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

This is VAERS ID 81061

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Case Details

VAERS ID: 81061 (history)  
Form: Version 1.0  
Age: 49.0  
Sex: Female  
Location: Florida  
Vaccinated:1995-10-23
Onset:1995-10-23
   Days after vaccination:0
Submitted: 1995-11-01
   Days after onset:9
Entered: 1996-01-03
   Days after submission:63
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private       Purchased by: Other
Symptoms: Headache, Hypertonia, Nausea, Palpitations
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypokalaemia (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: synthroid
Current Illness:
Preexisting Conditions: thyroid condition;
Allergies:
Diagnostic Lab Data:
CDC Split Type: 950115331

Write-up: pt recvd vax;devel frontal ha followed by n;exp violent muscle spasms of arms & legs;palpitations to er;2 hrs later felt better;


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