VAERS ID: 25008

AGE: 75| SEX: F|STATE: KY (United States)

Description

Pt developed an inject site rxn. Aea was erthematous, hard & warm to touch several days /p immunization, treated w/ Benadryl.

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Symptoms

Injection site reaction, Injection site inflammation

Vaccines

VAX DATE: 07-05-1989| ONSET DATE: | DAYS TO ONSET:
NameDose #TypeManufacturerLotRouteSite
TD ADSORBED (NO BRAND NAME) Unknown TD LEDERLE LABORATORIES 199602 IM Unknown

RECVDATE:07-02-1990
RPT_DATE:
CAGE_YR:75
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:~ ()~~~In patient
SPLTTYPE:8901590.01
FORM_VERS:
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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