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This is VAERS ID 41955

Case Details

VAERS ID:41955 (history)  Vaccinated:1992-04-02
Age:53.6  Onset:1992-04-13, Days after vaccination: 11
Gender:Female  Submitted:1992-05-08, Days after onset: 25
Location:New Hampshire  Entered:1992-05-14, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: splenectomy
Diagnostic Lab Data: NONE
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (NO BRAND NAME)UNKNOWN MANUFACTURER  IMLA
MEN: MENINGOCOCCAL (NO BRAND NAME)UNKNOWN MANUFACTURER  SCRA
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)
Write-up: vomitting, diarrhea, abd pain reported to MD on 13APR92;

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