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This is VAERS ID 597871

(NOTE: This result is from the 1/14/2016 version of the VAERS database)

Case Details

VAERS ID: 597871 (history)  
Form: Version .0  
Sex: Unknown  
Location: Unknown  
Submitted: 2015-08-13
Entered: 2015-09-21
   Days after submission:39
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Erythema, Peripheral swelling
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Unknown
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: 2015247004

Write-up: This is a spontaneous report from a contactable reporter who reported for 4 patients via a sales representative. This is 4th of the 4th report. A patient of unspecified age ethnicity and gender received TRUMENBA, via an unspecified route of administration at single dose on an unspecified date. The patient medical history and concomitant medications were not reported. The patient experienced red swollen arm on an unspecified ate with outcome of unknown.

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