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This is VAERS ID 151827

Case Details

VAERS ID: 151827 (history)  
Form: Version 1.0  
Age: 60.0  
Sex: Male  
Location: New Jersey  
Vaccinated:1999-07-06
Onset:1999-07-12
   Days after vaccination:6
Submitted: 2000-04-21
   Days after onset:284
Entered: 2000-05-10
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Arthritis, Joint swelling
SMQs:, Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow), Tendinopathies and ligament disorders (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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 20000024181

Write-up: Six days post vax, the patient experienced bilateral ankle swelling. This symptom was diagnosed by a rheumatologist as inflammatory arthritis felt to be secondary to Lymerix. Patient was treated with NSAIDS. Lymerix was discontinued.


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