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From the 5/14/2021 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 1.0  
Age: 36.0  
Sex: Male  
Location: Arizona  
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 (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH - / UNK - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Military       Purchased by: Military
Symptoms: Agitation, Hyperthyroidism, Insomnia, Tremor, Weight decreased
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hyperthyroidism (narrow), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

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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