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This is VAERS ID 116058

Case Details

VAERS ID: 116058 (history)  
Form: Version 1.0  
Age: 53.0  
Gender: Female  
Location: Unknown  
Vaccinated:1998-10-07
Onset:1998-10-08
   Days after vaccination:1
Submitted: 1998-10-13
   Days after onset:5
Entered: 1998-11-09
   Days after submission:27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV017 / 2 LA / SC

Administered by: Military       Purchased by: Military
Symptoms: Cellulitis, Hypersensitivity, Hypokinesia, Injection site hypersensitivity, Injection site oedema, Oedema peripheral, Pyrexia, Vasodilatation
SMQs:, Cardiac failure (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: T100.6 on admission;98-98.8 on d/c;
CDC Split Type:

Write-up: pt adm to hosp via ER w/erythematous, swelling in the inj site which worsened & swelling grew all the way down to lt hand 1 day p/vax;local erythematous, swelling & pain @ inj site;warmth;limitation of motion;poss hypersensitivity rxn;


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