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This is VAERS ID 26067

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26067
VAERS Form:
Age:79.0
Sex:Male
Location:Pennsylvania
Vaccinated:1987-10-21
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMOVAX 23 / MSD - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: NO DRUG EFFECT, PNEUMONIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type':

Write-up: Pt vaccinated with Pneumovax 23 developed multilobular pneumonia. Lab eval of sputum revealed type III strep pneumococcus. BY 2FEB90 pt symptoms were resolving, being treated w/Penicillin & a bronchodilator.


Changed on 12/8/2009

VAERS ID: 26067 Before After
VAERS Form:
Age:79.0
Sex:Male
Location:Pennsylvania
Vaccinated:1987-10-21
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-15 1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMOVAX 23 PNEUMO (PNEUMOVAX) / MSD MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Pneumonia, NO DRUG EFFECT, PNEUMONIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': (blank) WAES90011149

Write-up: Pt vaccinated with Pneumovax 23 developed multilobular pneumonia. Lab eval of sputum revealed type III strep pneumococcus. BY 2FEB90 pt symptoms were resolving, being treated w/Penicillin & a bronchodilator.


Changed on 5/14/2017

VAERS ID: 26067 Before After
VAERS Form:
Age:79.0
Sex:Male
Location:Pennsylvania
Vaccinated:1987-10-21
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Pneumonia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES90011149

Write-up: Pt vaccinated with Pneumovax 23 developed multilobular pneumonia. Lab eval of sputum revealed type III strep pneumococcus. BY 2FEB90 pt symptoms were resolving, being treated w/Penicillin & a bronchodilator.


Changed on 9/14/2017

VAERS ID: 26067 Before After
VAERS Form:(blank) 1
Age:79.0
Sex:Male
Location:Pennsylvania
Vaccinated:1987-10-21
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Pneumonia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES90011149

Write-up: Pt vaccinated with Pneumovax 23 developed multilobular pneumonia. Lab eval of sputum revealed type III strep pneumococcus. BY 2FEB90 pt symptoms were resolving, being treated w/Penicillin & a bronchodilator.


Changed on 2/14/2018

VAERS ID: 26067 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Pennsylvania
Vaccinated:1987-10-21
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Pneumonia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES90011149

Write-up: Pt vaccinated with Pneumovax 23 developed multilobular pneumonia. Lab eval of sputum revealed type III strep pneumococcus. BY 2FEB90 pt symptoms were resolving, being treated w/Penicillin & a bronchodilator.


Changed on 6/14/2018

VAERS ID: 26067 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Pennsylvania
Vaccinated:1987-10-21
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Pneumonia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES90011149

Write-up: Pt vaccinated with Pneumovax 23 developed multilobular pneumonia. Lab eval of sputum revealed type III strep pneumococcus. BY 2FEB90 pt symptoms were resolving, being treated w/Penicillin & a bronchodilator.


Changed on 8/14/2018

VAERS ID: 26067 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Pennsylvania
Vaccinated:1987-10-21
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Pneumonia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES90011149

Write-up: Pt vaccinated with Pneumovax 23 developed multilobular pneumonia. Lab eval of sputum revealed type III strep pneumococcus. BY 2FEB90 pt symptoms were resolving, being treated w/Penicillin & a bronchodilator.


Changed on 9/14/2018

VAERS ID: 26067 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Pennsylvania
Vaccinated:1987-10-21
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Pneumonia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES90011149

Write-up: Pt vaccinated with Pneumovax 23 developed multilobular pneumonia. Lab eval of sputum revealed type III strep pneumococcus. BY 2FEB90 pt symptoms were resolving, being treated w/Penicillin & a bronchodilator.


Changed on 10/14/2018

VAERS ID: 26067 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Pennsylvania
Vaccinated:1987-10-21
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Pneumonia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES90011149

Write-up: Pt vaccinated with Pneumovax 23 developed multilobular pneumonia. Lab eval of sputum revealed type III strep pneumococcus. BY 2FEB90 pt symptoms were resolving, being treated w/Penicillin & a bronchodilator.


Changed on 12/24/2020

VAERS ID: 26067 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Pennsylvania
Vaccinated:1987-10-21
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Pneumonia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES90011149

Write-up: Pt vaccinated with Pneumovax 23 developed multilobular pneumonia. Lab eval of sputum revealed type III strep pneumococcus. BY 2FEB90 pt symptoms were resolving, being treated w/Penicillin & a bronchodilator.


Changed on 12/30/2020

VAERS ID: 26067 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Pennsylvania
Vaccinated:1987-10-21
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Pneumonia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES90011149

Write-up: Pt vaccinated with Pneumovax 23 developed multilobular pneumonia. Lab eval of sputum revealed type III strep pneumococcus. BY 2FEB90 pt symptoms were resolving, being treated w/Penicillin & a bronchodilator.


Changed on 5/7/2021

VAERS ID: 26067 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Pennsylvania
Vaccinated:1987-10-21
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Pneumonia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES90011149

Write-up: Pt vaccinated with Pneumovax 23 developed multilobular pneumonia. Lab eval of sputum revealed type III strep pneumococcus. BY 2FEB90 pt symptoms were resolving, being treated w/Penicillin & a bronchodilator.


Changed on 5/14/2021

VAERS ID: 26067 Before After
VAERS Form:1
Age:79.0
Sex:Male
Location:Pennsylvania
Vaccinated:1987-10-21
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Pneumonia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': WAES90011149

Write-up: Pt vaccinated with Pneumovax 23 developed multilobular pneumonia. Lab eval of sputum revealed type III strep pneumococcus. BY 2FEB90 pt symptoms were resolving, being treated w/Penicillin & a bronchodilator.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=26067&WAYBACKHISTORY=ON


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