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From the 2/14/2018 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 1.0  
Age: 38.0  
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: 1995-09-22
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA427A6 / 1 RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Blood creatine phosphokinase increased, Convulsion, Hyperglycaemia, Hyperuricaemia, Laboratory test abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Myocardial infarction (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Tumour lysis syndrome (broad), Hypoglycaemia (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: 950056831

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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