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This is VAERS ID 151878

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 151878
VAERS Form:
Age:40.0
Gender:Female
Location:Connecticut
Vaccinated:1999-08-01
Onset:1999-08-01
Submitted:2000-04-21
Entered:2000-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYMERIX / SMITHKLINE - / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: ARTHRALGIA

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:
Current Illness:
Preexisting Conditions: Has a history of Lyme disease. She had a history of experiencing a ""dull achy"" pain in some of her joints, but after cortisone treatments, she had been symptom free for at least 5 years.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: This is an unconfirmed spontaneous report from a lawyer referring to a 40 year old female who claims to have experienced sharp, debilitating pain in most of her joints on the right side of her body after the 2nd dose of Lymerix. On an unspecified date, th"e pt received her 1st dose of Lymerix with no reported events. In August, 1999, the pt received her 2nd dose of Lymerix and some time after the shot (exact date not provided), the pt experienced sharp, dibilitating pain in most of her joints on the right


Changed on 12/8/2009

VAERS ID: 151878 Before After
VAERS Form:
Age:40.0
Gender:Female
Location:Connecticut
Vaccinated:1999-08-01
Onset:1999-08-01
Submitted:2000-04-21
Entered:2000-06-13 2000-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYMERIX LYME (LYMERIX) / SMITHKLINE SMITHKLINE BEECHAM - / 1 - / IM

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

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:
Current Illness:
Preexisting Conditions: Has a history of Lyme disease. She had a history of experiencing a ""dull achy"" "dull achy" pain in some of her joints, but after cortisone treatments, she had been symptom free for at least 5 years.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 20000055081

Write-up: This is an unconfirmed spontaneous report from a lawyer referring to a 40 year old female who claims to have experienced sharp, debilitating pain in most of her joints on the right side of her body after the 2nd dose of Lymerix. On an unspecified date, th"e the pt received her 1st dose of Lymerix with no reported events. In August, 1999, the pt received her 2nd dose of Lymerix and some time after the shot (exact date not provided), the pt experienced sharp, dibilitating pain in most of her joints on the right side of her body (in her foot, hip, shoulder, hand and neck). The pain was reported to be "like nothing she had ever experienced" and the pt has been considered incapacitated. The most recent information received on 2/17/2000, reports that the symptoms are ongoing. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 151878 Before After
VAERS Form:(blank) 1
Age:40.0
Gender:Female
Location:Connecticut
Vaccinated:1999-08-01
Onset:1999-08-01
Submitted:2000-04-21
Entered:2000-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM - / 1 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia

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:
Current Illness:
Preexisting Conditions: Has a history of Lyme disease. She had a history of experiencing a "dull achy" pain in some of her joints, but after cortisone treatments, she had been symptom free for at least 5 years.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000055081

Write-up: This is an unconfirmed spontaneous report from a lawyer referring to a 40 year old female who claims to have experienced sharp, debilitating pain in most of her joints on the right side of her body after the 2nd dose of Lymerix. On an unspecified date, the pt received her 1st dose of Lymerix with no reported events. In August, 1999, the pt received her 2nd dose of Lymerix and some time after the shot (exact date not provided), the pt experienced sharp, dibilitating pain in most of her joints on the right side of her body (in her foot, hip, shoulder, hand and neck). The pain was reported to be "like nothing she had ever experienced" and the pt has been considered incapacitated. The most recent information received on 2/17/2000, reports that the symptoms are ongoing. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 151878 Before After
VAERS Form:1
Age:40.0
Gender:Female
Location:Connecticut
Vaccinated:1999-08-01
Onset:1999-08-01
Submitted:2000-04-21
Entered:2000-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM - / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia

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:
Current Illness:
Preexisting Conditions: Has a history of Lyme disease. She had a history of experiencing a "dull achy" pain in some of her joints, but after cortisone treatments, she had been symptom free for at least 5 years.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000055081

Write-up: This is an unconfirmed spontaneous report from a lawyer referring to a 40 year old female who claims to have experienced sharp, debilitating pain in most of her joints on the right side of her body after the 2nd dose of Lymerix. On an unspecified date, the pt received her 1st dose of Lymerix with no reported events. In August, 1999, the pt received her 2nd dose of Lymerix and some time after the shot (exact date not provided), the pt experienced sharp, dibilitating pain in most of her joints on the right side of her body (in her foot, hip, shoulder, hand and neck). The pain was reported to be "like nothing she had ever experienced" and the pt has been considered incapacitated. The most recent information received on 2/17/2000, reports that the symptoms are ongoing. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 151878 Before After
VAERS Form:1
Age:40.0
Gender:Female
Location:Connecticut
Vaccinated:1999-08-01
Onset:1999-08-01
Submitted:2000-04-21
Entered:2000-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM - / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia

