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This is VAERS ID 26493

Case Details

VAERS ID: 26493 (history)  
Form: Version 1.0  
Age: 68.0  
Sex: Male  
Location: Florida  
Vaccinated:1989-11-27
Onset:1989-11-27
   Days after vaccination:0
Submitted: 1990-10-31
   Days after onset:338
Entered: 1990-11-05
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 3 - / IM A

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthralgia, Deafness, Headache, Myalgia, Myoclonus, Pyrexia, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hearing impairment (narrow), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: PAT-post total lip myositis 13 yrs ago.
Allergies:
Diagnostic Lab Data: All enzymes, MI of quadriceps, EKG etc negative
CDC Split Type:

Write-up: Pt vax /w Recombivax 1-6 hrs post inject.of 3rd dose experienced near collapse, w/severe headache,fever,muscle & joint pain. Persisted 5 days, 4wks later episode of muscle & joint pain /w tongue, clonic contractions. Muscle pain since 1/89


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