National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 153914

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 153914
VAERS Form:
Age:61.0
Sex:Male
Location:Michigan
Vaccinated:2000-04-13
Onset:2000-05-13
Submitted:2000-05-30
Entered:2000-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX ADSORBED / MICHIGAN DPH FAV047 / 11 LA / SC

Administered by: Other      Purchased by: Unknown
Symptoms: ARTHRALGIA, ASTHENIA, EDEMA PERIPH, INFARCT MYOCARD

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-07
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: CBC, Chem 12, X-ray, EKG
CDC 'Split Type':

Write-up: On May 13, 2000, the pt developed swollen hands, forearms. Joints ached, shoulder sore, and very tired. Benadryl and pain medication was given. That did not help. Pt was then given Advil. As of 6/4/00 the pt still complained of fatigue, swelling and pain."On 7/7/00, the pt died; the presumed cause was an MI, however autopsy report is pending. Pt''s wife believes his death is related to Anthrax. The animals in the lab where the pt worked apparently all died the day before he died.


Changed on 12/30/2006

VAERS ID: 153914 Before After
VAERS Form:
Age:61.0
Sex:Male
Location:Michigan
Vaccinated:2000-04-13
Onset:2000-05-13
Submitted:2000-05-30
Entered:2000-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX ADSORBED / MICHIGAN DPH FAV047 / 11 LA / SC

Administered by: Other      Purchased by: Unknown
Symptoms: ARTHRALGIA, ASTHENIA, EDEMA PERIPH, INFARCT MYOCARD

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-07
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: CBC, Chem 12, X-ray, EKG
CDC 'Split Type':

Write-up: On May 13, 2000, the pt developed swollen hands, forearms. Joints ached, shoulder sore, and very tired. Benadryl and pain medication was given. That did not help. Pt was then given Advil. As of 6/4/00 the pt still complained of fatigue, swelling and pain."On 7/7/00, the pt died; the presumed cause was an MI, however autopsy report is pending. Pt''s Pt''''s wife believes his death is related to Anthrax. The animals in the lab where the pt worked apparently all died the day before he died.


Changed on 12/8/2009

VAERS ID: 153914 Before After
VAERS Form:
Age:61.0
Sex:Male
Location:Michigan
Vaccinated:2000-04-13 2000-04-06
Onset:2000-05-13
Submitted:2000-05-30
Entered:2000-06-15 2000-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX ADSORBED ANTHRAX (BIOTHRAX) / MICHIGAN DPH EMERGENT BIOSOLUTIONS FAV047 / 11 10 LA / SC -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Arteritis, Arthralgia, Death, Fatigue, Myocardial infarction, Oedema peripheral, Polyarteritis nodosa, Vasculitis, ARTHRALGIA, ASTHENIA, EDEMA PERIPH, INFARCT MYOCARD

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-07-07 0000-00-00
Permanent Disability? No
Recovered? No 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: CBC, Chem 12, X-ray, EKG chemistry, X-ray
CDC 'Split Type':

Write-up: Received injection in 2 stages. On May 13, 2000, the pt developed swollen 2000 hands, forearms. Joints forearms swollen, joints ached, shoulder sore, and very tired. Used Benadryl and pain medication also was given. given Cicsorex for pain. That did not help. Pt was then Was given Advil. Advil 800 mg. As of 6/4/00 the 6/4/2000 pt still complained of has fatigue, swelling and pain."On 7/7/00, the pt died; the presumed cause was an MI, however autopsy report is pending. Pt''''s wife believes his death is related to Anthrax. The animals in the lab where the pt worked apparently all died the day before he died. pain.


Changed on 9/14/2017

VAERS ID: 153914 Before After
VAERS Form:(blank) 1
Age:61.0
Sex:Male
Location:Michigan
Vaccinated:2000-04-06
Onset:2000-05-13
Submitted:2000-05-30
Entered:2000-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV047 / 10 7+ LA / -

Administered by: Other      Purchased by: Other
Symptoms: Arteritis, Arthralgia, Death, Fatigue, Myocardial infarction, Oedema peripheral, Polyarteritis nodosa, Vasculitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: CBC, chemistry, X-ray
CDC 'Split Type':

Write-up: Received injection in 2 stages. On May 13, 2000 hands, forearms swollen, joints ached, shoulder sore, very tired. Used Benadryl also was given Cicsorex for pain. That did not help. Was given Advil 800 mg. As of 6/4/2000 pt still has fatigue, swelling and pain.


