National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 116125

Case Details

VAERS ID: 116125 (history)  
Form: Version 1.0  
Age: 24.0  
Sex: Male  
Location: Unknown  
Vaccinated:1998-10-16
Onset:1998-10-17
   Days after vaccination:1
Submitted: 1998-10-21
   Days after onset:4
Entered: 1998-11-10
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV017 / 3 LA / SC
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4988247 / UNK UN / IM

Administered by: Other       Purchased by: Military
Symptoms: Injection site hypersensitivity, Injection site oedema, Injection site pain, Vasodilatation
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

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, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recv vax & exp large swelling from the site of inj down to mid forearm;redness from site of inj down to the elbow;pt given med;pt was adm to hosp on 20OCT98;inj site erythema, 1-5cm diameter mild tenderness w/in24hr;


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=116125


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166