VAERS ID: 25017

AGE: 35| SEX: F|STATE: CO (United States)

Description

pt deveolped cellulitis at injection site within 48 hrs p/ immun., mass was not drained or cultured, however is was fluctuant, seen in ER treated w/ with Cirpo & warm compresses, returned to ER for pain, asymptomatic on 4th day.

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Symptoms

Injection site reaction, Cellulitis

Vaccines

VAX DATE: 07-19-1989| ONSET DATE: 07-21-1989| DAYS TO ONSET: 2
NameDose #TypeManufacturerLotRouteSite
TD ADSORBED (NO BRAND NAME) 0 TD LEDERLE LABORATORIES 241916 IM

RECVDATE:07-02-1990
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:~ ()~~~In patient
SPLTTYPE:8901682.01
FORM_VERS:
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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