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This is VAERS ID 26445

Case Details

VAERS ID: 26445 (history)  
Form: Version 1.0  
Age: 42.0  
Sex: Male  
Location: New York  
Vaccinated:1983-10-07
Onset:1986-04-01
   Days after vaccination:907
Submitted: 1990-10-31
   Days after onset:1674
Entered: 1990-11-02
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2132H / 3 - / IM

Administered by: Private       Purchased by: Other
Symptoms: Arthralgia
SMQs:, Arthritis (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: Ehlers Danlos Syndrome
Allergies:
Diagnostic Lab Data: clinical exam
CDC Split Type:

Write-up: Pt vaccinated with Heptavax developed permanent arthralgia.


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