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This is VAERS ID 26453

Case Details

VAERS ID: 26453 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Wisconsin  
Vaccinated:1984-11-18
Onset:1984-11-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1990-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Multiple sclerosis
SMQs:, Optic nerve disorders (broad), Demyelination (narrow), Immune-mediated/autoimmune disorders (narrow)

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: WAES90100673

Write-up: Pt vaccinated with Recombivax HB developed multiple sclerosis following vaccination. Additional info being requested.


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