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This is VAERS ID 151875

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 151875
VAERS Form:
Age:48.0
Gender:Male
Location:North Carolina
Vaccinated:1999-09-22
Onset:0000-00-00
Submitted:2000-04-21
Entered:2000-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYMERIX / SMITHKLINE LY130D9 / 1 - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: ARTHRALGIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: Post vax, the vaccinee experienced joint pain. He initially treated himself with Advil. He then presented to his physician who treated him with anti-inflammatories.


Changed on 12/8/2009

VAERS ID: 151875 Before After
VAERS Form:
Age:48.0
Gender:Male
Location:North Carolina
Vaccinated:1999-09-22
Onset:0000-00-00
Submitted:2000-04-21
Entered:2000-06-13 2000-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYMERIX LYME (LYMERIX) / SMITHKLINE SMITHKLINE BEECHAM LY130D9 / 1 - / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Arthralgia, ARTHRALGIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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) 20000050671

Write-up: Post vax, the vaccinee experienced joint pain. He initially treated himself with Advil. He then presented to his physician who treated him with anti-inflammatories.


Changed on 9/14/2017

VAERS ID: 151875 Before After
VAERS Form:(blank) 1
Age:48.0
Gender:Male
Location:North Carolina
Vaccinated:1999-09-22
Onset:0000-00-00
Submitted:2000-04-21
Entered:2000-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM LY130D9 / 1 2 - / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000050671

Write-up: Post vax, the vaccinee experienced joint pain. He initially treated himself with Advil. He then presented to his physician who treated him with anti-inflammatories.


Changed on 2/14/2018

VAERS ID: 151875 Before After
VAERS Form:1
Age:48.0
Gender:Male
Location:North Carolina
Vaccinated:1999-09-22
Onset:0000-00-00
Submitted:2000-04-21
Entered:2000-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM LY130D9 / 2 - / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000050671

Write-up: Post vax, the vaccinee experienced joint pain. He initially treated himself with Advil. He then presented to his physician who treated him with anti-inflammatories.


Changed on 6/14/2018

VAERS ID: 151875 Before After
VAERS Form:1
Age:48.0
Gender:Male
Location:North Carolina
Vaccinated:1999-09-22
Onset:0000-00-00
Submitted:2000-04-21
Entered:2000-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM LY130D9 / 2 - / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000050671

Write-up: Post vax, the vaccinee experienced joint pain. He initially treated himself with Advil. He then presented to his physician who treated him with anti-inflammatories.


Changed on 8/14/2018

VAERS ID: 151875 Before After
VAERS Form:1
Age:48.0
Gender:Male
Location:North Carolina
Vaccinated:1999-09-22
Onset:0000-00-00
Submitted:2000-04-21
Entered:2000-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM LY130D9 / 2 - / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000050671

Write-up: Post vax, the vaccinee experienced joint pain. He initially treated himself with Advil. He then presented to his physician who treated him with anti-inflammatories.


Changed on 9/14/2018

VAERS ID: 151875 Before After
VAERS Form:1
Age:48.0
Gender:Male
Location:North Carolina
Vaccinated:1999-09-22
Onset:0000-00-00
Submitted:2000-04-21
Entered:2000-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM LY130D9 / 2 - / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000050671

Write-up: Post vax, the vaccinee experienced joint pain. He initially treated himself with Advil. He then presented to his physician who treated him with anti-inflammatories.


Changed on 10/14/2018

VAERS ID: 151875 Before After
VAERS Form:1
Age:48.0
Gender:Male
Location:North Carolina
Vaccinated:1999-09-22
Onset:0000-00-00
Submitted:2000-04-21
Entered:2000-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM LY130D9 / 2 - / IM

Administered by: Public      Purchased by: Public
Symptoms: Arthralgia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000050671

Write-up: Post vax, the vaccinee experienced joint pain. He initially treated himself with Advil. He then presented to his physician who treated him with anti-inflammatories.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=151875&WAYBACKHISTORY=ON


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