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From the 11/26/2021 release of VAERS data:

This is VAERS ID 80357

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Case Details

VAERS ID: 80357 (history)  
Form: Version 1.0  
Age: 72.0  
Sex: Female  
Location: Florida  
Vaccinated:1995-11-13
Onset:1995-11-13
   Days after vaccination:0
Submitted: 1995-11-27
   Days after onset:14
Entered: 1995-12-27
   Days after submission:30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA460A6 / 1 RA / IM
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4958185 / 2 LA / -

Administered by: Public       Purchased by: Unknown
Symptoms: Ecchymosis, Myalgia, Oedema peripheral, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: rx 20yrs ago lymphosarroma, allergies to PCN, eggs, cats, doxycycline, milk, & iodine
Allergies:
Diagnostic Lab Data:
CDC Split Type: FL95091

Write-up: 13NOV95 pt devel 2" swelling in rt delt-IM w/in 1 min of vax;pt didn''t know of having prev rxn to any components of vax;pt advised to put ice on it&go to ER if diff breathing;27NOV95 pt concerned w/yellow circle w/4 10" purple specks


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