National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 6/11/2021 release of VAERS data:

This is VAERS ID 25533



Case Details

VAERS ID: 25533 (history)  
Form: Version 1.0  
Age: 65.0  
Sex: Male  
Location: Washington  
Vaccinated:1990-05-09
Onset:1990-05-09
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 262931 / UNK LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Cellulitis, Chills, Injection site pain, Injection site reaction, Laboratory test abnormal, Lymphangitis, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC 23000 /w lt shift, over 5 days gradually fell to normal, blood cultures no growth
CDC Split Type: 9000811.01

Write-up: Pt developed profound at inject site w/ chills & fever to 102.5 F occurring about 3 hrs /p vaccination. Lt arm painful /w probable cellulitis & lymphangitis at inject site. Hospitalized


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=25533


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