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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 81018

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Case Details

VAERS ID: 81018 (history)  
Form: Version .0  
Age: 38.8  
Sex: Male  
Location: Florida  
Vaccinated:1995-06-07
Onset:1995-06-15
   Days after vaccination:8
Submitted: 1995-09-15
   Days after onset:92
Entered: 1996-01-24
   Days after submission:131
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA427A6 / 0 RA / IM

Administered by: Other       Purchased by: Unknown
Symptoms: CONVULS, CREATINE PK INC, HYPERGLYCEM, HYPERURICEM, LAB TEST ABNORM
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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt recvd vax; 8 days later exp sz & was hosp; tx w/ anti convulsants including dilantin; sxs resolved w/in 24 hrs;


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