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

This is VAERS ID 123217

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Case Details

VAERS ID: 123217 (history)  
Form: Version 1.0  
Age: 35.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:1998-03-30
Onset:1998-04-21
   Days after vaccination:22
Submitted: 1999-05-28
   Days after onset:402
Entered: 1999-06-02
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER 2512A2 / UNK - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 55386 / UNK - / -
TTOX: TETANUS TOXOID (NO BRAND NAME) / CONNAUGHT LABORATORIES 7F91679 / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Laboratory test abnormal, Malaise, Myasthenic syndrome, Neuritis, Neuropathy, Pain, Post vaccination syndrome, Pyrexia
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: EMG reveals Denervation of serratus anterior;
CDC Split Type:

Write-up: fever, malaise followed by severe pain in shoulder area for 24hr, followed by weakness/fatigue in shoulder;EMG reveals rt long thoracic neuropathy/brachial neuritis;physical therapy not successful;Annual follow up / no additional data.


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