National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 6/11/2021 release of VAERS data:

This is VAERS ID 29258



Case Details

VAERS ID: 29258 (history)  
Form: Version 1.0  
Age: 50.0  
Sex: Male  
Location: Georgia  
Vaccinated:1989-03-03
Onset:1989-03-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Oedema, Osteoarthritis, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Arthritis (narrow), 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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: TAB Vasotec, Glucotrol, Restoril
Current Illness: NONE
Preexisting Conditions: diabetes mellitus
Allergies:
Diagnostic Lab Data:
CDC Split Type: ARR52439

Write-up: W/in several hrs of vax, he experienced swollen joints, arthralgia, urticaria, & generalized edema; Condition worsened & on 8MAR89 was treated @ hospital for "an allergic reaction".


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=29258


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