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From the 1/7/2022 release of VAERS data:

This is VAERS ID 627547

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Case Details

VAERS ID: 627547 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Male  
Location: New York  
Vaccinated:2016-03-03
Onset:2016-03-05
   Days after vaccination:2
Submitted: 2016-03-07
   Days after onset:2
Entered: 2016-03-15
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUN4: INFLUENZA (SEASONAL) (FLUMIST QUADRIVALENT) / MEDIMMUNE VACCINES, INC. FL2112 / UNK NS / IN
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L045711 / 3 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M37315 / 2 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U5180AA / 3 RA / IM
TD: TD ADSORBED (TENIVAC) / SANOFI PASTEUR C4736CA / 2 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Blood bilirubin increased, Jaundice, Splenomegaly
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Acute pancreatitis (narrow), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt was seen at ER for jaundice 3/5/16. Pt''s labs showed elevated bili. Enlarged spleen. Pt seen today 3/7/16 in office for reck. and orders given for repeat labs.


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