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

This is VAERS ID 25054

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Case Details

VAERS ID: 25054 (history)  
Form: Version 1.0  
Age: 45.0  
Sex: Female  
Location: Maine  
Vaccinated:1989-11-22
Onset:1989-11-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TTOX: TETANUS TOXOID (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Injection site mass, Injection site oedema
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Augmentin 500mg TID
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: B034089162

Write-up: pt developed erytema, edema & induration w/ warmth in a 13 X 11 cm area surrounding the injection site after receiving TTF vaccine


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