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From the 12/31/2003 release of VAERS data (an older release, current is 1/14/2022):

This is VAERS ID 81033

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Case Details

VAERS ID: 81033 (history)  
Form: Version .0  
Age: 44.0  
Sex: Male  
Location: New Mexico  
Vaccinated:1995-07-05
Onset:1995-08-01
   Days after vaccination:27
Submitted: 1995-09-06
   Days after onset:36
Entered: 1996-01-24
   Days after submission:140
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA42A6 / - LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: LIVER FUNC ABNORM
SMQs:

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergic to iodine
Allergies:
Diagnostic Lab Data: GGT 241 on 1aug95
CDC Split Type:

Write-up: pt recvd vax & began to exp elev LFTs;


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