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From the 9/14/2017 release of VAERS data (an older release, current is 11/12/2021):

This is VAERS ID 73464

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Case Details

VAERS ID: 73464 (history)  
Form: Version 1.0  
Age: 48.0  
Sex: Female  
Location: Illinois  
Vaccinated:1995-04-13
Onset:1995-04-13
   Days after vaccination:0
Submitted: 1995-04-18
   Days after onset:5
Entered: 1995-04-24
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 424A6 / UNK LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dysgeusia, Headache, Hypertension, Pallor
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Noninfectious diarrhoea (narrow)

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

Write-up: pt recvd vax 13APR95 1115AM & 15-20mins later could taste it describing it as a bitter taste;asked if has any tightness in throat or SOB; stated felt lightheaded & looked pale; observed 10 mins; BP 174/90; exp diarrhea & h/a


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