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

This is VAERS ID 106936

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Case Details

VAERS ID: 106936 (history)  
Form: Version 1.0  
Age: 61.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:1997-12-24
Onset:1997-12-24
   Days after vaccination:0
Submitted: 1998-01-12
   Days after onset:19
Entered: 1998-01-26
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 1286E / 1 RA / IM
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES 7H91876 / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0769K / 1 MO / PO
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 7K81936 / 1 RA / SC

Administered by: Public       Purchased by: Other
Symptoms: Diarrhoea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: takes meds for stomach condition-unk type
Current Illness: NONE
Preexisting Conditions: nONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: OK9747

Write-up: fever, chills, projectile vomiting, nausea, diarrhea x 48hr;adm to hosp;


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