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From the 6/11/2021 release of VAERS data:

This is VAERS ID 83685



Case Details

VAERS ID: 83685 (history)  
Form: Version 1.0  
Age: 33.0  
Sex: Female  
Location: New Jersey  
Vaccinated:1995-12-22
Onset:1996-01-09
   Days after vaccination:18
Submitted: 1996-02-23
   Days after onset:45
Entered: 1996-03-15
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0750B / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chills, Dermatitis bullous, Pruritus, Pyrexia, Rash maculo-papular
SMQs:, Severe cutaneous adverse reactions (narrow), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NA
Allergies:
Diagnostic Lab Data: 18JAN96 varicella zoster AB IgM 2560 (reference range <20); 18JAN96 varicella AB IgG 0.18 (reference range 0.15-0.28 low positive)
CDC Split Type:

Write-up: pt devel fever,chills,& gen pruritic,maculopapular vesicular rash (15-20 lesions) 2 1/2 wk p/1 dose of vax given;


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=83685


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