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

This is VAERS ID 122172

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Case Details

VAERS ID: 122172 (history)  
Form: Version 1.0  
Age: 11.0  
Sex: Female  
Location: Alaska  
   Days after vaccination:16
Submitted: 1999-05-13
   Days after onset:193
Entered: 1999-05-17
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1110H / 1 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Abdominal pain, Anaemia, Anorexia, Arthralgia, Asthenia, Dehydration, Headache, Hepatic function abnormal, Influenza, Laboratory test abnormal, Lymphocytosis, Muscle twitching, Myalgia, Nausea, Personality disorder, Pyrexia, Vomiting, Weight decreased
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Haematopoietic erythropenia (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Infective pneumonia (broad), Dehydration (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: 4 or 5NOV blood work,UA nl;7DEC blood & urine nl;14DEC abd ultrasound,upper GI & small bowel nl;21DEC MRI head & abdomen nl;28DEC colonoscopy & endoscopy nl;EEG x 2 nl
CDC Split Type:

Write-up: 31OCT, flu like illness,fever,abd pain, aching joints,vomiting;to MD on 4NOV or 5NOV;V cont w/ fatigue,can eat only popsicles & mom concerned about dehydration;4DEC new Sx:h/a,muscle aches,nausea;28DEC 15 # wt loss;twitch;Dx fibromyalgia

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