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This is VAERS ID 45518

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 45518
VAERS Form:
Age:66.9
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA VACCINE USP / WYETH 4918109 / 1 - / SC
IPV: IPV / MERIEUX INST G0080 / 1 - / SC
TYP: VIVOTIF BERNA / SWISS SERUM 12442A / 4 - / PO
YF: YELLOW FEVER / CONNAUGHT LABS 2C31043 / 1 - / SC

Administered by: Public      Purchased by: Unknown
Symptoms: PRURITUS, RASH VESIC BULL

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;


Changed on 12/8/2009

VAERS ID: 45518 Before After
VAERS Form:
Age:66.9
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-28 1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA VACCINE USP CHOLERA (USP) / WYETH WYETH PHARMACEUTICALS, INC 4918109 / 1 - / SC
IPV: IPV POLIO VIRUS, INACT. (NO BRAND NAME) / MERIEUX INST PASTEUR MERIEUX INST. G0080 / 1 - / SC
TYP: VIVOTIF BERNA TYPHOID LIVE ORAL TY21A (VIVOTIF) / SWISS SERUM BERNA BIOTECH, LTD 12442A / 4 - / PO
YF: YELLOW FEVER YELLOW FEVER (YF-VAX) / CONNAUGHT LABS CONNAUGHT LABORATORIES 2C31043 / 1 - / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Dermatitis bullous, Pruritus, PRURITUS, RASH VESIC BULL

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) CO9249

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;


Changed on 8/31/2010

VAERS ID: 45518 Before After
VAERS Form:
Age:66.9
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4918109 / 1 - / SC
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 1 - / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD 12442A / 4 - / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 2C31043 / 1 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': CO9249

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;


Changed on 2/14/2017

VAERS ID: 45518 Before After
VAERS Form:
Age:66.9 66.0
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4918109 / 1 - / SC
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 1 - / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD 12442A / 4 - / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 2C31043 / 1 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': CO9249

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;


Changed on 5/14/2017

VAERS ID: 45518 Before After
VAERS Form:
Age:66.0
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4918109 / 1 - / SC
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 1 - / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD 12442A / 4 - / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 2C31043 / 1 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': CO9249

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;


Changed on 9/14/2017

VAERS ID: 45518 Before After
VAERS Form:(blank) 1
Age:66.0
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4918109 / 1 2 - / SC
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 1 2 - / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD 12442A / 4 5 - MO / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 2C31043 / 1 2 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': CO9249

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;


Changed on 11/14/2017

VAERS ID: 45518 Before After
VAERS Form:1
Age:66.0
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4918109 / 2 - / SC
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 2 - / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD BERNA BIOTECH, LTD. 12442A / 5 MO / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 2C31043 / 2 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': CO9249

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;


Changed on 2/14/2018

VAERS ID: 45518 Before After
VAERS Form:1
Age:66.0
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4918109 / 2 - / SC
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 2 - / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 12442A / 5 MO / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 2C31043 / 2 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': CO9249

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;


Changed on 6/14/2018

VAERS ID: 45518 Before After
VAERS Form:1
Age:66.0
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4918109 / 2 - / SC
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 2 - / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 12442A / 5 MO / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 2C31043 / 2 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': CO9249

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;


Changed on 8/14/2018

VAERS ID: 45518 Before After
VAERS Form:1
Age:66.0
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4918109 / 2 - / SC
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 2 - / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 12442A / 5 MO / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 2C31043 / 2 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': CO9249

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;


Changed on 9/14/2018

VAERS ID: 45518 Before After
VAERS Form:1
Age:66.0
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4918109 / 2 - / SC
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 2 - / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 12442A / 5 MO / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 2C31043 / 2 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': CO9249

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;


Changed on 10/14/2018

VAERS ID: 45518 Before After
VAERS Form:1
Age:66.0
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4918109 / 2 - / SC
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 2 - / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 12442A / 5 MO / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 2C31043 / 2 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': CO9249

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;


Changed on 12/24/2020

VAERS ID: 45518 Before After
VAERS Form:1
Age:66.0
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4918109 / 2 - / SC
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 2 - / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 12442A / 5 MO / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 2C31043 / 2 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': CO9249

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;


Changed on 12/30/2020

VAERS ID: 45518 Before After
VAERS Form:1
Age:66.0
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4918109 / 2 - / SC
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 2 - / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 12442A / 5 MO / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 2C31043 / 2 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': CO9249

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;


Changed on 5/7/2021

VAERS ID: 45518 Before After
VAERS Form:1
Age:66.0
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4918109 / 2 - / SC
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 2 - / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 12442A / 5 MO / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 2C31043 / 2 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': CO9249

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;


Changed on 5/21/2021

VAERS ID: 45518 Before After
VAERS Form:1
Age:66.0
Sex:Male
Location:Colorado
Vaccinated:1992-07-06
Onset:1992-07-10
Submitted:1992-07-15
Entered:1992-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4918109 / 2 - / SC
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0080 / 2 - / SC
TYP: TYPHOID LIVE ORAL TY21A (VIVOTIF) / BERNA BIOTECH, LTD. 12442A / 5 MO / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 2C31043 / 2 - / SC

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Lanoxin, Triampteriene, Quinaguter, Synthroid
Current Illness: NONE-hx of recent prostate CA
Preexisting Conditions: on several medications Lanoxin, quinaglute
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': CO9249

Write-up: hands blistering & itching started 10JUL or 11JUL seen by MD who prescribed hydroxyzine; DPH cream helped the most;

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