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VAERS Report 2095502

Case Report Section

Vaer Report Details

Age: 75 years old

Gender: Female

State: Illinois

Patient Died?
No
Vaccine information

Name: PNEUMO (PNEUMOVAX)

Type: Pneumococcal vaccine, polyvalent

Manufacturer: MERCK & CO

Lot: ppsv23


Date report was received
2022-02-08
Date form completed
Date Vaccinated
2022-02-07
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

about 5, i sat down to eat supper and i had a sensation in my arm of tightness. shortly after i experienced a stiffness from the shoulder to the elbow with pain as i tried to use that arm, upward, or outward. for the headache i took 2 ibuprofen but did not notice any change. i stood in the hot shower for a bit with some difficulty in using the towel to dry. i used a "cool & heat" on the shoulder and this gave some relief . the stiffness made sleep difficult. it is much less this morning

Lab Data
na
List of symptoms
headache musculoskeletal stiffness pain sleep disorder limb discomfort
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Private
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
No
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
na
Current Illness
na