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From the 1/7/2022 release of VAERS data:

This is VAERS ID 96895

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Case Details

VAERS ID: 96895 (history)  
Form: Version 1.0  
Age: 55.0  
Sex: Female  
Location: California  
Vaccinated:1997-02-01
Onset:1997-02-01
   Days after vaccination:0
Submitted: 1997-04-09
   Days after onset:66
Entered: 1997-04-15
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Unknown       Purchased by: Unknown
Symptoms: Headache, Hypertonia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad), Hypokalaemia (broad)

Life Threatening? No
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: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: 970079801

Write-up: pt recv vax & exp loss of consciousness (periodically), muscle spasms, & frontal lobe headache;hosp p/3wek;no tx was given;


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