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

This is VAERS ID 96955

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Case Details

VAERS ID: 96955 (history)  
Form: Version 1.0  
Age: 64.0  
Sex: Female  
Location: Kansas  
Vaccinated:1996-10-25
Onset:1996-10-25
   Days after vaccination:0
Submitted: 1997-01-22
   Days after onset:89
Entered: 1997-04-18
   Days after submission:85
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1595B / 3 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 513B4 / 2 LA / IM

Administered by: Public       Purchased by: Private
Symptoms: Arthralgia, Diarrhoea, Erythema multiforme, Hyperglycaemia, Insomnia, Pollakiuria, Tachycardia, Visual disturbance
SMQs:, Severe cutaneous adverse reactions (narrow), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Synthroid;Timoptic;Estrase;Vaginal estrogen;
Current Illness: possible inc T4;
Preexisting Conditions: glaucoma, hypothyroidism, hypohyperglycemia, poss bipolar illness
Allergies:
Diagnostic Lab Data: T4 elevated, TSH elevated, glucose tolerance test inc, FBS elevated, 30min-4hr blood glucose, urinary glucose;
CDC Split Type: KS97006

Write-up: 25OCT96PM sore arm, insomnia;26OCT & 27OCT96 gen joint aches, frequent stools, frequent urination, tinnitus, visual disturbances;28OCT96 emotional high, sweating;29OCT96 hypoglycemia sx, tachycardia, erythema multiforme;cloudy vision;


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