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

This is VAERS ID 96427

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Case Details

VAERS ID: 96427 (history)  
Form: Version 1.0  
Age: 63.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:1997-01-23
Onset:1997-02-10
   Days after vaccination:18
Submitted: 1997-03-07
   Days after onset:25
Entered: 1997-03-24
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 504B6 / 1 - / IM
YF: YELLOW FEVER (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Gait disturbance, Guillain-Barre syndrome, Hypertension, Laboratory test abnormal, Myasthenic syndrome, Paraesthesia, Thrombocythaemia
SMQs:, Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Hypertension (narrow), Demyelination (narrow), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: 970031771

Write-up: pt recv vax JAN97 & the weekend of 8FEB97 pt suffered a h/a & BP was sky high;pt was seen in ER 13FEB97 dx w/GBS & hosp;


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