|
VAERS ID: |
27765 (history) |
Form: |
Version 1.0 |
Age: |
38.0 |
Sex: |
Female |
Location: |
Washington |
Vaccinated: | 1990-07-01 |
Onset: | 1990-07-01 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1991-02-05 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Amnesia,
Anaphylactoid reaction,
Asthenia,
CSF test abnormal,
Confusional state,
Dyspnoea,
Facial palsy,
Headache,
Hypertension,
Intracranial pressure increased,
Migraine,
Myasthenic syndrome,
Neck pain,
Papilloedema,
Somnolence,
Speech disorder,
Tachycardia,
Visual disturbance SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Dementia (broad), Malignancy related conditions (narrow), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Hypertension (narrow), Optic nerve disorders (narrow), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (broad), Hypersensitivity (narrow), Arthritis (broad), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: migraine headache, allergy shellfish, iodine Allergies: Diagnostic Lab Data: CT scan 4SEP90 normal; EEG 4SEP90- normal; Doppler 4SEP90 normal; MRI 16NOV90 brain-normal; Lumbar puncture 19NOV90 inc. spinal pressure 26cm CDC Split Type: WAES91010597
Write-up: Immed p/vax anaphylactic rxn w/respiratory distress, increased pulse & sudden hypertension; extreme sharp throbbing pain in back of head; JUL & AUG90 "suffered almost daily" from headaches, memory loss; On 4SEP90 driving lt arm & neck pain. |
|
VAERS ID: |
28336 (history) |
Form: |
Version 1.0 |
Age: |
43.0 |
Sex: |
Male |
Location: |
New York |
Vaccinated: | 1991-01-04 |
Onset: | 1991-01-11 |
Days after vaccination: | 7 |
Submitted: |
0000-00-00 |
Entered: |
1991-02-15 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Chest pain,
Dyspnoea,
Electrocardiogram abnormal,
Pericardial effusion,
Pericarditis,
Red blood cell sedimentation rate increased SMQs:, Anaphylactic reaction (broad), Systemic lupus erythematosus (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Zantac, ASA Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: WAES91020460
Write-up: Pt vax /w Hepatitis B vaccine. Within 2 weeks of vax pt was hospitalized /w pericarditis. Additional info has been requested. |
|
VAERS ID: |
28394 (history) |
Form: |
Version 1.0 |
Age: |
32.0 |
Sex: |
Male |
Location: |
Ohio |
Vaccinated: | 1990-12-19 |
Onset: | 1990-12-19 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1991-02-21 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
2213R / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Asthma,
Dizziness,
Dysphagia,
Dyspnoea,
Headache,
Malaise,
Vasodilatation SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (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: NONE Current Illness: Preexisting Conditions: NO relevant history Allergies: Diagnostic Lab Data: NO relevant data. CDC Split Type: WAES91020458
Write-up: 40min p/vax exp a gradual onset of "severe" headache, flushing & dysphagia. Tx unspecified prescription medication. Later recovered. Additional info requested. F/U 1MAR91: BP = 160/90, ALSO HAD THROAT TIGHTNESS, DYSPHAGIA, AUDIBLE BR SOUND |
|
VAERS ID: |
28810 (history) |
Form: |
Version 1.0 |
Age: |
39.0 |
Sex: |
Male |
Location: |
Ohio |
Vaccinated: | 1990-05-04 |
Onset: | 1990-05-12 |
Days after vaccination: | 8 |
Submitted: |
1990-11-07 |
Days after onset: | 179 |
Entered: |
1991-03-04 |
Days after submission: | 117 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Private Purchased by: Private Symptoms: Arthritis SMQs:, Systemic lupus erythematosus (broad), Arthritis (narrow), Immune-mediated/autoimmune disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: 1st Recombivax HB - MERCK- 23MAR90. Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type:
Write-up: Arthritis; |
|
VAERS ID: |
28823 (history) |
Form: |
Version 1.0 |
Age: |
36.0 |
Sex: |
Male |
Location: |
Oregon |
Vaccinated: | 1991-02-07 |
Onset: | 1991-02-09 |
Days after vaccination: | 2 |
Submitted: |
1991-02-21 |
Days after onset: | 12 |
Entered: |
1991-03-05 |
Days after submission: | 12 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
1238S / 1 |
RA / IM |
Administered by: Public Purchased by: Public Symptoms: Diarrhoea,
Hypotension,
Nausea,
Pain,
Pyrexia,
Rash,
Vomiting SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Hypokalaemia (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, 2 days
Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient Other Medications: Current Illness: Was well at time of vaccine. Preexisting Conditions: 3 wks post hernia repair; Immune compromised Allergies: Diagnostic Lab Data: NONE CDC Split Type:
