VAERS ID: |
25523 (history) |
Form: |
Version 1.0 |
Age: |
21.0 |
Sex: |
Female |
Location: |
Pennsylvania |
Vaccinated: | 1990-03-09 |
Onset: | 1990-03-11 |
Days after vaccination: | 2 |
Submitted: |
0000-00-00 |
Entered: |
1990-07-13 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
533A4 / UNK |
- / - |
Administered by: Private Purchased by: Unknown Symptoms: Headache,
Vertigo,
Vestibular disorder SMQs:, Vestibular disorders (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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: Anti-HBS dosage was performed on17-Feb-990, prior to vaccination, the results were negative. Results to test to detect anti-influenza virus antibodies was negative. Audiometric test were normal. CT scan was negative. CDC Split Type: EBWWMA010775
Write-up: Headache. Labyrinthitis. Developed headache & vertigo 48 hrs after vaccination. Hospitalized. Acute labyrinthitis diagnosed. |