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This is VAERS ID 26658

Case Details

VAERS ID: 26658 (history)  
Form: Version 1.0  
Age: 38.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1990-05-25
Onset:1990-08-01
   Days after vaccination:68
Submitted: 0000-00-00
Entered: 1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 591A4 / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Amblyopia, Arthralgia, Deafness, Multiple sclerosis, Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Optic nerve disorders (broad), Demyelination (narrow), Hearing impairment (narrow), Arthritis (broad), 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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: EBU900467

Write-up: Pt vax w/ Engerix-B dev ache in lt knee, bilat hearing loss, blurred vision lt eye, eye muscle spasm, has not ruled out MS, jaw numbness, painful salivation. 06SEP90 TESTS FOR VISUAL & AUDITORY BRAIN STEM EVOKED POTENTIALS = NL; MRI-HEAD=NL


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