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This is VAERS ID 29258

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29258
VAERS Form:
Age:50.0
Sex:Male
Location:Georgia
Vaccinated:1989-03-03
Onset:1989-03-03
Submitted:0000-00-00
Entered:1991-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMOVAX 23 / MSD - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: ARTHRALGIA, URTICARIA, EDEMA, ARTHROSIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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? No
Previous Vaccinations:
Other Medications: TAB Vasotec, Glucotrol, Restoril
Current Illness: NONE
Preexisting Conditions: diabetes mellitus
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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"".


Changed on 12/8/2009

VAERS ID: 29258 Before After
VAERS Form:
Age:50.0
Sex:Male
Location:Georgia
Vaccinated:1989-03-03
Onset:1989-03-03
Submitted:0000-00-00
Entered:1991-03-27 1991-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMOVAX 23 PNEUMO (PNEUMOVAX) / MSD MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Oedema, Osteoarthritis, Urticaria, ARTHRALGIA, URTICARIA, EDEMA, ARTHROSIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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? No
Previous Vaccinations:
Other Medications: TAB Vasotec, Glucotrol, Restoril
Current Illness: NONE
Preexisting Conditions: diabetes mellitus
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 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 "an allergic reaction"". reaction".


Changed on 5/14/2017

VAERS ID: 29258 Before After
VAERS Form:
Age:50.0
Sex:Male
Location:Georgia
Vaccinated:1989-03-03
Onset:1989-03-03
Submitted:0000-00-00
Entered:1991-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Oedema, Osteoarthritis, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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? 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".


Changed on 9/14/2017

VAERS ID: 29258 Before After
VAERS Form:(blank) 1
Age:50.0
Sex:Male
Location:Georgia
Vaccinated:1989-03-03
Onset:1989-03-03
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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? 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".


Changed on 2/14/2018

VAERS ID: 29258 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Georgia
Vaccinated:1989-03-03
Onset:1989-03-03
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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? 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".


Changed on 6/14/2018

VAERS ID: 29258 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Georgia
Vaccinated:1989-03-03
Onset:1989-03-03
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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? 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".


Changed on 8/14/2018

VAERS ID: 29258 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Georgia
Vaccinated:1989-03-03
Onset:1989-03-03
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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? 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".


Changed on 9/14/2018

VAERS ID: 29258 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Georgia
Vaccinated:1989-03-03
Onset:1989-03-03
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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? 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".


Changed on 10/14/2018

VAERS ID: 29258 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Georgia
Vaccinated:1989-03-03
Onset:1989-03-03
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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? 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".


Changed on 12/24/2020

VAERS ID: 29258 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Georgia
Vaccinated:1989-03-03
Onset:1989-03-03
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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? 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".


Changed on 12/30/2020

VAERS ID: 29258 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Georgia
Vaccinated:1989-03-03
Onset:1989-03-03
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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? 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".


Changed on 5/7/2021

VAERS ID: 29258 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Georgia
Vaccinated:1989-03-03
Onset:1989-03-03
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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? 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".


Changed on 5/14/2021

VAERS ID: 29258 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Georgia
Vaccinated:1989-03-03
Onset:1989-03-03
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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? 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".

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