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From the 12/31/2003 release of VAERS data (an older release, current is 1/7/2022):

This is VAERS ID 25005

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Case Details

VAERS ID: 25005 (history)  
Form: Version .0  
Age:   
Sex: Unknown  
Location: Oklahoma  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1990-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED, ADULTS / LEDERLE 247955 / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: ARTHRITIS, EDEMA INJECT SITE, INJECT SITE REACT
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 7 patients within 2 weeks have reported joint pain & tenderness which radiated up to the shoulder, redness & slight swelling @ injection site, no treatment prescribed, 1 patient is due to visit a neurologist for shoulder. Vaccines routine


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