The following is all the information available on report# VAERS_ID: 721101
Vaccine(s) were received on 10/10/2016
Vaccine(s) were received in the state: MA
Patient sex : M
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: Y
Patient eventually died?: N
Vaccine(s) were received in the state: MA
Patient sex : M
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: Y
Patient eventually died?: N
The following Data for this patients ALLERGIES is available: [ ]
Description of adverse reaction: Fever after immunisations. No swelling or irritation. Cold SX's at time of visit.
Vaccine(s) associated with report# 721101
| Type | Name | Manufacturer | Vaccine LOT # | Dose Series | ROUTE | Site |
|---|---|---|---|---|---|---|
| FLU4 | INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) | SANOFI PASTEUR | UT5897JA | 1 | IM | RL |
| HEPA | HEP A (VAQTA) | MERCK & CO. INC. | N008823 | 1 | IM | LL |
| MMR | MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | N002337 | 1 | SC | LL |
| PNC13 | PNEUMO (PREVNAR13) | PFIZERWYETH | S31241 | 4 | IM | RL |