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From the 10/15/2021 release of VAERS data:

This is VAERS ID 74130



Case Details

VAERS ID: 74130 (history)  
Form: Version 1.0  
Age: 30.0  
Sex: Female  
Location: New York  
Vaccinated:1995-03-31
Onset:1995-04-03
   Days after vaccination:3
Submitted: 1995-05-10
   Days after onset:37
Entered: 1995-05-17
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 420A6 / 1 LA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 378959 / UNK MO / PO
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 4948083 / UNK RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Osteoarthritis, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Arthritis (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: s/p lyme disease-summer 1994
Allergies:
Diagnostic Lab Data: unk
CDC Split Type:

Write-up: pt recv vax 31MAR95 & 3APR95 devel pruritis; 4APR95 devel hives on abd, lower back & legs; joints in toes on lt foot swelled; seen by MD given Pred;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=74130

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