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

This is VAERS ID 81053

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Case Details

VAERS ID: 81053 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:1995-03-28
Onset:1995-03-28
   Days after vaccination:0
Submitted: 1995-10-11
   Days after onset:196
Entered: 1996-01-03
   Days after submission:84
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / IM A

Administered by: Private       Purchased by: Other
Symptoms: Pain, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), 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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: larger woman;
Allergies:
Diagnostic Lab Data:
CDC Split Type: 950104421

Write-up: pt recvd vax; exp sore arm, tender to touch & red welt size of baseball;


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