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

This is VAERS ID 114730

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Case Details

VAERS ID: 114730 (history)  
Form: Version 1.0  
Age: 28.0  
Sex: Male  
Location: Unknown  
Vaccinated:1998-09-29
Onset:1998-09-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1998-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 553A6 / UNK RA / IM
MEN: MENINGOCOCCAL (MENOMUNE) / CONNAUGHT LABORATORIES 0937650 / UNK LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0777A / UNK - / -
YF: YELLOW FEVER (YF-VAX) / CONNAUGHT LABORATORIES 090540 / UNK RA / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Back pain, Chills, Headache, Influenza, Nausea, Neck pain, Paraesthesia, Pruritus
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad)

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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: approx 10-15min p/vax noted stuffy nose, h/a, & drainage down the back of throat;itchiness & watering rt eye & tingling along top of rt hand & along fingertips of rt hand;chills,nausea;throbbing pain of skull & spine & shoulder;flu like sx;


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