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From the 12/31/2003 release of VAERS data (an older release, current is 9/17/2021):

This is VAERS ID 40817



Case Details

VAERS ID: 40817 (history)  
Form: Version .0  
Age: 0.5  
Sex: Female  
Location: Ohio  
Vaccinated:1992-03-13
Onset:1992-03-21
   Days after vaccination:8
Submitted: 1992-03-25
   Days after onset:4
Entered: 1992-04-03
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 312935 / 2 LL / IM
HEP: HEPTAVAX / MSD 1955T / 0 RL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M660HH / 2 RL / IM

Administered by: Private       Purchased by: Unknown
Symptoms: EDEMA INJECT SITE
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Had DTP lt thigh 13MAR; noticed swelling of leg on 21MAR; no edema, erythema, tenderness; no evidence of swelling on 25MAR92;


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=40817


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