The following is all the information available on report# VAERS_ID: 754932
Vaccine(s) were received on 10/10/2016
Vaccine(s) were received in the state: TX
At the time of vaccination, patient was : 43 of age
Patient sex : F
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: U
Patient eventually died?: N
Joint range of motion decreased
Pain in extremity
Pyrexia
Vaccine(s) were received in the state: TX
At the time of vaccination, patient was : 43 of age
Patient sex : F
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: U
Patient eventually died?: N
The following Data for this patients ALLERGIES is available: [Adhesive tape and CIPRO medication ]
Description of adverse reaction: Severe left arm pain, numbness and immobility that began 24 hours after incident. Patient also experienced fevers.
Vaccine(s) associated with report# 754932
| Type | Name | Manufacturer | Vaccine LOT # | Dose Series | ROUTE | Site |
|---|---|---|---|---|---|---|
| TDAP | TDAP (ADACEL) | SANOFI PASTEUR | U576AA | 1 | IM | LA |
Symptoms(s) associated with report# 754932
HypoaesthesiaJoint range of motion decreased
Pain in extremity
Pyrexia