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From the 12/10/2020 release of VAERS data (an older release, current is 11/12/2021):

This is VAERS ID 75247

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Case Details

VAERS ID: 75247 (history)  
Form: Version 1.0  
Age: 31.0  
Sex: Female  
Location: Georgia  
Vaccinated:1995-05-12
Onset:1995-05-15
   Days after vaccination:3
Submitted: 1995-06-10
   Days after onset:26
Entered: 1995-06-19
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 427A6 / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Pruritus, Rash maculo-papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Tri-levlin BCP''s;
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Nonerythematous papular rash, pruritic, generalized @ 10 days; began @ 3 d p/immunization; rx: DPH/chlortrimeton;


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