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This is VAERS ID 26236

Case Details

VAERS ID: 26236 (history)  
Form: Version 1.0  
Age: 52.0  
Sex: Female  
Location: Missouri  
Vaccinated:1989-10-03
Onset:1990-01-01
   Days after vaccination:90
Submitted: 0000-00-00
Entered: 1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. CP284 / 4 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Hepatic failure, Pulmonary oedema, Sepsis
SMQs:, Cardiac failure (narrow), Hepatic failure, fibrosis and cirrhosis and other liver damage-related conditions (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sepsis (narrow), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 1990-01-29
   Days after onset: 28
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: CVA; Seizure disorder; Diabetes mellitus; End stage renal disease; Hypertension; Ischemic heart disease
Allergies:
Diagnostic Lab Data: No relevant data.
CDC Split Type: WAES90011108

Write-up: Pt w/diabetes mellitus vaccinated w/Recombivax HB entered a study comparing safey & efficacy of hepatitis B (Pre S2+S) vaccine Reocmb & Hepatitis B Vac Recomb in dialysis pt. Was hospitalized because pulmonary edema then sepsis & liver fail


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