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

This is VAERS ID 90084

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Case Details

VAERS ID: 90084 (history)  
Form: Version 1.0  
Age: 34.0  
Sex: Male  
Location: Unknown  
Submitted: 1996-09-16
Entered: 1996-09-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Immune system disorder, Lymphadenopathy, Malaise
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (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, 14 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: pt is native of Ghana
Diagnostic Lab Data:
CDC Split Type: 960135631

Write-up: pt recv vax & 2 days post vax pt became ill w/serious multi-systems illness requiring a 2wk hosp;pt was found to have angioimmunoblastic lymphadenopathy;pt recovered;

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