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

This is VAERS ID 83782

Case Details

VAERS ID: 83782 (history)  
Form: Version 1.0  
Age: 1.7  
Sex: Male  
Location: Rhode Island  
   Days after vaccination:7
Submitted: 1996-03-17
   Days after onset:226
Entered: 1996-03-20
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Coordination abnormal, Crying, Gaze palsy, Hypertonia, Injury, Pain, Photophobia, Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (narrow), Accidents and injuries (narrow), Hostility/aggression (broad), Glaucoma (broad), Corneal disorders (broad), Retinal disorders (broad), Depression (excl suicide and self injury) (broad), Ocular motility disorders (narrow), Hypoglycaemia (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Birth Defect; pt born with one of his kidneys 100% non-functional
Diagnostic Lab Data:
CDC Split Type:

Write-up: whimpering, hands to head & screaming, eyes roll back & glazed;falling down @ times robotic movements, sensitive to light; duration of sx varied from 1 min. to 1 hr.;

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