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This is VAERS ID 116058

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 116058
VAERS Form:
Age:53.9
Gender:Female
Location:Unknown
Vaccinated:1998-10-07
Onset:1998-10-08
Submitted:1998-10-13
Entered:1998-11-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX ADSORBED / MICHIGAN DPH FAV017 / 1 LA / SC

Administered by: Military      Purchased by: Unknown
Symptoms: EDEMA INJECT SITE, FEVER, CELLULITIS, ALLERG REACT, EDEMA PERIPH

Life Threatening? No
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: 3     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;


Changed on 12/8/2009

VAERS ID: 116058 Before After
VAERS Form:
Age:53.9 53.0
Gender:Female
Location:Unknown
Vaccinated:1998-10-07
Onset:1998-10-08
Submitted:1998-10-13
Entered:1998-11-11 1998-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX ADSORBED ANTHRAX (NO BRAND NAME) / MICHIGAN DPH MICHIGAN DEPT PUB HLTH FAV017 / 1 LA / SC

Administered by: Military Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Hypersensitivity, Hypokinesia, Injection site hypersensitivity, Injection site oedema, Oedema peripheral, Pyrexia, Vasodilatation, EDEMA INJECT SITE, FEVER, CELLULITIS, ALLERG REACT, EDEMA PERIPH

Life Threatening? No
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: 3     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;


Changed on 3/14/2017

VAERS ID: 116058 Before After
VAERS Form:
Age:53.0
Gender:Female
Location:Unknown
Vaccinated:1998-10-07
Onset:1998-10-08
Submitted:1998-10-13
Entered:1998-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV017 / 1 LA / SC

Administered by: Unknown Military      Purchased by: Unknown Military
Symptoms: Cellulitis, Hypersensitivity, Hypokinesia, Injection site hypersensitivity, Injection site oedema, Oedema peripheral, Pyrexia, Vasodilatation

Life Threatening? No
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: 3     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;


Changed on 9/14/2017

VAERS ID: 116058 Before After
VAERS Form:(blank) 1
Age:53.0
Gender:Female
Location:Unknown
Vaccinated:1998-10-07
Onset:1998-10-08
Submitted:1998-10-13
Entered:1998-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV017 / 1 2 LA / SC

Administered by: Military      Purchased by: Military
Symptoms: Cellulitis, Hypersensitivity, Hypokinesia, Injection site hypersensitivity, Injection site oedema, Oedema peripheral, Pyrexia, Vasodilatation

Life Threatening? No
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: 3     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;


Changed on 2/14/2018

VAERS ID: 116058 Before After
VAERS Form:1
Age:53.0
Gender:Female
Location:Unknown
Vaccinated:1998-10-07
Onset:1998-10-08
Submitted:1998-10-13
Entered:1998-11-09
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

Life Threatening? No
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: 3     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;


Changed on 6/14/2018

VAERS ID: 116058 Before After
VAERS Form:1
Age:53.0
Gender:Female
Location:Unknown
Vaccinated:1998-10-07
Onset:1998-10-08
Submitted:1998-10-13
Entered:1998-11-09
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

Life Threatening? No
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: 3     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;


Changed on 8/14/2018

VAERS ID: 116058 Before After
VAERS Form:1
Age:53.0
Gender:Female
Location:Unknown
Vaccinated:1998-10-07
Onset:1998-10-08
Submitted:1998-10-13
Entered:1998-11-09
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

Life Threatening? No
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: 3     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;


Changed on 9/14/2018

VAERS ID: 116058 Before After
VAERS Form:1
Age:53.0
Gender:Female
Location:Unknown
Vaccinated:1998-10-07
Onset:1998-10-08
Submitted:1998-10-13
Entered:1998-11-09
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

Life Threatening? No
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: 3     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;


Changed on 10/14/2018

VAERS ID: 116058 Before After
VAERS Form:1
Age:53.0
Gender:Female
Location:Unknown
Vaccinated:1998-10-07
Onset:1998-10-08
Submitted:1998-10-13
Entered:1998-11-09
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

Life Threatening? No
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: 3     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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