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From the 6/11/2021 release of VAERS data:

This is VAERS ID 76001



Case Details

VAERS ID: 76001 (history)  
Form: Version 1.0  
Age: 7.0  
Sex: Male  
Location: Virginia  
Vaccinated:1995-06-16
Onset:1995-06-22
   Days after vaccination:6
Submitted: 1995-07-14
   Days after onset:22
Entered: 1995-07-19
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0397B / 1 RA / -

Administered by: Private       Purchased by: Private
Symptoms: Cyst, Dermatitis bullous, Hypertonia, Muscle twitching, Nervousness, Pyrexia
SMQs:, Severe cutaneous adverse reactions (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Hypokalaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp fever @ 2mos w/pertussis dose 1~ ()~~~In patient
Other Medications: Rynatan pediatric susp
Current Illness: NONE
Preexisting Conditions: hx of asthma w/inj; enlarged tonsils w/prior sleep apnea
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: involuntary muscle contractions involving many muscle groups intermittently present following few days of restlessness p/inj & cont from day post inj to present time;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=76001


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