National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 46167

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 46167
VAERS Form:
Age:49.6
Sex:Female
Location:South Carolina
Vaccinated:1992-09-09
Onset:1992-09-18
Submitted:1992-10-09
Entered:1992-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: UNK. IPV / UNCLASSIFIED - / - RA / -
TD: UNK.TD ADSORBED, ADULTS / UNCLASSIFIED - / - LA / -

Administered by: Public      Purchased by: Unknown
Symptoms: EDEMA INJECT SITE, MASS INJECT SITE, PAIN INJECT SITE, HYSN INJECT SITE, PRURITUS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NONE

Write-up: large lump/swelling, red, itching & burning around injection site; started about 9-10 days p/inject; Neosporin on site-DPH capsules for itch; lasted for aprox 2 1/2 wks; little red dots all over both arms;


Changed on 12/8/2009

VAERS ID: 46167 Before After
VAERS Form:
Age:49.6
Sex:Female
Location:South Carolina
Vaccinated:1992-09-09
Onset:1992-09-18
Submitted:1992-10-09
Entered:1992-10-19 1992-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: UNK. IPV POLIO VIRUS, INACT. (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - RA / -
TD: UNK.TD ADSORBED, ADULTS TD ADSORBED (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - LA / -

Administered by: Public      Purchased by: Unknown Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Rash, EDEMA INJECT SITE, MASS INJECT SITE, PAIN INJECT SITE, HYSN INJECT SITE, PRURITUS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NONE (blank)

Write-up: large lump/swelling, red, itching & burning around injection site; started about 9-10 days p/inject; Neosporin on site-DPH capsules for itch; lasted for aprox 2 1/2 wks; little red dots all over both arms;


Changed on 2/14/2017

VAERS ID: 46167 Before After
VAERS Form:
Age:49.6 49.0
Sex:Female
Location:South Carolina
Vaccinated:1992-09-09
Onset:1992-09-18
Submitted:1992-10-09
Entered:1992-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / -

Administered by: Public      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: large lump/swelling, red, itching & burning around injection site; started about 9-10 days p/inject; Neosporin on site-DPH capsules for itch; lasted for aprox 2 1/2 wks; little red dots all over both arms;


Changed on 5/14/2017

VAERS ID: 46167 Before After
VAERS Form:
Age:49.0
Sex:Female
Location:South Carolina
Vaccinated:1992-09-09
Onset:1992-09-18
Submitted:1992-10-09
Entered:1992-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / -

Administered by: Public      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: large lump/swelling, red, itching & burning around injection site; started about 9-10 days p/inject; Neosporin on site-DPH capsules for itch; lasted for aprox 2 1/2 wks; little red dots all over both arms;


Changed on 9/14/2017

VAERS ID: 46167 Before After
VAERS Form:(blank) 1
Age:49.0
Sex:Female
Location:South Carolina
Vaccinated:1992-09-09
Onset:1992-09-18
Submitted:1992-10-09
Entered:1992-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK RA / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK LA / -

Administered by: Public      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: large lump/swelling, red, itching & burning around injection site; started about 9-10 days p/inject; Neosporin on site-DPH capsules for itch; lasted for aprox 2 1/2 wks; little red dots all over both arms;


Changed on 2/14/2018

VAERS ID: 46167 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:South Carolina
Vaccinated:1992-09-09
Onset:1992-09-18
Submitted:1992-10-09
Entered:1992-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Public      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: large lump/swelling, red, itching & burning around injection site; started about 9-10 days p/inject; Neosporin on site-DPH capsules for itch; lasted for aprox 2 1/2 wks; little red dots all over both arms;


Changed on 6/14/2018

VAERS ID: 46167 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:South Carolina
Vaccinated:1992-09-09
Onset:1992-09-18
Submitted:1992-10-09
Entered:1992-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Public      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: large lump/swelling, red, itching & burning around injection site; started about 9-10 days p/inject; Neosporin on site-DPH capsules for itch; lasted for aprox 2 1/2 wks; little red dots all over both arms;


Changed on 8/14/2018

VAERS ID: 46167 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:South Carolina
Vaccinated:1992-09-09
Onset:1992-09-18
Submitted:1992-10-09
Entered:1992-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Public      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: large lump/swelling, red, itching & burning around injection site; started about 9-10 days p/inject; Neosporin on site-DPH capsules for itch; lasted for aprox 2 1/2 wks; little red dots all over both arms;


Changed on 9/14/2018

VAERS ID: 46167 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:South Carolina
Vaccinated:1992-09-09
Onset:1992-09-18
Submitted:1992-10-09
Entered:1992-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Public      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: large lump/swelling, red, itching & burning around injection site; started about 9-10 days p/inject; Neosporin on site-DPH capsules for itch; lasted for aprox 2 1/2 wks; little red dots all over both arms;


Changed on 10/14/2018

VAERS ID: 46167 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:South Carolina
Vaccinated:1992-09-09
Onset:1992-09-18
Submitted:1992-10-09
Entered:1992-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Public      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: large lump/swelling, red, itching & burning around injection site; started about 9-10 days p/inject; Neosporin on site-DPH capsules for itch; lasted for aprox 2 1/2 wks; little red dots all over both arms;


Changed on 12/24/2020

VAERS ID: 46167 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:South Carolina
Vaccinated:1992-09-09
Onset:1992-09-18
Submitted:1992-10-09
Entered:1992-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Public      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: large lump/swelling, red, itching & burning around injection site; started about 9-10 days p/inject; Neosporin on site-DPH capsules for itch; lasted for aprox 2 1/2 wks; little red dots all over both arms;


Changed on 12/30/2020

VAERS ID: 46167 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:South Carolina
Vaccinated:1992-09-09
Onset:1992-09-18
Submitted:1992-10-09
Entered:1992-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Public      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: large lump/swelling, red, itching & burning around injection site; started about 9-10 days p/inject; Neosporin on site-DPH capsules for itch; lasted for aprox 2 1/2 wks; little red dots all over both arms;


Changed on 5/7/2021

VAERS ID: 46167 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:South Carolina
Vaccinated:1992-09-09
Onset:1992-09-18
Submitted:1992-10-09
Entered:1992-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Public      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: large lump/swelling, red, itching & burning around injection site; started about 9-10 days p/inject; Neosporin on site-DPH capsules for itch; lasted for aprox 2 1/2 wks; little red dots all over both arms;


Changed on 5/21/2021

VAERS ID: 46167 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:South Carolina
Vaccinated:1992-09-09
Onset:1992-09-18
Submitted:1992-10-09
Entered:1992-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK LA / -

Administered by: Public      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site oedema, Injection site pain, Pruritus, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: large lump/swelling, red, itching & burning around injection site; started about 9-10 days p/inject; Neosporin on site-DPH capsules for itch; lasted for aprox 2 1/2 wks; little red dots all over both arms;

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=46167&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166