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From the 1/14/2022 release of VAERS data:

This is VAERS ID 29343

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Case Details

VAERS ID: 29343 (history)  
Form: Version 1.0  
Age: 38.0  
Sex: Female  
Location: Washington  
Vaccinated:1991-01-14
Onset:1991-01-17
   Days after vaccination:3
Submitted: 1991-03-11
   Days after onset:53
Entered: 1991-03-25
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1884S / UNK LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0E21103 / UNK LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Haemorrhage, Headache, Injection site oedema, Injection site pain, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: WA91527

Write-up: Onset swollen tender arm @ inject site, w/h/a, nausea 3rd day post; denied fever, chills; 8 days post inject vomited; broken blood vessels in face;


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