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From the 1/7/2022 release of VAERS data:

This is VAERS ID 626961

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Case Details

VAERS ID: 626961 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2015-11-19
Onset:2015-11-20
   Days after vaccination:1
Submitted: 2015-11-23
   Days after onset:3
Entered: 2016-03-11
   Days after submission:109
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. FJ2145 / UNK NS / IN
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS L13515 / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Pain in extremity, Rash, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: The day after vaccine pt c/o intense arm pain w/red rash spreading down the arm in the shape of an "S".


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