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This is VAERS ID 26362

Case Details

VAERS ID: 26362 (history)  
Form: Version 1.0  
Age: 26.0  
Sex: Female  
Location: Illinois  
Vaccinated:1986-12-18
Onset:1986-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Paraesthesia, Visual field defect
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Optic nerve disorders (broad), Retinal disorders (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:
Other Medications:
Current Illness:
Preexisting Conditions: Allergy, penicillin; Allergy, Bactrim; Allergy, Macrodantin
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES90090693

Write-up: Pt w/hx of allergy to penicillin,trimethoprim-sulfamethoxazole (Bactrim),& nitrofurantoin-macrocrystals (Macrodantin) was vaccinated w/ HeptavaxB in 1986. Within 12 hrs of vaccination, the pt experienced rt arm facial numbness, SEE WORM.


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