National Vaccine
Information Center

Your Health. Your Family. Your Choice.
Search Results

From the 1/7/2022 release of VAERS data:

This is VAERS ID 74483

Government Disclaimer on use of this data

Case Details

VAERS ID: 74483 (history)  
Form: Version 1.0  
Age: 56.0  
Sex: Male  
Location: Pennsylvania  
   Days after vaccination:4
Submitted: 1995-05-30
   Days after onset:11
Entered: 1995-06-02
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Private
Symptoms: Chills, Conjunctivitis, Insomnia, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Severe cutaneous adverse reactions (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Eosinophilic pneumonia (broad), Conjunctival disorders (narrow), Ocular infections (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: insulin, hytrin, prozac;
Current Illness: none
Preexisting Conditions: Insulin-dependent diabetes mellitus;
Diagnostic Lab Data: CBC, U/A, ESR, SMA-12 (incl CPK), CXR, EKG all nl;
CDC Split Type:

Write-up: pt recv vax;lower limb girdle ache followed w/in 24 hr upper limb girdle aches;awakened fr sleep;ASA, codeine; no tenderness or weakness;fever to 102R; chills & mild conjunctivitis but disappeared on 28may95;

New Search

Link To This Search Result:

Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166