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This is VAERS ID 25613

Case Details

VAERS ID: 25613 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Missouri  
Vaccinated:1990-06-05
Onset:1990-06-14
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 1990-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Anorexia, Chills, Cholelithiasis, Hepatic function abnormal, Nausea, Pyrexia
SMQs:, Liver related investigations, signs and symptoms (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gallbladder related disorders (narrow), Gallstone related disorders (narrow), 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? 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:
Allergies:
Diagnostic Lab Data: Jun90-ultasound of gallbladder showed "one stone". Jun90- liver function tests "elevated"
CDC Split Type: EBU900263

Write-up: Pt developed chills, nausea, anorexia & elevated liver function tests. Pt hospitalized & is being treated /w antipyretics for fever which recurs in the evenings.


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