The following is all the information available on report# VAERS_ID: 741784
Vaccine(s) were received on 09/27/2016
Vaccine(s) were received in the state: OR
At the time of vaccination, patient was : 67 of age
Patient sex : M
Date reaction was reported: 03/22/2018
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: Y
Patient eventually died?: N
Vision blurred
Vaccine(s) were received in the state: OR
At the time of vaccination, patient was : 67 of age
Patient sex : M
Date reaction was reported: 03/22/2018
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: Y
Patient eventually died?: N
The following Data for this patients HISTORY is available: Hypertension; diabetes mellitus type 2; obesity Allergies: penicillin
The following Data for this patients ALLERGIES is available: [ ]
Description of adverse reaction: Blurred vision and injection site reaction.
Vaccine(s) associated with report# 741784
| Type | Name | Manufacturer | Vaccine LOT # | Dose Series | ROUTE | Site |
|---|---|---|---|---|---|---|
| FLU4 | INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) | SANOFI PASTEUR | UI679AA | 2 | UN | LA |
| PPV | PNEUMO (PNEUMOVAX) | MERCK & CO. INC. | M022947 | 2 | UN | LA |
Symptoms(s) associated with report# 741784
Injection site reactionVision blurred