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From the 6/14/2018 release of VAERS data (an older release, current is 11/19/2021):

This is VAERS ID 617826

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Case Details

VAERS ID: 617826 (history)  
Form: Version 1.0  
Age: 11.0  
Sex: Male  
Location: Florida  
Vaccinated:2016-01-05
Onset:2016-01-06
   Days after vaccination:1
Submitted: 2016-01-07
   Days after onset:1
Entered: 2016-01-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUARIX) / GLAXOSMITHKLINE BIOLOGICALS A5L77 / 7+ OT / IM
MENB: MENINGOCOCCAL B (BEXSERO) / NOVARTIS VACCINES AND DIAGNOSTICS 148901A / 1 OT / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS A15065 / 1 OT / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR U5267AA / 1 OT / IM

Administered by: Public       Purchased by: Public
Symptoms: Injection site cellulitis
SMQs:

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:
Other Medications:
Current Illness: NONE
Preexisting Conditions: Scoliosis deformity of spine
Allergies:
Diagnostic Lab Data: Cellulitis
CDC Split Type:

Write-up: Cellulitis on injection sites. Treatment of diphenhydramine 12.5 mg/5 mL was started on 1/7/16 for 10 days.


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