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This is VAERS ID 26660

Case Details

VAERS ID: 26660 (history)  
Form: Version 1.0  
Age: 31.0  
Sex: Female  
Location: Wisconsin  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Chills, Cyst, Facial palsy, Lacrimal disorder, Neuropathy, Optic neuritis, Pain, Paraesthesia, Paraesthesia oral, Tinnitus, Vasodilatation
SMQs:, Peripheral neuropathy (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Optic nerve disorders (narrow), Demyelination (narrow), Hearing impairment (narrow), Lacrimal disorders (narrow), Ocular infections (broad), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Allergy, sulfa drugs
Diagnostic Lab Data: MRI 10/88 ranial nerve abnormality; MRI 10/88 Lt sinus cyst;
CDC Split Type: WAES90040706

Write-up: Pt vaccinated with Heptavax-B w/allergy to sulfa drugs, two hrs after vaccination began experiencing chills, hot flashes, lt-sided jaw pain, ringing in the lt ear, tearing of the lt eye, lack of taste, & drowsiness. See WORM

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