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From the 10/15/2021 release of VAERS data:

This is VAERS ID 80480



Case Details

VAERS ID: 80480 (history)  
Form: Version 1.0  
Age: 11.0  
Sex: Female  
Location: Connecticut  
Vaccinated:1995-03-31
Onset:1995-03-31
   Days after vaccination:0
Submitted: 1995-06-13
   Days after onset:73
Entered: 1995-06-23
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Other       Purchased by: Other
Symptoms: Vomiting
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: ulcer disease
Allergies:
Diagnostic Lab Data:
CDC Split Type: 950030961

Write-up: pt recvd vax & w/in 6hrs exp one episode of vomiting;


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=80480

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