VAERS ID: 738933

AGE: 22| SEX: M|STATE: AK (United States)

Description

Patient appears to be having a mild generalized vaccinia reaction with a few papule rashes throughout his body that are mildly pruritic.

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Symptoms

Generalised vaccinia, Rash generalised, Rash papular, Rash pruritic

Vaccines

VAX DATE: 02-15-2018| ONSET DATE: 02-24-2018| DAYS TO ONSET: 9
NameDose #TypeManufacturerLotRouteSite
SMALLPOX (ACAM2000) Unknown SMALL SANOFI PASTEUR VV03019C OT LA

RECVDATE:02-26-2018
RPT_DATE:
CAGE_YR:22
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:MIL
OTHER_MEDS:None
CUR_ILL:None
HISTORY:None
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:02-26-2018
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:None
V_FUNDBY:

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