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This is VAERS ID 25570

Case Details

VAERS ID: 25570 (history)  
Form: Version 1.0  
Age: 52.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Pancreatitis
SMQs:, Acute pancreatitis (narrow), 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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no relevant history
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES90061089

Write-up: Pt (surgeon) was vacc. /w Heptavax-B & was subsequently hospitalized /w pancreatitis. There was no concomitant medication. Additonal detail are beig requested


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