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This is VAERS ID 40817

Case Details

VAERS ID: 40817 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: Ohio  
Vaccinated:1992-03-13
Onset:1992-03-21
   Days after vaccination:8
Submitted: 1992-03-25
   Days after onset:4
Entered: 1992-03-31
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 312935 / 3 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1955T / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M660HH / 3 RL / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Had DTP lt thigh 13MAR; noticed swelling of leg on 21MAR; no edema, erythema, tenderness; no evidence of swelling on 25MAR92;


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