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This is VAERS ID 25008

Case Details

VAERS ID: 25008 (history)  
Form: Version 1.0  
Age: 75.0  
Gender: Female  
Location: Unknown  
Vaccinated:1989-07-05
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1990-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 199602 / UNK - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Injection site inflammation, Injection site reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 8901590.01

Write-up: Pt developed an inject site rxn. Aea was erthematous, hard & warm to touch several days /p immunization, treated w/ Benadryl.


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