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

This is VAERS ID 103150

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Case Details

VAERS ID: 103150 (history)  
Form: Version 1.0  
Age: 65.0  
Sex: Male  
Location: California  
Vaccinated:1997-08-12
Onset:1997-09-25
   Days after vaccination:44
Submitted: 1997-10-10
   Days after onset:15
Entered: 1997-10-15
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 0122E / 2 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Back pain, Guillain-Barre syndrome, Paraesthesia
SMQs:, Peripheral neuropathy (narrow), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (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? Yes, 9 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt adm to hosp on 1OCT97 w/1wk history of back pain progressing to weakness;dx w/GBS;


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