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This is VAERS ID 151825

Case Details

VAERS ID: 151825 (history)  
Form: Version 1.0  
Age: 26.0  
Sex: Male  
Location: Maryland  
Submitted: 2000-04-21
Entered: 2000-05-10
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Injection site erythema, Injection site oedema, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 20000013491

Write-up: On 10/29/99, the pt received his first IM-deltoid dose of Lymerix. A few days later, he experienced redness, swelling, and pain on the entire deltoid. Symptoms worsened over a couple of days, and then resolved within a few days. No treatment was given. The most recent information received on 1/17/00 reports the condition of the pt is resolved.

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