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This is VAERS ID 40596

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 40596
VAERS Form:
Age:22.8
Sex:Female
Location:California
Vaccinated:1991-10-26
Onset:0000-00-00
Submitted:1992-03-18
Entered:1992-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED, ADULTS / WYETH - / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: HYPERTONIA, EDEMA, ABSCESS, HEM, DERM EXFOL

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Lido w/Epi NAHCO3
Current Illness: Lacreation
Preexisting Conditions: allergy ASA
Allergies:
Diagnostic Lab Data: Culture fluid-red cells, white cells, sterile;
CDC 'Split Type': allergy ASA

Write-up: 6FEB92 presented w/fluctuant area 1 cm in diameter on lateral aspect of deltoid; somewhat hemorrhagic; area anesthetized w/2% lido; Seen in ER for abscessed arms 14FEB92; 17FEB92 Seen in ER for f/u pain; had muscle spasms, swelling, tingle;


Changed on 12/8/2009

VAERS ID: 40596 Before After
VAERS Form:
Age:22.8
Sex:Female
Location:California
Vaccinated:1991-10-26
Onset:0000-00-00
Submitted:1992-03-18
Entered:1992-03-31 1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED, ADULTS TD ADSORBED (NO BRAND NAME) / WYETH WYETH PHARMACEUTICALS, INC - / - - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Abscess, Dermatitis exfoliative, Hypertonia, Oedema, Pain, Paraesthesia, Skin nodule, Haemorrhage, HYPERTONIA, EDEMA, ABSCESS, HEM, DERM EXFOL

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Lido w/Epi NAHCO3
Current Illness: Lacreation
Preexisting Conditions: allergy ASA
Allergies:
Diagnostic Lab Data: Culture fluid-red cells, white cells, sterile;
CDC 'Split Type': allergy ASA (blank)

Write-up: 6FEB92 presented w/fluctuant area 1 cm in diameter on lateral aspect of deltoid; somewhat hemorrhagic; area anesthetized w/2% lido; Seen in ER for abscessed arms 14FEB92; 17FEB92 Seen in ER for f/u pain; had muscle spasms, swelling, tingle;


Changed on 8/31/2010

VAERS ID: 40596 Before After
VAERS Form:
Age:22.8
Sex:Female
Location:California
Vaccinated:1991-10-26
Onset:0000-00-00
Submitted:1992-03-18
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / - - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Dermatitis exfoliative, Hypertonia, Oedema, Pain, Paraesthesia, Skin nodule, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Lido w/Epi NAHCO3
Current Illness: Lacreation
Preexisting Conditions: allergy ASA
Allergies:
Diagnostic Lab Data: Culture fluid-red cells, white cells, sterile;
CDC 'Split Type':

Write-up: 6FEB92 presented w/fluctuant area 1 cm in diameter on lateral aspect of deltoid; somewhat hemorrhagic; area anesthetized w/2% lido; Seen in ER for abscessed arms 14FEB92; 17FEB92 Seen in ER for f/u pain; had muscle spasms, swelling, tingle;


Changed on 2/14/2017

VAERS ID: 40596 Before After
VAERS Form:
Age:22.8 22.0
Sex:Female
Location:California
Vaccinated:1991-10-26
Onset:0000-00-00
Submitted:1992-03-18
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / - - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Dermatitis exfoliative, Hypertonia, Oedema, Pain, Paraesthesia, Skin nodule, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: Lido w/Epi NAHCO3
Current Illness: Lacreation
Preexisting Conditions: allergy ASA
Allergies:
Diagnostic Lab Data: Culture fluid-red cells, white cells, sterile;
CDC 'Split Type':

Write-up: 6FEB92 presented w/fluctuant area 1 cm in diameter on lateral aspect of deltoid; somewhat hemorrhagic; area anesthetized w/2% lido; Seen in ER for abscessed arms 14FEB92; 17FEB92 Seen in ER for f/u pain; had muscle spasms, swelling, tingle;


Changed on 5/14/2017

VAERS ID: 40596 Before After
VAERS Form:
Age:22.0
Sex:Female
Location:California
Vaccinated:1991-10-26
Onset:0000-00-00
Submitted:1992-03-18
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / - - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Dermatitis exfoliative, Hypertonia, Oedema, Pain, Paraesthesia, Skin nodule, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: Lido w/Epi NAHCO3
Current Illness: Lacreation
Preexisting Conditions: allergy ASA
Allergies:
Diagnostic Lab Data: Culture fluid-red cells, white cells, sterile;
CDC 'Split Type':

