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This is VAERS ID 151823

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 151823
VAERS Form:
Age:50.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-13
Onset:2000-01-13
Submitted:2000-04-12
Entered:2000-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYMERIX / SMITHKLINE LY116A2 / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: PAIN

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: Flovent, Albuterol
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: After receiving dose 2 of Lymerix on 1/13/00, the pt experienced severe arm pain which kept her awake the whole night. No treatment was given. The most recent information received on 1/14/00 it that the condition of the pt is unknown.


Changed on 12/8/2009

VAERS ID: 151823 Before After
VAERS Form:
Age:50.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-13
Onset:2000-01-13
Submitted:2000-04-12
Entered:2000-06-13 2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYMERIX LYME (LYMERIX) / SMITHKLINE SMITHKLINE BEECHAM LY116A2 116A2 / 1 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pain, PAIN

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: Flovent, Albuterol
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 20000011731

Write-up: After receiving dose 2 of Lymerix on 1/13/00, the pt experienced severe arm pain which kept her awake the whole night. No treatment was given. The most recent information received on 1/14/00 it that the condition of the pt is unknown.


Changed on 9/14/2017

VAERS ID: 151823 Before After
VAERS Form:(blank) 1
Age:50.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-13
Onset:2000-01-13
Submitted:2000-04-12
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM 116A2 / 1 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain

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: Flovent, Albuterol
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000011731

Write-up: After receiving dose 2 of Lymerix on 1/13/00, the pt experienced severe arm pain which kept her awake the whole night. No treatment was given. The most recent information received on 1/14/00 it that the condition of the pt is unknown.


Changed on 2/14/2018

VAERS ID: 151823 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-13
Onset:2000-01-13
Submitted:2000-04-12
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM 116A2 / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain

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: Flovent, Albuterol
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000011731

Write-up: After receiving dose 2 of Lymerix on 1/13/00, the pt experienced severe arm pain which kept her awake the whole night. No treatment was given. The most recent information received on 1/14/00 it that the condition of the pt is unknown.


Changed on 6/14/2018

VAERS ID: 151823 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-13
Onset:2000-01-13
Submitted:2000-04-12
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM 116A2 / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain

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: Flovent, Albuterol
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000011731

Write-up: After receiving dose 2 of Lymerix on 1/13/00, the pt experienced severe arm pain which kept her awake the whole night. No treatment was given. The most recent information received on 1/14/00 it that the condition of the pt is unknown.


Changed on 8/14/2018

VAERS ID: 151823 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-13
Onset:2000-01-13
Submitted:2000-04-12
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM 116A2 / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain

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: Flovent, Albuterol
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000011731

Write-up: After receiving dose 2 of Lymerix on 1/13/00, the pt experienced severe arm pain which kept her awake the whole night. No treatment was given. The most recent information received on 1/14/00 it that the condition of the pt is unknown.


Changed on 9/14/2018

VAERS ID: 151823 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-13
Onset:2000-01-13
Submitted:2000-04-12
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM 116A2 / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain

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: Flovent, Albuterol
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000011731

Write-up: After receiving dose 2 of Lymerix on 1/13/00, the pt experienced severe arm pain which kept her awake the whole night. No treatment was given. The most recent information received on 1/14/00 it that the condition of the pt is unknown.


Changed on 10/14/2018

VAERS ID: 151823 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Minnesota
Vaccinated:2000-01-13
Onset:2000-01-13
Submitted:2000-04-12
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM 116A2 / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Pain

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: Flovent, Albuterol
Current Illness:
Preexisting Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000011731

Write-up: After receiving dose 2 of Lymerix on 1/13/00, the pt experienced severe arm pain which kept her awake the whole night. No treatment was given. The most recent information received on 1/14/00 it that the condition of the pt is unknown.

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