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This is VAERS ID 26049

(NOTE: This result is from the 12/14/2016 version of the VAERS database)

Case Details

VAERS ID: 26049 (history)  
Form: Version .0  
Age:   
Sex: Unknown  
Location: New York  
Vaccinated:1989-11-06
Onset:1989-11-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chills, Injection site reaction, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES89111081

Write-up: Pt vaccinated with Pneumovax 23 developed pain, swelling & erythema at inject site; chills & fever.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20161214&IDNUMBER=26049


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