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This is VAERS ID 152669

Case Details

VAERS ID: 152669 (history)  
Form: Version 1.0  
Age: 26.0  
Sex: Male  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2000-06-01
Entered: 2000-06-06
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Anaemia, Red blood cell count decreased, Thrombocytopenia
SMQs:, Haematopoietic erythropenia (narrow), Haematopoietic thrombocytopenia (narrow), Haemorrhage laboratory terms (broad), Systemic lupus erythematosus (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: Pt was a high risk (nos).
Allergies:
Diagnostic Lab Data: The pt tested negative for antibodies (not specified). He was tested 3 days, post vax, and was found to have a low red blood cell count and a low thrombocyte count.
CDC Split Type: 20000161881

Write-up: The pt was considered a high risk (nos). According to the physician, he did not have cancer. The pt received Engerix-B vaccination (date, dose and series unspecified). It is unclear whether or not the pt developed antigenemia or aplastic anemia. According to the reporting physician, the pt needed a bone marrow transplant. Treatment of the adverse event was not specified. It was reported that "all other therapies failed" (nos). The pt died. All of this had occurred within ten days. The most recent information received on 5/24/2000, reports that the pt died (date and causality of death were not specified). Additional information has been requested.


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