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This is VAERS ID 41955

Case Details

VAERS ID: 41955 (history)  
Age: 53.0  
Gender: Female  
Location: New Hampshire  
Vaccinated:1992-04-02
Onset:1992-04-13
   Days after vaccination:11
Submitted: 1992-05-08
   Days after onset:25
Entered: 1992-05-14
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - LA / IM
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / SC

Administered by: Private       Purchased by: Other
Symptoms: Abdominal pain, Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: splenectomy
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: vomitting, diarrhea, abd pain reported to MD on 13APR92;


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