The following is all the information available on report# VAERS_ID: 758444
Vaccine(s) were received on 09/07/2016
Vaccine(s) were received in the state: WV
At the time of vaccination, patient was : 86 of age
Patient sex : F
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: U
Patient eventually died?: N
Vaccine(s) were received in the state: WV
At the time of vaccination, patient was : 86 of age
Patient sex : F
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: U
Patient eventually died?: N
The following Data for this patients HISTORY is available: HBP, Cholesterol
The following Data for this patients ALLERGIES is available: [Unknown ]
Description of adverse reaction: Patient's family reported she was admitted to the hospital after receiving the vaccine.
Vaccine(s) associated with report# 758444
| Type | Name | Manufacturer | Vaccine LOT # | Dose Series | ROUTE | Site |
|---|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE) | SANOFI PASTEUR | 1 | IM | RA | |
| PNC13 | PNEUMO (PREVNAR13) | PFIZERWYETH | 1 | IM | LA |