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

This is VAERS ID 119776

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Case Details

VAERS ID: 119776 (history)  
Form: Version 1.0  
Age: 12.0  
Sex: Female  
Location: Arizona  
Vaccinated:1999-02-19
Onset:1999-02-20
   Days after vaccination:1
Submitted: 1999-03-03
   Days after onset:11
Entered: 1999-03-08
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0599H / 3 - / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0005H / 2 - / -

Administered by: Public       Purchased by: Public
Symptoms: Arthritis, Laboratory test abnormal, Pyrexia, Red blood cell sedimentation rate increased, Serum sickness, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Arthritis (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? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Imipramine
Current Illness: NONE
Preexisting Conditions: allergy to (Ephalexin (facial swelling));
Allergies:
Diagnostic Lab Data: mildly elevated ESR, negative ANA, negative RF, mildly elevated ASO titer, negative rapid strep test;nl EKG;nl CBC;nl electrolytes & BUN/Cr;nl UA;
CDC Split Type: AZ9914

Write-up: 1 day p/vax had onset of urticarial rash;4 days p/had onset of multiple large joint arthritis (ankle, knees, hips, wrist) sx have persisted for 11 days so far;child has had intermittent fevers-picture is of serum sickness type rxn;Annual follow-up received on 11/08/00 provided no additional data.


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