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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1833430

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Case Details

VAERS ID: 1833430 (history)  
Form: Version 2.0  
Age: 3.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-10-28
Onset:2021-10-30
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C5774AA / 3 RL / IM
FLU4: INFLUENZA (SEASONAL) (FLULAVAL QUADRIVALENT) / GLAXOSMITHKLINE BIOLOGICALS 3477H / 2 LL / IM

Administered by: Private       Purchased by: ?
Symptoms: Injection site erythema, Injection site oedema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Mild cough
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient given influenza vaccine and 2 days later, parent reported had raised red edematous area to injection site


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