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From the 11/19/2021 release of VAERS data:

This is VAERS ID 80977

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Case Details

VAERS ID: 80977 (history)  
Form: Version 1.0  
Age: 49.0  
Sex: Male  
Location: Michigan  
Vaccinated:1995-11-20
Onset:1995-11-22
   Days after vaccination:2
Submitted: 1996-01-18
   Days after onset:57
Entered: 1996-01-22
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1530W / 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Colitis, Phlebitis
SMQs:, Pseudomembranous colitis (broad), Thrombophlebitis (broad), Gastrointestinal nonspecific inflammation (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 11 days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Pentasa;cortofoam enema
Current Illness: phlebitis, colitis
Preexisting Conditions: PCN allergy, ing heartbeat, colitis
Allergies:
Diagnostic Lab Data: doppler of lt leg, arteriogram showed no clot
CDC Split Type:

Write-up: pt states had phlebitis in lt leg 2 days p/vax;pt hospitalized 9DEC96 thru 11DEC96 & 15DEC95 thru 22DEC95;had colitis & placed on TPN;tx by MD;


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