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This is VAERS ID 25008

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

25008
VAERS Form:
Age:75.5
Gender:Female
Location:Unknown
Vaccinated:1989-07-05
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED, ADULTS / LEDERLE 199602 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: INJECT SITE REACT, INFLAM INJECT SITE

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

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


Changed on 12/8/2009

25008 Before After
VAERS Form:
Age:75.5
Gender:Female
Location:Unknown
Vaccinated:1989-07-05
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-05 1990-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED, ADULTS TD ADSORBED (NO BRAND NAME) / LEDERLE LEDERLE LABORATORIES 199602 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site inflammation, Injection site reaction, INJECT SITE REACT, INFLAM INJECT SITE

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 8901590.01

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


Changed on 2/14/2017

25008 Before After
VAERS Form:
Age:75.5 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 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site inflammation, Injection site reaction

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:
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.


Changed on 5/14/2017

25008 Before After
VAERS Form:
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 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site inflammation, Injection site reaction

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: ~ ()~~~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.


Changed on 9/14/2017

25008 Before After
VAERS Form:(blank) 1
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

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: ~ ()~~~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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