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

This is VAERS ID 117525

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Case Details

VAERS ID: 117525 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: Idaho  
Vaccinated:1998-02-11
Onset:1998-08-01
   Days after vaccination:171
Submitted: 1998-10-22
   Days after onset:82
Entered: 1998-12-21
   Days after submission:60
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2506A4 / 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 545B6 / 1 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0900E / UNK RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0765L / UNK MO / PO
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 7F91700 / UNK LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Diarrhoea, Drug ineffective, Hepatitis, Vomiting
SMQs:, Hepatitis, non-infectious (narrow), Acute pancreatitis (broad), Lack of efficacy/effect (narrow), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (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: pt recv hep b vax by SKB lot# 2506A4 given 11MAR98
Current Illness: NONE
Preexisting Conditions: hospitalized DEC97 for 3 days;DEC97 for low grade fever 100-101;
Allergies:
Diagnostic Lab Data:
CDC Split Type: ID98048

Write-up: mom reported pt dx w/hepatitis yesterday;pt had severe diarrhea & vomiting in AUG;saw MD in Mexico transferred to hosp in CA 1OCT;dehydrated, ultra sound, blood test, stool samples;MD dx hep a 21OCT98;


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