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This is VAERS ID 117106

Case Details

VAERS ID: 117106 (history)  
Form: Version 1.0  
Age: 23.0  
Gender: Male  
Location: Unknown  
Vaccinated:1998-11-19
Onset:1998-11-19
   Days after vaccination:0
Submitted: 1998-11-22
   Days after onset:3
Entered: 1998-12-07
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV030 / 2 AR / SC

Administered by: Military       Purchased by: Military
Symptoms: Angioneurotic oedema, Oedema
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (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, 1 days
   Extended hospital stay? No
Previous Vaccinations: pt exp mild lt jaw swelling w/dose 1 anthrax;~ ()~~0.00~Patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Developed mild, Lt jaw swelling after anthrax vacc #1, treated as dental infection. Developed marked (L) jaw swelling after anthrax vacc #2, treated an angioedema - observed overnight in ward & treated w/antihistamines/parenteral steroids.


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