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This is VAERS ID 25890

Case Details

VAERS ID: 25890 (history)  
Form: Version 1.0  
Age: 42.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:1990-01-24
Onset:1990-02-01
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 3 - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Abdominal pain, Amblyopia, Back pain, Hypotonia, Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Optic nerve disorders (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: Multiple sclerosis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Spinal tap showed elevated protein level.
CDC Split Type: EBU900341

Write-up: Pt vaccinated with Hepatitis B 24JAN90, Feb90 developed pain after sitting, primarily in base of coccyx which still persists. 2nd vax given 4MAR90 on 5APR90 worse exacerbation of ms ever experienced. Given Prednisone. See WORM for details.


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