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From the 10/8/2021 release of VAERS data:

This is VAERS ID 80481



Case Details

VAERS ID: 80481 (history)  
Form: Version 1.0  
Age: 38.0  
Sex: Male  
Location: Wisconsin  
Vaccinated:1995-04-04
Onset:1995-04-04
   Days after vaccination:0
Submitted: 1995-06-13
   Days after onset:70
Entered: 1995-06-23
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 420A6 / 1 LA / -

Administered by: Other       Purchased by: Private
Symptoms: Diarrhoea, Myalgia, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: 950031991

Write-up: pt recvd vax & 4hrs later exp aches in both shoulder, arms, legs, low grade fever, diarrhea;no treatment given pt feeling better by the next day 5APR95 & has gone back to work


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=80481

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