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This is VAERS ID 25628

Case Details

VAERS ID: 25628 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Unknown  
Vaccinated:1990-06-20
Onset:1990-06-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 2 - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Agitation, Alcohol intolerance, Asthenia, Confusional state, Convulsion, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Cardiomyopathy (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (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: FIRST VAX GIVEN 4 WKS PRIOR WAS UNEVENTFUL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALCOHOL CONC = 1.2 MG/ML; EEG-NORMAL
CDC Split Type: EBWWMA011032

Write-up: PT REC''D ENGERIX-B SHOWED SLIGHT SIGNS OF A FIT; GOT HEAVILY DRUNK; FELT TIRED; DAY AFTER RECEIVED A SECOND DOSE WENT ON EXCURSION AND GOT HEAVILY DRUNK. HOSPITALIZED FOR OBSERVATION. REC DIAZEPAM. f/u 03mar91: hosp X 3 days, outcome unk


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