National Vaccine
Information Center

Your Health. Your Family. Your Choice.
Search Results

From the 6/11/2011 release of VAERS data (an older release, current is 1/7/2022):

This is VAERS ID 77886

Government Disclaimer on use of this data

Case Details

VAERS ID: 77886 (history)  
Form: Version .0  
Age: 68.0  
Sex: Female  
Location: Illinois  
   Days after vaccination:1
Submitted: 1995-09-27
   Days after onset:68
Entered: 1995-10-03
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blood alkaline phosphatase increased, Diarrhoea, Gastrointestinal disorder, Hepatic function abnormal, Jaundice, Neoplasm malignant, Pruritus, Urine analysis abnormal
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Pseudomembranous colitis (broad), Biliary system related investigations, signs and symptoms (narrow), Site unspecified biliary disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Malignant tumours (narrow)

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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: 1AUG95 BilTOT 7.8; SOGT 109; SGPT 277; ALKPH 388; 3AUG95 BILTOT 8.5; SGOT 113; SGPT 293; ALKPH 397; hepatitis screen neg;
CDC Split Type: 950074901

Write-up: pt recvd vax 20JUL95 & w/in 24-48hrs following vax exp itching, diarrhea, darker urine, & was jaundiced when examined; pt was found to have elevated liver enzymes 01AUG95;MD demonstrated evidence of bile duct obstruction-bile duct stricture

New Search

Link To This Search Result:

Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166