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

This is VAERS ID 73622

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Case Details

VAERS ID: 73622 (history)  
Form: Version .0  
Age: 36.0  
Sex: Female  
Location: Virginia  
Vaccinated:1995-04-18
Onset:1995-04-18
   Days after vaccination:0
Submitted: 1995-04-25
   Days after onset:7
Entered: 1995-05-04
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA425A6 / 0 - / IM
JEV: JEV / CONNAUGHT LABS EJN095 / 0 L / SC

Administered by: Military       Purchased by: Unknown
Symptoms: DIARRHEA, EDEMA INJECT SITE, FEVER, HYSN INJECT SITE, NAUSEA
SMQs:

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: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=73622


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