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This is VAERS ID 151822

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 151822
VAERS Form:
Age:45.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-11
Onset:2000-01-12
Submitted:2000-04-21
Entered:2000-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYMERIX / SMITHKLINE - / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: EDEMA FACE, URTICARIA, PRURITUS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On 1/11/00, the pt received her first IM dose of Lymerix. On 1/12/00 AM the pt developed hives on her face with itching and swelling. Applying baking soda to her face decreased the itching and the swelling.The most recent information received on on 1/12/0"0 reports the condition of the pt is improving.


Changed on 12/8/2009

VAERS ID: 151822 Before After
VAERS Form:
Age:45.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-11
Onset:2000-01-12
Submitted:2000-04-21
Entered:2000-06-13 2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYMERIX LYME (LYMERIX) / SMITHKLINE SMITHKLINE BEECHAM - / 0 - / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Face oedema, Pruritus, Urticaria, EDEMA FACE, URTICARIA, PRURITUS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 20000010851

Write-up: On 1/11/00, the pt received her first IM dose of Lymerix. On 1/12/00 AM the pt developed hives on her face with itching and swelling. Applying baking soda to her face decreased the itching and the swelling.The swelling. The most recent information received on on 1/12/0"0 1/12/00 reports the condition of the pt is improving.


Changed on 5/14/2017

VAERS ID: 151822 Before After
VAERS Form:
Age:45.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-11
Onset:2000-01-12
Submitted:2000-04-21
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM - / 0 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Face oedema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000010851

Write-up: On 1/11/00, the pt received her first IM dose of Lymerix. On 1/12/00 AM the pt developed hives on her face with itching and swelling. Applying baking soda to her face decreased the itching and the swelling. The most recent information received on on 1/12/00 reports the condition of the pt is improving.


Changed on 9/14/2017

VAERS ID: 151822 Before After
VAERS Form:(blank) 1
Age:45.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-11
Onset:2000-01-12
Submitted:2000-04-21
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM - / 0 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Face oedema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000010851

Write-up: On 1/11/00, the pt received her first IM dose of Lymerix. On 1/12/00 AM the pt developed hives on her face with itching and swelling. Applying baking soda to her face decreased the itching and the swelling. The most recent information received on on 1/12/00 reports the condition of the pt is improving.


Changed on 2/14/2018

VAERS ID: 151822 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-11
Onset:2000-01-12
Submitted:2000-04-21
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Face oedema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000010851

Write-up: On 1/11/00, the pt received her first IM dose of Lymerix. On 1/12/00 AM the pt developed hives on her face with itching and swelling. Applying baking soda to her face decreased the itching and the swelling. The most recent information received on on 1/12/00 reports the condition of the pt is improving.


Changed on 6/14/2018

VAERS ID: 151822 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-11
Onset:2000-01-12
Submitted:2000-04-21
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Face oedema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000010851

Write-up: On 1/11/00, the pt received her first IM dose of Lymerix. On 1/12/00 AM the pt developed hives on her face with itching and swelling. Applying baking soda to her face decreased the itching and the swelling. The most recent information received on on 1/12/00 reports the condition of the pt is improving.


Changed on 8/14/2018

VAERS ID: 151822 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-11
Onset:2000-01-12
Submitted:2000-04-21
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Face oedema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000010851

Write-up: On 1/11/00, the pt received her first IM dose of Lymerix. On 1/12/00 AM the pt developed hives on her face with itching and swelling. Applying baking soda to her face decreased the itching and the swelling. The most recent information received on on 1/12/00 reports the condition of the pt is improving.


Changed on 9/14/2018

VAERS ID: 151822 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-11
Onset:2000-01-12
Submitted:2000-04-21
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Face oedema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000010851

Write-up: On 1/11/00, the pt received her first IM dose of Lymerix. On 1/12/00 AM the pt developed hives on her face with itching and swelling. Applying baking soda to her face decreased the itching and the swelling. The most recent information received on on 1/12/00 reports the condition of the pt is improving.


Changed on 10/14/2018

VAERS ID: 151822 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-11
Onset:2000-01-12
Submitted:2000-04-21
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Face oedema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000010851

Write-up: On 1/11/00, the pt received her first IM dose of Lymerix. On 1/12/00 AM the pt developed hives on her face with itching and swelling. Applying baking soda to her face decreased the itching and the swelling. The most recent information received on on 1/12/00 reports the condition of the pt is improving.

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