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From the 10/8/2021 release of VAERS data:

This is VAERS ID 94459



Case Details

VAERS ID: 94459 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Male  
Location: Minnesota  
Vaccinated:1996-06-17
Onset:1996-06-18
   Days after vaccination:1
Submitted: 1997-01-14
   Days after onset:210
Entered: 1997-01-28
   Days after submission:14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTPHIB: DTP + HIB (TETRAMUNE) / PFIZER/WYETH 434804 / 4 LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 15088D151D / 1 RL / IM

Administered by: Private       Purchased by: Private
Symptoms: Anorexia, Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: prolonged episode of diarrhea & poor PO intake beginning w/in 48hr of shots;this lasted about 1wk;


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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=94459

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