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

This is VAERS ID 77317



Case Details

VAERS ID: 77317 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Female  
Location: Florida  
Vaccinated:1995-08-09
Onset:1995-08-09
   Days after vaccination:0
Submitted: 1995-08-30
   Days after onset:21
Entered: 1995-09-12
   Days after submission:13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 378907 / 1 - / IM L
HIBV: HIB (HIBTITER) / PFIZER/WYETH A7D05LK / 1 - / IM L
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0400B / 1 - / SC L

Administered by: Private       Purchased by: Private
Symptoms: Anorexia, Brain oedema, Delirium, Gait disturbance, Hemiplegia, Hypertonia, Hypokinesia, Pyrexia
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (narrow), Anticholinergic syndrome (broad), Dementia (broad), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Hyponatraemia/SIADH (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: mild diarrhea
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: abn MRI-edema of lt basal ganglia
CDC Split Type: WAES95090139

Write-up: t101; rt hemiparesis


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