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This is VAERS ID 57679

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Event Details

VAERS ID:57679 (history)  Vaccinated:1993-07-26
Age:52.2  Onset:1993-08-14, Days after vaccination: 19
Gender:Male  Submitted:1993-08-18, Days after onset: 4
Location:Idaho  Entered:1993-12-03, Days after submission: 107
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
MEN: MENOMUNE A/C/Y/WCONNAUGHT LABS2J410160SCRA
TD: TD ADSORBED, ADULTSLEDERLE326985 IMLA
TYP: VIVOTIF BERNASWISS SERUM128822A PO 
Administered by: Public     Purchased by: Unknown
Symptoms: DYSPHAGIA
SMQs:
Write-up: difficulty swallowing -ATB;

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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=57679


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