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This is VAERS ID 26691

Case Details

VAERS ID: 26691 (history)  
Form: Version 1.0  
Age: 38.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:1984-11-15
Onset:1984-11-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Delirium, Gait disturbance, Hyperreflexia, Myalgia, Myasthenic syndrome, Neuropathy, Paraesthesia, Peroneal nerve palsy
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Malignancy related conditions (narrow), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad), Dehydration (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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No past hx until Hepatitis Vaccine
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with Hepatitis B developed severe progressive demyelinizing disease.


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