National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 12/31/2003 release of VAERS data (an older release, current is 10/15/2021):

This is VAERS ID 27278



Case Details

VAERS ID: 27278 (history)  
Form: Version .0  
Age: 57.1  
Sex: Male  
Location: Maine  
Vaccinated:1990-12-19
Onset:1990-12-20
   Days after vaccination:1
Submitted: 1990-12-20
   Days after onset:0
Entered: 1991-01-07
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1990-1991 CONNAUGHT / CONNAUGHT LABS 0F11200 / - LA / IM
PPV: PNU-IMUNE(R)23 / LEDERLE 287907 / 0 RA / SC

Administered by: Private       Purchased by: Unknown
Symptoms: EDEMA INJECT SITE, INJECT SITE REACT, MALAISE, VOMIT
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Advil, Theolair
Current Illness: Emphysema no acute
Preexisting Conditions: emphysema/Rt shoulder injury/smoker
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with Pneumococcal/FLU ZONE developed malaise, vomited x 1, redness across site rt arm w/swelling. Improved by 12/26/90.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=27278

Government Disclaimer on use of this data


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