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

This is VAERS ID 103068

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Case Details

VAERS ID: 103068 (history)  
Form: Version 1.0  
Age: 22.0  
Sex: Male  
Location: South Dakota  
Vaccinated:1997-09-13
Onset:1997-09-13
   Days after vaccination:0
Submitted: 1997-09-24
   Days after onset:11
Entered: 1997-10-10
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA497A6 / 2 - / IM A
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4968118 / 2 - / IM A

Administered by: Military       Purchased by: Military
Symptoms: Chills, Dyspnoea, Headache, Hypertension, Hypotension, Hypothermia, Tachycardia, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Accidents and injuries (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Dehydration (broad), Hypokalaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: ND9721

Write-up: pt c/o chills, shakes, h/a;BP 130/80;10:40 BP 130/80, t93.6, P104;external warming was started @ this point;pt c/o diff breathing @ 11:00 02 was begun, IV (LP) started;BP dropped to 90/60,P100 & T99;c/o nausea & started to vomit;to ER


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