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This is VAERS ID 25533

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25533
VAERS Form:
Age:65.0
Sex:Male
Location:Washington
Vaccinated:1990-05-09
Onset:1990-05-09
Submitted:0000-00-00
Entered:1990-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNU-IMUNE(R)23 / LEDERLE 262931 / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: CHILLS, INJECT SITE REACT, FEVER, CELLULITIS, LAB TEST ABNORM

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? Yes
Previous Vaccinations:
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':

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


Changed on 12/8/2009

VAERS ID: 25533 Before After
VAERS Form:
Age:65.0
Sex:Male
Location:Washington
Vaccinated:1990-05-09
Onset:1990-05-09
Submitted:0000-00-00
Entered:1990-07-19 1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNU-IMUNE(R)23 PNEUMO (PNU-IMUNE) / LEDERLE LEDERLE LABORATORIES 262931 / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Cellulitis, Chills, Injection site pain, Injection site reaction, Laboratory test abnormal, Lymphangitis, Pyrexia, CHILLS, INJECT SITE REACT, FEVER, CELLULITIS, LAB TEST ABNORM

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? Yes
Previous Vaccinations:
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': (blank) 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


Changed on 5/14/2017

VAERS ID: 25533 Before After
VAERS Form:
Age:65.0
Sex:Male
Location:Washington
Vaccinated:1990-05-09
Onset:1990-05-09
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNU-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 262931 / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Cellulitis, Chills, Injection site pain, Injection site reaction, Laboratory test abnormal, Lymphangitis, Pyrexia

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? 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


Changed on 9/14/2017

VAERS ID: 25533 Before After
VAERS Form:(blank) 1
Age:65.0
Sex:Male
Location:Washington
Vaccinated:1990-05-09
Onset:1990-05-09
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

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? 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


Changed on 2/14/2018

VAERS ID: 25533 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Washington
Vaccinated:1990-05-09
Onset:1990-05-09
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

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? 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


Changed on 6/14/2018

VAERS ID: 25533 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Washington
Vaccinated:1990-05-09
Onset:1990-05-09
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

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? 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


Changed on 8/14/2018

VAERS ID: 25533 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Washington
Vaccinated:1990-05-09
Onset:1990-05-09
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

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? 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


Changed on 9/14/2018

VAERS ID: 25533 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Washington
Vaccinated:1990-05-09
Onset:1990-05-09
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

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? 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


Changed on 10/14/2018

VAERS ID: 25533 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Washington
Vaccinated:1990-05-09
Onset:1990-05-09
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

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? 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


Changed on 12/24/2020

VAERS ID: 25533 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Washington
Vaccinated:1990-05-09
Onset:1990-05-09
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

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? 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


Changed on 12/30/2020

VAERS ID: 25533 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Washington
Vaccinated:1990-05-09
Onset:1990-05-09
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

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? 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


Changed on 5/7/2021

VAERS ID: 25533 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Washington
Vaccinated:1990-05-09
Onset:1990-05-09
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

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? 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


Changed on 5/14/2021

VAERS ID: 25533 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Washington
Vaccinated:1990-05-09
Onset:1990-05-09
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

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? 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

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