Write-up: 6FEB92 presented w/fluctuant area 1 cm in diameter on lateral aspect of deltoid; somewhat hemorrhagic; area anesthetized w/2% lido; Seen in ER for abscessed arms 14FEB92; 17FEB92 Seen in ER for f/u pain; had muscle spasms, swelling, tingle;


Changed on 9/14/2017

VAERS ID: 40596 Before After
VAERS Form:(blank) 1
Age:22.0
Sex:Female
Location:California
Vaccinated:1991-10-26
Onset:0000-00-00
Submitted:1992-03-18
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / - UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Dermatitis exfoliative, Hypertonia, Oedema, Pain, Paraesthesia, Skin nodule, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Lido w/Epi NAHCO3
Current Illness: Lacreation
Preexisting Conditions: allergy ASA
Allergies:
Diagnostic Lab Data: Culture fluid-red cells, white cells, sterile;
CDC 'Split Type':

Write-up: 6FEB92 presented w/fluctuant area 1 cm in diameter on lateral aspect of deltoid; somewhat hemorrhagic; area anesthetized w/2% lido; Seen in ER for abscessed arms 14FEB92; 17FEB92 Seen in ER for f/u pain; had muscle spasms, swelling, tingle;


Changed on 2/14/2018

VAERS ID: 40596 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:1991-10-26
Onset:0000-00-00
Submitted:1992-03-18
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Dermatitis exfoliative, Hypertonia, Oedema, Pain, Paraesthesia, Skin nodule, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Lido w/Epi NAHCO3
Current Illness: Lacreation
Preexisting Conditions: allergy ASA
Allergies:
Diagnostic Lab Data: Culture fluid-red cells, white cells, sterile;
CDC 'Split Type':

Write-up: 6FEB92 presented w/fluctuant area 1 cm in diameter on lateral aspect of deltoid; somewhat hemorrhagic; area anesthetized w/2% lido; Seen in ER for abscessed arms 14FEB92; 17FEB92 Seen in ER for f/u pain; had muscle spasms, swelling, tingle;


Changed on 6/14/2018

VAERS ID: 40596 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:1991-10-26
Onset:0000-00-00
Submitted:1992-03-18
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Dermatitis exfoliative, Hypertonia, Oedema, Pain, Paraesthesia, Skin nodule, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Lido w/Epi NAHCO3
Current Illness: Lacreation
Preexisting Conditions: allergy ASA
Allergies:
Diagnostic Lab Data: Culture fluid-red cells, white cells, sterile;
CDC 'Split Type':

Write-up: 6FEB92 presented w/fluctuant area 1 cm in diameter on lateral aspect of deltoid; somewhat hemorrhagic; area anesthetized w/2% lido; Seen in ER for abscessed arms 14FEB92; 17FEB92 Seen in ER for f/u pain; had muscle spasms, swelling, tingle;


Changed on 8/14/2018

VAERS ID: 40596 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:1991-10-26
Onset:0000-00-00
Submitted:1992-03-18
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Dermatitis exfoliative, Hypertonia, Oedema, Pain, Paraesthesia, Skin nodule, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Lido w/Epi NAHCO3
Current Illness: Lacreation
Preexisting Conditions: allergy ASA
Allergies:
Diagnostic Lab Data: Culture fluid-red cells, white cells, sterile;
CDC 'Split Type':

Write-up: 6FEB92 presented w/fluctuant area 1 cm in diameter on lateral aspect of deltoid; somewhat hemorrhagic; area anesthetized w/2% lido; Seen in ER for abscessed arms 14FEB92; 17FEB92 Seen in ER for f/u pain; had muscle spasms, swelling, tingle;


Changed on 9/14/2018

VAERS ID: 40596 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:1991-10-26
Onset:0000-00-00
Submitted:1992-03-18
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Dermatitis exfoliative, Hypertonia, Oedema, Pain, Paraesthesia, Skin nodule, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Lido w/Epi NAHCO3
Current Illness: Lacreation
Preexisting Conditions: allergy ASA
Allergies:
Diagnostic Lab Data: Culture fluid-red cells, white cells, sterile;
CDC 'Split Type':