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:
Current Illness:
Preexisting Conditions: Has a history of Lyme disease. She had a history of experiencing a "dull achy" pain in some of her joints, but after cortisone treatments, she had been symptom free for at least 5 years.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000055081

Write-up: This is an unconfirmed spontaneous report from a lawyer referring to a 40 year old female who claims to have experienced sharp, debilitating pain in most of her joints on the right side of her body after the 2nd dose of Lymerix. On an unspecified date, the pt received her 1st dose of Lymerix with no reported events. In August, 1999, the pt received her 2nd dose of Lymerix and some time after the shot (exact date not provided), the pt experienced sharp, dibilitating pain in most of her joints on the right side of her body (in her foot, hip, shoulder, hand and neck). The pain was reported to be "like nothing she had ever experienced" and the pt has been considered incapacitated. The most recent information received on 2/17/2000, reports that the symptoms are ongoing. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 151878 Before After
VAERS Form:1
Age:40.0
Gender:Female
Location:Connecticut
Vaccinated:1999-08-01
Onset:1999-08-01
Submitted:2000-04-21
Entered:2000-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM - / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia

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:
Current Illness:
Preexisting Conditions: Has a history of Lyme disease. She had a history of experiencing a "dull achy" pain in some of her joints, but after cortisone treatments, she had been symptom free for at least 5 years.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000055081

Write-up: This is an unconfirmed spontaneous report from a lawyer referring to a 40 year old female who claims to have experienced sharp, debilitating pain in most of her joints on the right side of her body after the 2nd dose of Lymerix. On an unspecified date, the pt received her 1st dose of Lymerix with no reported events. In August, 1999, the pt received her 2nd dose of Lymerix and some time after the shot (exact date not provided), the pt experienced sharp, dibilitating pain in most of her joints on the right side of her body (in her foot, hip, shoulder, hand and neck). The pain was reported to be "like nothing she had ever experienced" and the pt has been considered incapacitated. The most recent information received on 2/17/2000, reports that the symptoms are ongoing. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 151878 Before After
VAERS Form:1
Age:40.0
Gender:Female
Location:Connecticut
Vaccinated:1999-08-01
Onset:1999-08-01
Submitted:2000-04-21
Entered:2000-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM - / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia

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:
Current Illness:
Preexisting Conditions: Has a history of Lyme disease. She had a history of experiencing a "dull achy" pain in some of her joints, but after cortisone treatments, she had been symptom free for at least 5 years.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000055081

Write-up: This is an unconfirmed spontaneous report from a lawyer referring to a 40 year old female who claims to have experienced sharp, debilitating pain in most of her joints on the right side of her body after the 2nd dose of Lymerix. On an unspecified date, the pt received her 1st dose of Lymerix with no reported events. In August, 1999, the pt received her 2nd dose of Lymerix and some time after the shot (exact date not provided), the pt experienced sharp, dibilitating pain in most of her joints on the right side of her body (in her foot, hip, shoulder, hand and neck). The pain was reported to be "like nothing she had ever experienced" and the pt has been considered incapacitated. The most recent information received on 2/17/2000, reports that the symptoms are ongoing. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 151878 Before After
VAERS Form:1
Age:40.0
Gender:Female
Location:Connecticut
Vaccinated:1999-08-01
Onset:1999-08-01
Submitted:2000-04-21
Entered:2000-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
LYME: LYME (LYMERIX) / SMITHKLINE BEECHAM - / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia

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:
Current Illness:
Preexisting Conditions: Has a history of Lyme disease. She had a history of experiencing a "dull achy" pain in some of her joints, but after cortisone treatments, she had been symptom free for at least 5 years.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 20000055081

Write-up: This is an unconfirmed spontaneous report from a lawyer referring to a 40 year old female who claims to have experienced sharp, debilitating pain in most of her joints on the right side of her body after the 2nd dose of Lymerix. On an unspecified date, the pt received her 1st dose of Lymerix with no reported events. In August, 1999, the pt received her 2nd dose of Lymerix and some time after the shot (exact date not provided), the pt experienced sharp, dibilitating pain in most of her joints on the right side of her body (in her foot, hip, shoulder, hand and neck). The pain was reported to be "like nothing she had ever experienced" and the pt has been considered incapacitated. The most recent information received on 2/17/2000, reports that the symptoms are ongoing. Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=151878&WAYBACKHISTORY=ON


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