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This is VAERS ID 658798

History of Changes from the VAERS Wayback Machine

First Appeared on 10/14/2016

VAERS ID: 658798
VAERS Form:
Age:52.0
Gender:Female
Location:Vermont
Vaccinated:2016-07-25
Onset:2016-08-04
Submitted:2016-10-12
Entered:2016-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 9GE5D / - LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Hypoaesthesia, Myelitis transverse, Nasopharyngitis, Paraesthesia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Initially felt cold-like symptoms. Mild reaction. Then, peripheral numbness and tingling began on or around 8/22/2016. Developed into transverse myelitis affecting lower extremities, upper extremities and thorax. Was seen at hospital.


Changed on 9/14/2017

VAERS ID: 658798 Before After
VAERS Form:(blank) 1
Age:52.0
Gender:Female
Location:Vermont
Vaccinated:2016-07-25
Onset:2016-08-04
Submitted:2016-10-12
Entered:2016-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 9GE5D / - UNK LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Hypoaesthesia, Myelitis transverse, Nasopharyngitis, Paraesthesia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Initially felt cold-like symptoms. Mild reaction. Then, peripheral numbness and tingling began on or around 8/22/2016. Developed into transverse myelitis affecting lower extremities, upper extremities and thorax. Was seen at hospital.


Changed on 2/14/2018

VAERS ID: 658798 Before After
VAERS Form:1
Age:52.0
Gender:Female
Location:Vermont
Vaccinated:2016-07-25
Onset:2016-08-04
Submitted:2016-10-12
Entered:2016-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS 9GE5D / UNK LA / IM

Administered by: Unknown      Purchased by: Other
Symptoms: Hypoaesthesia, Myelitis transverse, Nasopharyngitis, Paraesthesia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Initially felt cold-like symptoms. Mild reaction. Then, peripheral numbness and tingling began on or around 8/22/2016. Developed into transverse myelitis affecting lower extremities, upper extremities and thorax. Was seen at hospital.


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http://medalerts.org/vaersdb/findfield.php?IDNUMBER=658798&WAYBACKHISTORY=ON


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