Changed on 2/14/2018

VAERS ID: 153914 Before After
VAERS Form:1
Age:61.0
Sex:Male
Location:Michigan
Vaccinated:2000-04-06
Onset:2000-05-13
Submitted:2000-05-30
Entered:2000-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV047 / 7+ LA / -

Administered by: Other      Purchased by: Other
Symptoms: Arteritis, Arthralgia, Death, Fatigue, Myocardial infarction, Oedema peripheral, Polyarteritis nodosa, Vasculitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: CBC, chemistry, X-ray
CDC 'Split Type':

Write-up: Received injection in 2 stages. On May 13, 2000 hands, forearms swollen, joints ached, shoulder sore, very tired. Used Benadryl also was given Cicsorex for pain. That did not help. Was given Advil 800 mg. As of 6/4/2000 pt still has fatigue, swelling and pain.


Changed on 6/14/2018

VAERS ID: 153914 Before After
VAERS Form:1
Age:61.0
Sex:Male
Location:Michigan
Vaccinated:2000-04-06
Onset:2000-05-13
Submitted:2000-05-30
Entered:2000-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV047 / 7+ LA / -

Administered by: Other      Purchased by: Other
Symptoms: Arteritis, Arthralgia, Death, Fatigue, Myocardial infarction, Oedema peripheral, Polyarteritis nodosa, Vasculitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: CBC, chemistry, X-ray
CDC 'Split Type':

Write-up: Received injection in 2 stages. On May 13, 2000 hands, forearms swollen, joints ached, shoulder sore, very tired. Used Benadryl also was given Cicsorex for pain. That did not help. Was given Advil 800 mg. As of 6/4/2000 pt still has fatigue, swelling and pain.


Changed on 8/14/2018

VAERS ID: 153914 Before After
VAERS Form:1
Age:61.0
Sex:Male
Location:Michigan
Vaccinated:2000-04-06
Onset:2000-05-13
Submitted:2000-05-30
Entered:2000-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV047 / 7+ LA / -

Administered by: Other      Purchased by: Other
Symptoms: Arteritis, Arthralgia, Death, Fatigue, Myocardial infarction, Oedema peripheral, Polyarteritis nodosa, Vasculitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: CBC, chemistry, X-ray
CDC 'Split Type':

Write-up: Received injection in 2 stages. On May 13, 2000 hands, forearms swollen, joints ached, shoulder sore, very tired. Used Benadryl also was given Cicsorex for pain. That did not help. Was given Advil 800 mg. As of 6/4/2000 pt still has fatigue, swelling and pain.


Changed on 9/14/2018

VAERS ID: 153914 Before After
VAERS Form:1
Age:61.0
Sex:Male
Location:Michigan
Vaccinated:2000-04-06
Onset:2000-05-13
Submitted:2000-05-30
Entered:2000-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV047 / 7+ LA / -

Administered by: Other      Purchased by: Other
Symptoms: Arteritis, Arthralgia, Death, Fatigue, Myocardial infarction, Oedema peripheral, Polyarteritis nodosa, Vasculitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: CBC, chemistry, X-ray
CDC 'Split Type':

Write-up: Received injection in 2 stages. On May 13, 2000 hands, forearms swollen, joints ached, shoulder sore, very tired. Used Benadryl also was given Cicsorex for pain. That did not help. Was given Advil 800 mg. As of 6/4/2000 pt still has fatigue, swelling and pain.


Changed on 10/14/2018

VAERS ID: 153914 Before After
VAERS Form:1
Age:61.0
Sex:Male
Location:Michigan
Vaccinated:2000-04-06
Onset:2000-05-13
Submitted:2000-05-30
Entered:2000-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV047 / 7+ LA / -

Administered by: Other      Purchased by: Other
Symptoms: Arteritis, Arthralgia, Death, Fatigue, Myocardial infarction, Oedema peripheral, Polyarteritis nodosa, Vasculitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: CBC, chemistry, X-ray
CDC 'Split Type':

Write-up: Received injection in 2 stages. On May 13, 2000 hands, forearms swollen, joints ached, shoulder sore, very tired. Used Benadryl also was given Cicsorex for pain. That did not help. Was given Advil 800 mg. As of 6/4/2000 pt still has fatigue, swelling and pain.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=153914&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166