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

This is VAERS ID 96862

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Case Details

VAERS ID: 96862 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: California  
Vaccinated:1997-01-31
Onset:1997-01-31
   Days after vaccination:0
Submitted: 1997-03-18
   Days after onset:46
Entered: 1997-04-11
   Days after submission:23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 189A2 / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Dyspnoea, Face oedema, Oedema, Pain, Vasodilatation
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
CDC Split Type: CA970018

Write-up: pt recv vax 31JAN97 10AM pt remained @ school but c/o arm hurting all day;pt went babysitting in the evening: around 9PM face & eyes very swollen;skin bright red;w/in a few min neck starting to swell & breathing labored;taken to hosp ER;


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