| VAERS_ID |
0610831 |
| RECVDATE |
2015-11-19 |
| STATE |
CA |
| AGE_YRS |
42 |
| CAGE_YR |
42 |
| CAGE_MO |
|
| SEX |
F |
| RPT_DATE |
2015-11-19 |
| SYMPTOM_TEXT |
PT STATES HAD PAIN RIGHT AWAY X2 DAYS . FOLLOWED BY RASH & ITCHING STARTING SUNDAY 11/15/15 UNTIL PRESENT DAY. |
| DIED |
|
| DATEDIED |
|
| L_THREAT |
|
| ER_VISIT |
Y |
| HOSPITAL |
|
| HOSPDAYS |
|
| X_STAY |
|
| DISABLE |
|
| RECOVD |
U |
| VAX_DATE |
2015-11-12 |
| ONSET_DATE |
2015-11-12 |
| NUMDAYS |
0 |
| LAB_DATA |
PT WAS EVALUATED TODAY 11/19/15 BY DR. RX WAS GIVEN FOR BENADRYL AND PT WAS ADVISED ON COMFORT MEASURES AND TO FOLLOW UP AS NEEDED IF NOT IMPROVING OR GETTING WORSE. |
| V_ADMINBY |
UNK |
| V_FUNDBY |
PVT |
| OTHER_MEDS |
LISINOPRIL 25MG PO QD, HCTZ 25MG 1POQD |
| CUR_ILL |
NO |
| HISTORY |
DIABETES AND HYPERTENTION |
| PRIOR_VAX |
|
| SPLTTYPE |
|
| FORM_VERS |
1 |
| TODAYS_DATE |
|
| BIRTH_DEFECT |
|
| OFC_VISIT |
|
| ER_ED_VISIT |
|
| ALLERGIES |
|
| SYMPTOMS |
|