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From the 5/7/2021 release of VAERS data (an older release, current is 1/14/2022):

This is VAERS ID 81054

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Case Details

VAERS ID: 81054 (history)  
Form: Version 1.0  
Age: 46.0  
Sex: Male  
Location: California  
Vaccinated:1995-07-29
Onset:1995-08-26
   Days after vaccination:28
Submitted: 1995-10-23
   Days after onset:58
Entered: 1996-01-03
   Days after submission:72
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Deafness, Facial palsy, Neuritis
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (narrow), Immune-mediated/autoimmune disorders (broad)

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: ~ ()~~~In patient
Other Medications: lescol
Current Illness:
Preexisting Conditions: healthy
Allergies:
Diagnostic Lab Data:
CDC Split Type: 950107981

Write-up: pt recvd vax; 28 days later exp rt facial palsy;sxs progressed to vestibular neuritis & rt hearing loss; to er; tx steroid & famvir X2;


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