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From the 1/14/2022 release of VAERS data:

This is VAERS ID 119050

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Case Details

VAERS ID: 119050 (history)  
Form: Version 1.0  
Age: 21.0  
Sex: Male  
Location: Utah  
Vaccinated:1998-11-23
Onset:1998-12-08
   Days after vaccination:15
Submitted: 1999-02-05
   Days after onset:59
Entered: 1999-02-17
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2703B6 / UNK - / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0717H / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1007H / UNK - / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0671H / UNK - / -

Administered by: Public       Purchased by: Public
Symptoms: Condition aggravated, Dermatitis bullous, Infection, Renal impairment
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Severe cutaneous adverse reactions (narrow), Retroperitoneal fibrosis (broad), Hypersensitivity (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: Cellcept, Prednisone, Prograf
Current Illness: UNK
Preexisting Conditions: Immunosuppression, renal transplant
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES98121486

Write-up: Pt recv vax on 11/23/98; on 12/18/98 pt exp varicella skin lesions in the esophagus & lungs, increased kidney rejection; tx=acyclovir; pt imp 1/12/99


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