National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 12/31/2003 release of VAERS data (an older release, current is 10/8/2021):

This is VAERS ID 94664



Case Details

VAERS ID: 94664 (history)  
Form: Version .0  
Age: 40.8  
Sex: Unknown  
Location: New Jersey  
Vaccinated:1996-11-18
Onset:1996-11-20
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 1997-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: ALLERG REACT, LYMPHANGITIS, RASH
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CBC, SMAC, LFT''s all nl;
CDC Split Type:

Write-up: pt recv vax 18NOV96 & 20NOV pt devel ipsilateral lymphangitis lasting 2 days;this was followed by an allergic rash which has been steroid resistant;


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=94664

Government Disclaimer on use of this data


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166