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This is VAERS ID 151826

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 151826
VAERS Form:
Age:
Sex:Male
Location:Virginia
Vaccinated:1999-12-18
Onset:1999-12-18
Submitted:2000-04-21
Entered:2000-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYMERIX / SMITHKLINE LY130A9 / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: CHILLS, ARTHRALGIA, MYALGIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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 approximately 12/18/1999, the pt received his first dose of Lymerix. 3-4 hours post vax he developed shaking chills (so much so that his teeth chattered), the pt also experienced myalgia, and arthralgia. He took ibuprofen and within one hour felt somew"hat better, but not well. He then took a narcotic (probably codeine) and went to sleep. When he woke up, he felt fine and has been fine since. The most recent information reports the condition of the pt as resolved.


Changed on 12/8/2009

VAERS ID: 151826 Before After
VAERS Form:
Age:
Sex:Male
Location:Virginia
Vaccinated:1999-12-18
Onset:1999-12-18
Submitted:2000-04-21
Entered:2000-05-18 2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYMERIX LYME (LYMERIX) / SMITHKLINE SMITHKLINE BEECHAM LY130A9 / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Arthralgia, Chills, Myalgia, CHILLS, ARTHRALGIA, MYALGIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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) 20000014921

Write-up: On approximately 12/18/1999, the pt received his first dose of Lymerix. 3-4 hours post vax he developed shaking chills (so much so that his teeth chattered), the pt also experienced myalgia, and arthralgia. He took ibuprofen and within one hour felt somew"hat somewhat better, but not well. He then took a narcotic (probably codeine) and went to sleep. When he woke up, he felt fine and has been fine since. The most recent information reports the condition of the pt as resolved.


Changed on 9/14/2017

VAERS ID: 151826 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:Virginia
Vaccinated:1999-12-18
Onset:1999-12-18
Submitted:2000-04-21
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM LY130A9 / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Chills, Myalgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': 20000014921

Write-up: On approximately 12/18/1999, the pt received his first dose of Lymerix. 3-4 hours post vax he developed shaking chills (so much so that his teeth chattered), the pt also experienced myalgia, and arthralgia. He took ibuprofen and within one hour felt somewhat better, but not well. He then took a narcotic (probably codeine) and went to sleep. When he woke up, he felt fine and has been fine since. The most recent information reports the condition of the pt as resolved.


Changed on 2/14/2018

VAERS ID: 151826 Before After
VAERS Form:1
Age:
Sex:Male
Location:Virginia
Vaccinated:1999-12-18
Onset:1999-12-18
Submitted:2000-04-21
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM LY130A9 / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Chills, Myalgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': 20000014921

Write-up: On approximately 12/18/1999, the pt received his first dose of Lymerix. 3-4 hours post vax he developed shaking chills (so much so that his teeth chattered), the pt also experienced myalgia, and arthralgia. He took ibuprofen and within one hour felt somewhat better, but not well. He then took a narcotic (probably codeine) and went to sleep. When he woke up, he felt fine and has been fine since. The most recent information reports the condition of the pt as resolved.


Changed on 6/14/2018

VAERS ID: 151826 Before After
VAERS Form:1
Age:
Sex:Male
Location:Virginia
Vaccinated:1999-12-18
Onset:1999-12-18
Submitted:2000-04-21
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM LY130A9 / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Chills, Myalgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': 20000014921

Write-up: On approximately 12/18/1999, the pt received his first dose of Lymerix. 3-4 hours post vax he developed shaking chills (so much so that his teeth chattered), the pt also experienced myalgia, and arthralgia. He took ibuprofen and within one hour felt somewhat better, but not well. He then took a narcotic (probably codeine) and went to sleep. When he woke up, he felt fine and has been fine since. The most recent information reports the condition of the pt as resolved.


Changed on 8/14/2018

VAERS ID: 151826 Before After
VAERS Form:1
Age:
Sex:Male
Location:Virginia
Vaccinated:1999-12-18
Onset:1999-12-18
Submitted:2000-04-21
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM LY130A9 / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Chills, Myalgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': 20000014921

Write-up: On approximately 12/18/1999, the pt received his first dose of Lymerix. 3-4 hours post vax he developed shaking chills (so much so that his teeth chattered), the pt also experienced myalgia, and arthralgia. He took ibuprofen and within one hour felt somewhat better, but not well. He then took a narcotic (probably codeine) and went to sleep. When he woke up, he felt fine and has been fine since. The most recent information reports the condition of the pt as resolved.


Changed on 9/14/2018

VAERS ID: 151826 Before After
VAERS Form:1
Age:
Sex:Male
Location:Virginia
Vaccinated:1999-12-18
Onset:1999-12-18
Submitted:2000-04-21
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM LY130A9 / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Chills, Myalgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': 20000014921

Write-up: On approximately 12/18/1999, the pt received his first dose of Lymerix. 3-4 hours post vax he developed shaking chills (so much so that his teeth chattered), the pt also experienced myalgia, and arthralgia. He took ibuprofen and within one hour felt somewhat better, but not well. He then took a narcotic (probably codeine) and went to sleep. When he woke up, he felt fine and has been fine since. The most recent information reports the condition of the pt as resolved.


Changed on 10/14/2018

VAERS ID: 151826 Before After
VAERS Form:1
Age:
Sex:Male
Location:Virginia
Vaccinated:1999-12-18
Onset:1999-12-18
Submitted:2000-04-21
Entered:2000-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM LY130A9 / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Chills, Myalgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': 20000014921

Write-up: On approximately 12/18/1999, the pt received his first dose of Lymerix. 3-4 hours post vax he developed shaking chills (so much so that his teeth chattered), the pt also experienced myalgia, and arthralgia. He took ibuprofen and within one hour felt somewhat better, but not well. He then took a narcotic (probably codeine) and went to sleep. When he woke up, he felt fine and has been fine since. The most recent information reports the condition of the pt as resolved.

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