Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS||5RM39 / UNK||LL / IM|
|FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS||CJ554 / UNK||RL / IM|
|HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS||532H4 / UNK||RL / IM|
Administered by: Private Purchased by: ??
Symptoms: Crying, Injection site erythema, Injection site induration, Irritability, Skin reaction, Injection site swelling, Injection site discomfort
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Previous Vaccinations: DTAP-10/26/2020, 09/02/2020, 06/26/2020
Other Medications: None
Current Illness: Viral illness
Preexisting Conditions: None known
Allergies: None known
Diagnostic Lab Data: None currently ordered.
CDC 'Split Type':
Write-up: Patient developed local skin reaction of redness, swelling, induration, and discomfort at the injection site. Mom reports similar reaction in the past with worsening with subsequence injections. Mom reports that reaction started by 06:00 pm on the date of immunization and continued to worsen. Vaccination was given on 10/26/2021 and mom reports worsening until 10/28/2021. The redness, swelling, induration, and discomfort improved somewhat on 10/29/2021, but then patient became irritable and crying for unknown reason. Mom brought him into clinic to be assessed on 10/29/2021 due to vaccine reaction. She showed me images of redness and swelling of patient''s leg from prior days which was more red and swollen in the
Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166