Write-up: 6FEB92 presented w/fluctuant area 1 cm in diameter on lateral aspect of deltoid; somewhat hemorrhagic; area anesthetized w/2% lido; Seen in ER for abscessed arms 14FEB92; 17FEB92 Seen in ER for f/u pain; had muscle spasms, swelling, tingle;


Changed on 10/14/2018

VAERS ID: 40596 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:1991-10-26
Onset:0000-00-00
Submitted:1992-03-18
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Dermatitis exfoliative, Hypertonia, Oedema, Pain, Paraesthesia, Skin nodule, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Lido w/Epi NAHCO3
Current Illness: Lacreation
Preexisting Conditions: allergy ASA
Allergies:
Diagnostic Lab Data: Culture fluid-red cells, white cells, sterile;
CDC 'Split Type':

Write-up: 6FEB92 presented w/fluctuant area 1 cm in diameter on lateral aspect of deltoid; somewhat hemorrhagic; area anesthetized w/2% lido; Seen in ER for abscessed arms 14FEB92; 17FEB92 Seen in ER for f/u pain; had muscle spasms, swelling, tingle;


Changed on 12/24/2020

VAERS ID: 40596 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:1991-10-26
Onset:0000-00-00
Submitted:1992-03-18
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Dermatitis exfoliative, Hypertonia, Oedema, Pain, Paraesthesia, Skin nodule, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Lido w/Epi NAHCO3
Current Illness: Lacreation
Preexisting Conditions: allergy ASA
Allergies:
Diagnostic Lab Data: Culture fluid-red cells, white cells, sterile;
CDC 'Split Type':

Write-up: 6FEB92 presented w/fluctuant area 1 cm in diameter on lateral aspect of deltoid; somewhat hemorrhagic; area anesthetized w/2% lido; Seen in ER for abscessed arms 14FEB92; 17FEB92 Seen in ER for f/u pain; had muscle spasms, swelling, tingle;


Changed on 12/30/2020

VAERS ID: 40596 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:1991-10-26
Onset:0000-00-00
Submitted:1992-03-18
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Dermatitis exfoliative, Hypertonia, Oedema, Pain, Paraesthesia, Skin nodule, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Lido w/Epi NAHCO3
Current Illness: Lacreation
Preexisting Conditions: allergy ASA
Allergies:
Diagnostic Lab Data: Culture fluid-red cells, white cells, sterile;
CDC 'Split Type':

Write-up: 6FEB92 presented w/fluctuant area 1 cm in diameter on lateral aspect of deltoid; somewhat hemorrhagic; area anesthetized w/2% lido; Seen in ER for abscessed arms 14FEB92; 17FEB92 Seen in ER for f/u pain; had muscle spasms, swelling, tingle;


Changed on 5/7/2021

VAERS ID: 40596 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:1991-10-26
Onset:0000-00-00
Submitted:1992-03-18
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Dermatitis exfoliative, Hypertonia, Oedema, Pain, Paraesthesia, Skin nodule, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Lido w/Epi NAHCO3
Current Illness: Lacreation
Preexisting Conditions: allergy ASA
Allergies:
Diagnostic Lab Data: Culture fluid-red cells, white cells, sterile;
CDC 'Split Type':

Write-up: 6FEB92 presented w/fluctuant area 1 cm in diameter on lateral aspect of deltoid; somewhat hemorrhagic; area anesthetized w/2% lido; Seen in ER for abscessed arms 14FEB92; 17FEB92 Seen in ER for f/u pain; had muscle spasms, swelling, tingle;


Changed on 5/21/2021

VAERS ID: 40596 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:California
Vaccinated:1991-10-26
Onset:0000-00-00
Submitted:1992-03-18
Entered:1992-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Abscess, Dermatitis exfoliative, Hypertonia, Oedema, Pain, Paraesthesia, Skin nodule, Haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Lido w/Epi NAHCO3
Current Illness: Lacreation
Preexisting Conditions: allergy ASA
Allergies:
Diagnostic Lab Data: Culture fluid-red cells, white cells, sterile;
CDC 'Split Type':

Write-up: 6FEB92 presented w/fluctuant area 1 cm in diameter on lateral aspect of deltoid; somewhat hemorrhagic; area anesthetized w/2% lido; Seen in ER for abscessed arms 14FEB92; 17FEB92 Seen in ER for f/u pain; had muscle spasms, swelling, tingle;

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