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From the 6/11/2021 release of VAERS data:

This is VAERS ID 25489

Case Details

VAERS ID: 25489 (history)  
Form: Version 1.0  
Age: 46.0  
Sex: Male  
Location: Pennsylvania  
Submitted: 0000-00-00
Entered: 1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Confusional state, Encephalitis, Leukocytosis, Myalgia, Otitis media, Pharyngitis, Thrombocythaemia
SMQs:, Rhabdomyolysis/myopathy (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (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, 10 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of traumatic splenectomy 8 yrs ago
Diagnostic Lab Data: WBC 12Dec 20K, 17Dec 15.4K, 21Dec 10.5K, 23Dec 13.1K; Platlets 12Dec 700k, 17Dec 101K;CAT scan, EEG, CSF micro & cultures, blood cultures all negative
CDC Split Type: 890003001

Write-up: Pt recvd pneumococcal vax 9Dec86. To ER on 12Dec90 /w fatigue & myalgia; given amoxicillin for URI & OM. Hosp 17Dec90 /w confusion, OM, elevated platelet count. TX 10 days w/IV ampicillin for OM & presumed meningoencephalitis, D/C, improved

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