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From the 12/31/2003 release of VAERS data (an older release, current is 1/7/2022):

This is VAERS ID 80688

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Case Details

VAERS ID: 80688 (history)  
Form: Version .0  
Age: 14.3  
Sex: Male  
Location: Alabama  
Vaccinated:1995-12-15
Onset:1995-12-22
   Days after vaccination:7
Submitted: 1995-12-24
   Days after onset:2
Entered: 1996-01-05
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA VACCINE USP / WYETH 4958031 / 0 LA / SC
FLU: FLUSHIELD 1995-1996 / WYETH 4958114 / 0 RA / IM
HEPA: HAVRIX / SMITHKLINE VHA165A2 / 0 LA / IM
TYP: TYPHOID VI / CONNAUGHT LABS K1160 / 0 RA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: CONVULS, ENCEPHALOPATHY, FEVER
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT neg, LP neg
CDC Split Type:

Write-up: 22DEC95 fever x 12k; 28DEC95 sz 9PM-fever encephalopathy


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