Write-up: 9FEB91 generalized aching; 10FEB91 nausea, vomiting, diarrhea, temp 101, 11FEB91 hospitalized BP 90/60 - nausea, vomiting, diarrhea, temp continued, MD reported "looked like had a sunburn from head to toe" IV - re hydration |
|
VAERS ID: |
28915 (history) |
Form: |
Version 1.0 |
Age: |
30.0 |
Sex: |
Female |
Location: |
Texas |
Vaccinated: | 1989-02-03 |
Onset: | 1989-02-11 |
Days after vaccination: | 8 |
Submitted: |
0000-00-00 |
Entered: |
1991-03-08 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
1528P / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Abdominal pain,
Hepatic function abnormal SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: NONE Current Illness: NONE Preexisting Conditions: NO relevant history Allergies: Diagnostic Lab Data: No relevant data CDC Split Type: WAES91020887
Write-up: Developed epigastric & rt upper quad pain. sx worsened & eventually became debilitating. ON 3MAR89 pt rec''d 2nd dose of vax sx recurred. Another gastroenterologist found her liver funct studies to be abnormal. |
|
VAERS ID: |
29537 (history) |
Form: |
Version 1.0 |
Age: |
51.0 |
Sex: |
Male |
Location: |
Massachusetts |
Vaccinated: | 1988-03-01 |
Onset: | 1989-12-01 |
Days after vaccination: | 640 |
Submitted: |
0000-00-00 |
Entered: |
1991-03-12 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (FOREIGN) / MERCK & CO. INC. |
2036N / 3 |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Guillain-Barre syndrome SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No 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: NA Allergies: Diagnostic Lab Data: NA CDC Split Type: WAES90010444
Write-up: Physician reprted 51yr white male was vacc w/ 1st,2nd,3rd dose of hep B vacc (recomb.) in Mar,apr, &sept, 1988. In Dec 1989 patient developed GBS and was hosp. Discharged the week of 09jan90.No further details provided. |
|
VAERS ID: |
29539 (history) |
Form: |
Version 1.0 |
Age: |
22.0 |
Sex: |
Female |
Location: |
Kentucky |
Vaccinated: | 1988-10-31 |
Onset: | 1989-05-15 |
Days after vaccination: | 196 |
Submitted: |
0000-00-00 |
Entered: |
1991-03-12 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
1477P / 3 |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Guillain-Barre syndrome,
Paralysis,
Respiratory disorder SMQs:, Peripheral neuropathy (narrow), Acute central respiratory depression (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Respiratory failure (broad), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
Extended hospital stay? No
Previous Vaccinations: pt diag. with infectious mononeucleosis~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: viral infection Allergies: Diagnostic Lab Data: Na CDC Split Type: WAES90010861
Write-up: 01may89 pt vax 3rd Hepta B. 2 weeks later developed GBS @ was hospitalized w/ resp & lower-extremity paralysis. treated w/ unspecified prescription drugs and recovered. |
|
VAERS ID: |
29540 (history) |
Form: |
Version 1.0 |
Age: |
42.0 |
Sex: |
Male |
Location: |
Iowa |
Vaccinated: | 1989-08-09 |
Onset: | 1989-09-12 |
Days after vaccination: | 34 |
Submitted: |
0000-00-00 |
Entered: |
1991-03-12 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
0341R / 2 |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Guillain-Barre syndrome,
Influenza,
Myasthenic syndrome,
Paraesthesia SMQs:, Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: NA Allergies: Diagnostic Lab Data: NA CDC Split Type: WAES90020033
Write-up: 11sep89 pt vax developed GBS w/ flu like symp, weakness and numbness in legs, tingling hands, bilateral weakness in the deltoid and pharyngeal, tongue and left facial nerve weakness. pt recovered. |
|
VAERS ID: |
29541 (history) |
Form: |
Version 1.0 |
Age: |
46.0 |
Sex: |
Male |
Location: |
Virginia |
Vaccinated: | 1989-07-01 |
Onset: | 1990-01-17 |
Days after vaccination: | 200 |
Submitted: |
0000-00-00 |
Entered: |
1991-03-12 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
- / 3 |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Gait disturbance,
Guillain-Barre syndrome,
Hypochromic anaemia,
Hyporeflexia,
Paraesthesia,
Paralysis SMQs:, Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Demyelination (narrow), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No 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: NA Allergies: Diagnostic Lab Data: hemoglobin 15gm/hemoblobin 10gm CDC Split Type: WAES90030994
Write-up: 10jan90 pt vacc. on 17jan90 developed paresthesia/loss of deep tendon reflexes in lower extremities followed by paresthesias in upper extr. pt hosp w/ muscle paralysis. dx GBS 19jan90 underwent plasmapheresis.walking over 50ft difficult. |
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