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From the 1/14/2022 release of VAERS data:

This is VAERS ID 151801

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Case Details

VAERS ID: 151801 (history)  
Form: Version 1.0  
Age: 22.0  
Sex: Female  
Location: Florida  
Vaccinated:2000-04-29
Onset:2000-04-29
   Days after vaccination:0
Submitted: 2000-05-04
   Days after onset:5
Entered: 2000-05-10
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 639A4 / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 133J / 2 - / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES U0003BA / 2 - / IM

Administered by: Military       Purchased by: Military
Symptoms: Dyspnoea, Pallor, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), 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? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Latex, Benadryl
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Urticaria, dyspnea, pallor, approximately 15 minutes, post vax. Treated with epinephrine, IM, and Atarax, albuterol and Solu-Medrol in ER all in right deltoid. Follow-up with allergist is recommended.


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