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From the 1/7/2022 release of VAERS data:

This is VAERS ID 85209

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Case Details

VAERS ID: 85209 (history)  
Form: Version 1.0  
Age: 52.0  
Sex: Male  
Location: Illinois  
Vaccinated:1995-09-19
Onset:1995-10-30
   Days after vaccination:41
Submitted: 1996-02-09
   Days after onset:102
Entered: 1996-03-25
   Days after submission:45
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Allergies:
Diagnostic Lab Data: HAV-6 = .662 30oct95 and .669 on 12jan96;
CDC Split Type: 960016551

Write-up: pt recv vax;pt found to be a nonresponder;


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