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This is VAERS ID 26008

Case Details

VAERS ID: 26008 (history)  
Form: Version 1.0  
Age: 30.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:1990-06-20
Onset:1990-06-21
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 46558 / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Diarrhoea, Headache, Nausea, Visual disturbance, Visual field defect, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES90081135

Write-up: PT VACCINATED WITH RECOMBIVAX 36 HRS FOLLOWING THE INJECTION DEVELOPED BLURRED VISION, NAUSEA, VOMITING, & DIARRHEA. TWELVE HRS LATER, LOST PERIPHERAL VISION IN RT EYE AND DEVELOPED SEVERE HEADACHE. AFTER 72 HRS SYMPTOMS SUBSIDED.


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