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

This is VAERS ID 107965

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Case Details

VAERS ID: 107965 (history)  
Form: Version 1.0  
Age: 13.0  
Sex: Female  
Location: Colorado  
Vaccinated:1998-02-05
Onset:1998-02-09
   Days after vaccination:4
Submitted: 1998-02-12
   Days after onset:3
Entered: 1998-03-05
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 443673 / UNK MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Encephalitis, Grand mal convulsion, Headache
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 898051004L

Write-up: pt recv vax & exp h/a which persisted for 3 days;pt then had a grand mal sz & was hosp;analysis of CSF obtained from LP led to the dx of mild encephalitis;pt was disch from hosp & as of 12FEB was recovering slowly;


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