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From the 4/23/2021 release of VAERS data:

This is VAERS ID 133426



Case Details

VAERS ID: 133426 (history)  
Form: Version 1.0  
Age: 1.7  
Sex: Female  
Location: New York  
Vaccinated:2000-01-12
Onset:2000-01-13
   Days after vaccination:1
Submitted: 2000-01-17
   Days after onset:4
Entered: 2000-01-24
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / CONNAUGHT LABORATORIES U0045CA / 6 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0543J / 2 LA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1058H / 2 RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Local 5"x6" reddened, heat and ? tenderness. R/o cellulitis in left thigh, in hospital x 2 days.Tx w/ Keflex & Benadryl. Discharge summary states final diagnosis to be left thigh cellulitis versus local reaction from vaccine.


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