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This is VAERS ID 25079

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25079
VAERS Form:
Age:10.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED, ADULTS / LEDERLE 244920 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: EDEMA INJECT SITE, FEVER, NAUSEA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt received vaccine in evening; next day had fever 100 - 102 lasting for 3 days, injection site swelling and nausea.


Changed on 12/8/2009

VAERS ID: 25079 Before After
VAERS Form:
Age:10.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-12 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED, ADULTS TD ADSORBED (NO BRAND NAME) / LEDERLE LEDERLE LABORATORIES 244920 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Nausea, Pyrexia, EDEMA INJECT SITE, FEVER, NAUSEA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 8901518.01

Write-up: Pt received vaccine in evening; next day had fever 100 - 102 lasting for 3 days, injection site swelling and nausea.


Changed on 5/14/2017

VAERS ID: 25079 Before After
VAERS Form:
Age:10.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 244920 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Nausea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8901518.01

Write-up: Pt received vaccine in evening; next day had fever 100 - 102 lasting for 3 days, injection site swelling and nausea.


Changed on 9/14/2017

VAERS ID: 25079 Before After
VAERS Form:(blank) 1
Age:10.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 244920 / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Nausea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8901518.01

Write-up: Pt received vaccine in evening; next day had fever 100 - 102 lasting for 3 days, injection site swelling and nausea.


Changed on 2/14/2018

VAERS ID: 25079 Before After
VAERS Form:1
Age:10.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 244920 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Nausea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8901518.01

Write-up: Pt received vaccine in evening; next day had fever 100 - 102 lasting for 3 days, injection site swelling and nausea.


Changed on 6/14/2018

VAERS ID: 25079 Before After
VAERS Form:1
Age:10.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 244920 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Nausea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8901518.01

Write-up: Pt received vaccine in evening; next day had fever 100 - 102 lasting for 3 days, injection site swelling and nausea.


Changed on 8/14/2018

VAERS ID: 25079 Before After
VAERS Form:1
Age:10.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 244920 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Nausea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8901518.01

Write-up: Pt received vaccine in evening; next day had fever 100 - 102 lasting for 3 days, injection site swelling and nausea.


Changed on 9/14/2018

VAERS ID: 25079 Before After
VAERS Form:1
Age:10.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 244920 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Nausea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8901518.01

Write-up: Pt received vaccine in evening; next day had fever 100 - 102 lasting for 3 days, injection site swelling and nausea.


Changed on 10/14/2018

VAERS ID: 25079 Before After
VAERS Form:1
Age:10.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 244920 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Nausea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8901518.01

Write-up: Pt received vaccine in evening; next day had fever 100 - 102 lasting for 3 days, injection site swelling and nausea.


Changed on 12/24/2020

VAERS ID: 25079 Before After
VAERS Form:1
Age:10.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 244920 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Nausea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8901518.01

Write-up: Pt received vaccine in evening; next day had fever 100 - 102 lasting for 3 days, injection site swelling and nausea.


Changed on 12/30/2020

VAERS ID: 25079 Before After
VAERS Form:1
Age:10.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 244920 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Nausea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8901518.01

Write-up: Pt received vaccine in evening; next day had fever 100 - 102 lasting for 3 days, injection site swelling and nausea.


Changed on 5/7/2021

VAERS ID: 25079 Before After
VAERS Form:1
Age:10.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 244920 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Nausea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8901518.01

Write-up: Pt received vaccine in evening; next day had fever 100 - 102 lasting for 3 days, injection site swelling and nausea.


Changed on 5/21/2021

VAERS ID: 25079 Before After
VAERS Form:1
Age:10.0
Sex:Unknown
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES 244920 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Injection site oedema, Nausea, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 8901518.01

Write-up: Pt received vaccine in evening; next day had fever 100 - 102 lasting for 3 days, injection site swelling and nausea.

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