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

This is VAERS ID 81034

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Case Details

VAERS ID: 81034 (history)  
Form: Version 1.0  
Age: 22.0  
Sex: Female  
Location: California  
Vaccinated:1995-08-22
Onset:1995-08-23
   Days after vaccination:1
Submitted: 1995-09-07
   Days after onset:15
Entered: 1996-01-03
   Days after submission:118
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (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: ~ ()~~~In patient
Other Medications: oral contraceptives
Current Illness:
Preexisting Conditions: chronic bronchitis
Allergies:
Diagnostic Lab Data:
CDC Split Type: 950088121

Write-up: pt recvd vax; exp arthralgia, myalgia in legs;


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