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This is VAERS ID 25067

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25067
VAERS Form:
Age:
Sex:Unknown
Location:Wisconsin
Vaccinated:1989-11-15
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED, ADULTS / WYETH 4898038 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: CELLULITIS, EDEMA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: CLL (sic)
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Pt experienced extreme edema & was hospitalized following adm. of Td vaccine. Condition was described as cellulitis of the lt arm. the pt fully recovered /p treatment /w antibiotics.


Changed on 12/8/2009

VAERS ID: 25067 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Wisconsin
Vaccinated:1989-11-15
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-12 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED, ADULTS TD ADSORBED (NO BRAND NAME) / WYETH WYETH PHARMACEUTICALS, INC 4898038 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Oedema, CELLULITIS, EDEMA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: CLL (sic)
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': (blank) B034189159

Write-up: Pt experienced extreme edema & was hospitalized following adm. of Td vaccine. Condition was described as cellulitis of the lt arm. the pt fully recovered /p treatment /w antibiotics.


Changed on 8/31/2010

VAERS ID: 25067 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Wisconsin
Vaccinated:1989-11-15
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4898038 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: CLL (sic)
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': B034189159

Write-up: Pt experienced extreme edema & was hospitalized following adm. of Td vaccine. Condition was described as cellulitis of the lt arm. the pt fully recovered /p treatment /w antibiotics.


Changed on 5/14/2017

VAERS ID: 25067 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Wisconsin
Vaccinated:1989-11-15
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4898038 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: CLL (sic)
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': B034189159

Write-up: Pt experienced extreme edema & was hospitalized following adm. of Td vaccine. Condition was described as cellulitis of the lt arm. the pt fully recovered /p treatment /w antibiotics.


Changed on 9/14/2017

VAERS ID: 25067 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:Wisconsin
Vaccinated:1989-11-15
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4898038 / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: CLL (sic)
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': B034189159

Write-up: Pt experienced extreme edema & was hospitalized following adm. of Td vaccine. Condition was described as cellulitis of the lt arm. the pt fully recovered /p treatment /w antibiotics.


Changed on 2/14/2018

VAERS ID: 25067 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Wisconsin
Vaccinated:1989-11-15
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4898038 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: CLL (sic)
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': B034189159

Write-up: Pt experienced extreme edema & was hospitalized following adm. of Td vaccine. Condition was described as cellulitis of the lt arm. the pt fully recovered /p treatment /w antibiotics.


Changed on 6/14/2018

VAERS ID: 25067 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Wisconsin
Vaccinated:1989-11-15
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4898038 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: CLL (sic)
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': B034189159

Write-up: Pt experienced extreme edema & was hospitalized following adm. of Td vaccine. Condition was described as cellulitis of the lt arm. the pt fully recovered /p treatment /w antibiotics.


Changed on 8/14/2018

VAERS ID: 25067 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Wisconsin
Vaccinated:1989-11-15
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4898038 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: CLL (sic)
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': B034189159

Write-up: Pt experienced extreme edema & was hospitalized following adm. of Td vaccine. Condition was described as cellulitis of the lt arm. the pt fully recovered /p treatment /w antibiotics.


Changed on 9/14/2018

VAERS ID: 25067 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Wisconsin
Vaccinated:1989-11-15
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4898038 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: CLL (sic)
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': B034189159

Write-up: Pt experienced extreme edema & was hospitalized following adm. of Td vaccine. Condition was described as cellulitis of the lt arm. the pt fully recovered /p treatment /w antibiotics.


Changed on 10/14/2018

VAERS ID: 25067 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Wisconsin
Vaccinated:1989-11-15
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4898038 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Oedema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: CLL (sic)
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': B034189159

Write-up: Pt experienced extreme edema & was hospitalized following adm. of Td vaccine. Condition was described as cellulitis of the lt arm. the pt fully recovered /p treatment /w antibiotics.

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