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From the 1/14/2022 release of VAERS data:

This is VAERS ID 87194

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Case Details

VAERS ID: 87194 (history)  
Form: Version 1.0  
Age: 2.0  
Sex: Male  
Location: Alaska  
Vaccinated:1996-05-14
Onset:1996-06-02
   Days after vaccination:19
Submitted: 1996-06-14
   Days after onset:12
Entered: 1996-06-20
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 178A2 / 1 LL / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0390B / 1 RL / -

Administered by: Private       Purchased by: Private
Symptoms: Agitation, CSF test abnormal, Coordination abnormal, Gait disturbance, Pyrexia, Tremor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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, 3 days
   Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: Pedicare
Current Illness: sl cough & runny nose
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF 30WBC, 70% LM; 10% P;20% oth;4JUN-7JUn gluc 49;prot 84;ESR;WBC 22.4-13.3;PTT 628-480;180-78-115;chem pretty nl;MRI nl;
CDC Split Type:

Write-up: tremor, ataxia, fever, cranky;adm to hosp 4JUN;sx abated by 7JUN;temp nl;tremor/dysmetria;ataxic gait; better 7JUN;14JUN still unsteady on rising;


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