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This is VAERS ID 113911

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 113911 (history)  
Form: Version .0  
Age: 56.5  
Sex: Male  
Location: New Jersey  
Vaccinated:1997-07-01
Onset:1997-08-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 1998-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Private       Purchased by: Private
Symptoms: Gastrointestinal carcinoma
SMQs:, Malignant tumours (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1997-10-11
   Days after onset: 71
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zocar
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recv vax DEC96 & JUL97 blood work in MAR showed no sign of disease;cancer of colon w/advanced metastases to liver detected in AUG because of rapid onset, want this on record;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=113911


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