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This is VAERS ID 585911

History of Changes from the VAERS Wayback Machine

First Appeared on 9/14/2015

VAERS ID: 585911
VAERS Form:
Age:32.0
Gender:Female
Location:Vermont
Vaccinated:2015-07-10
Onset:2015-07-11
Submitted:2015-07-15
Entered:2015-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C4765AA / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Cough, Injection site induration, Injection site pain, Pain in jaw, Tenderness, Musculoskeletal discomfort, Injected limb mobility decreased, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins; Pepcid AC
Current Illness: None; 33 wks pregnant
Preexisting Conditions: Allergies to latex, Tylenol, epinephrine, amoxicillin.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt described an increasing soreness at injection site which advanced to not being able to move arm by the end of the day 7/11. By 7/12 pt states the discomfort started moving up her neck to her jaw. Jaw very sore to touch and when she bent forward the pressure was extremely painful. All joints began to become painful, difficulty making a fist with her hands, ankles, knees sore. Persistent dry cough developed. No fever. Injection site with large area of induration but no advancing erythema. Went to see PCP who recommended OTC antihistamine.


Changed on 9/14/2017

VAERS ID: 585911 Before After
VAERS Form:(blank) 1
Age:32.0
Gender:Female
Location:Vermont
Vaccinated:2015-07-10
Onset:2015-07-11
Submitted:2015-07-15
Entered:2015-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C4765AA / 1 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Cough, Injection site induration, Injection site pain, Pain in jaw, Tenderness, Musculoskeletal discomfort, Injected limb mobility decreased, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins; Pepcid AC
Current Illness: None; 33 wks pregnant
Preexisting Conditions: Allergies to latex, Tylenol, epinephrine, amoxicillin.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt described an increasing soreness at injection site which advanced to not being able to move arm by the end of the day 7/11. By 7/12 pt states the discomfort started moving up her neck to her jaw. Jaw very sore to touch and when she bent forward the pressure was extremely painful. All joints began to become painful, difficulty making a fist with her hands, ankles, knees sore. Persistent dry cough developed. No fever. Injection site with large area of induration but no advancing erythema. Went to see PCP who recommended OTC antihistamine.


Changed on 2/14/2018

VAERS ID: 585911 Before After
VAERS Form:1
Age:32.0
Gender:Female
Location:Vermont
Vaccinated:2015-07-10
Onset:2015-07-11
Submitted:2015-07-15
Entered:2015-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C4765AA / 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Cough, Injection site induration, Injection site pain, Pain in jaw, Tenderness, Musculoskeletal discomfort, Injected limb mobility decreased, Exposure during pregnancy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamins; Pepcid AC
Current Illness: None; 33 wks pregnant
Preexisting Conditions: Allergies to latex, Tylenol, epinephrine, amoxicillin.
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt described an increasing soreness at injection site which advanced to not being able to move arm by the end of the day 7/11. By 7/12 pt states the discomfort started moving up her neck to her jaw. Jaw very sore to touch and when she bent forward the pressure was extremely painful. All joints began to become painful, difficulty making a fist with her hands, ankles, knees sore. Persistent dry cough developed. No fever. Injection site with large area of induration but no advancing erythema. Went to see PCP who recommended OTC antihistamine.


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