National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 5/7/2021 release of VAERS data (an older release, current is 11/26/2021):

This is VAERS ID 27078

Government Disclaimer on use of this data



Case Details

VAERS ID: 27078 (history)  
Form: Version 1.0  
Age: 67.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:1990-11-13
Onset:1990-11-13
   Days after vaccination:0
Submitted: 1990-11-15
   Days after onset:2
Entered: 1990-12-17
   Days after submission:32
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11217 / UNK LA / IM
PPV: PNEUMO (PNU-IMUNE) / PFIZER/WYETH 253978 / 1 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Arthralgia, Vasodilatation
SMQs:, Arthritis (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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: has only one kidney
Allergies:
Diagnostic Lab Data:
CDC Split Type: OK903

Write-up: felt hot, arthralgia


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210507&IDNUMBER=27078


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