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

This is VAERS ID 81037

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Case Details

VAERS ID: 81037 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Female  
Location: Illinois  
Submitted: 1995-09-11
Entered: 1996-01-03
   Days after submission:114
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Infection, Lymphocytosis, Oedema, Pharyngitis
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Angioedema (broad), Oropharyngeal infections (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: lymph inc;
CDC Split Type: 950088821

Write-up: pt recvd vax; 5- 7 days later had a pos test for infectious mononucleosis & a swollen neck; sore throat;

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