS ID: 25524 Before After
VAERS Form:1
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type': WAES90060508

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed "rip roaring" Coombs'' positive hemolytic anemia.


Changed on 5/7/2021

VAERS ID: 25524 Before After
VAERS Form:1
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type': WAES90060508

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed "rip roaring" Coombs'' positive hemolytic anemia.


Changed on 5/14/2021

VAERS ID: 25524 Before After
VAERS Form:1
Age:30.0
Sex:Male
Location:Tennessee
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Coombs positive haemolytic anaemia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Splenectomy; SLE; Anemia, hemolytic
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Hematocrit 16, Combs'' test positive
CDC 'Split Type': WAES90060508

Write-up: Pt hx of Coombs'' positive hemolytic anemia, splenectomy & lupus erythematosus, all now under medical control, vaccinated w/pneumococcal vaccine polyvalent. One wk after vacc. developed "rip roaring" Coombs'' positive hemolytic anemia.

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