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

This is VAERS ID 1836920

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Case Details

VAERS ID: 1836920 (history)  
Form: Version 2.0  
Age: 1.58  
Sex: Male  
Location: South Carolina  
Vaccinated:2021-11-01
Onset:2021-11-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS - / UNK RL / SYR
FLU4: INFLUENZA (SEASONAL) (AFLURIA QUADRIVALENT) / SEQIRUS, INC. - / UNK LL / SYR

Administered by: Private       Purchased by: ?
Symptoms: Chills, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: High fever following other DTAP doses
Other Medications: N/A
Current Illness: cold
Preexisting Conditions:
Allergies: N/A
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever and chills, with a temp reaching 104 degrees by midnight. Injection site on right leg is very swollen, red, sore to the touch. Needed 2 doses of ibuprofen to bring temp down to 100


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