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This is VAERS ID 676288

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2017

VAERS ID: 676288
VAERS Form:
Age:28.0
Gender:Female
Location:Vermont
Vaccinated:2016-12-16
Onset:2016-12-18
Submitted:2017-01-02
Entered:2017-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED WT54006 / - LA / IM

Administered by: Other      Purchased by: Private
Symptoms: Pruritus, Rash generalised

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient got flu shot on 12/16/16, 48 hours later she started feeling itchy, 60hrs later shot developed rash all over (not at site of injection). Went to clinic, started Rx for Prednisone on 12/22/16. Completed Prednisone on 12/28/16, still symptomatic. Also taking BENADRYL.


Changed on 9/14/2017

VAERS ID: 676288 Before After
VAERS Form:(blank) 1
Age:28.0
Gender:Female
Location:Vermont
Vaccinated:2016-12-16
Onset:2016-12-18
Submitted:2017-01-02
Entered:2017-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED WT54006 / - UNK LA / IM

Administered by: Other      Purchased by: Private
Symptoms: Pruritus, Rash generalised

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient got flu shot on 12/16/16, 48 hours later she started feeling itchy, 60hrs later shot developed rash all over (not at site of injection). Went to clinic, started Rx for Prednisone on 12/22/16. Completed Prednisone on 12/28/16, still symptomatic. Also taking BENADRYL.


Changed on 2/14/2018

VAERS ID: 676288 Before After
VAERS Form:1
Age:28.0
Gender:Female
Location:Vermont
Vaccinated:2016-12-16
Onset:2016-12-18
Submitted:2017-01-02
Entered:2017-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (AFLURIA) / CSL LIMITED WT54006 / UNK LA / IM

Administered by: Other      Purchased by: Private
Symptoms: Pruritus, Rash generalised

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient got flu shot on 12/16/16, 48 hours later she started feeling itchy, 60hrs later shot developed rash all over (not at site of injection). Went to clinic, started Rx for Prednisone on 12/22/16. Completed Prednisone on 12/28/16, still symptomatic. Also taking BENADRYL.


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http://medalerts.org/vaersdb/findfield.php?IDNUMBER=676288&WAYBACKHISTORY=ON


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