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

This is VAERS ID 81039

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Case Details

VAERS ID: 81039 (history)  
Form: Version 1.0  
Age: 26.0  
Sex: Female  
Location: California  
Vaccinated:1995-09-05
Onset:1995-09-05
   Days after vaccination:0
Submitted: 1995-10-30
   Days after onset:55
Entered: 1996-01-03
   Days after submission:65
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 1 - / IM A
YF: YELLOW FEVER (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: Headache, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 950090681

Write-up: pt recvd vax; later in eve, exp severe HA, fatigue & inject site soreness in arm;apap given; 3 days later recovered


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