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From the 12/31/2003 release of VAERS data (an older release, current is 11/26/2021):

This is VAERS ID 134119

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Case Details

VAERS ID: 134119 (history)  
Form: Version .0  
Age: 37.0  
Sex: Male  
Location: Unknown  
Vaccinated:1998-11-16
Onset:1998-11-16
   Days after vaccination:0
Submitted: 2000-02-07
   Days after onset:448
Entered: 2000-02-16
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX ADSORBED / MICHIGAN DPH - / - - / -
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / - - / IM

Administered by: Military       Purchased by: Unknown
Symptoms: AGITATION, HYPERTHYR, INSOMNIA, TREMOR, WEIGHT DEC
SMQs:

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

Write-up: Developed a hyperactive thyroid. Lost weight (25 lbs), sleep loss, shaking, irritable, etc. Dx, Graves Disease..


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