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This is VAERS ID 26692

Case Details

VAERS ID: 26692 (history)  
Form: Version 1.0  
Age: 38.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:1988-06-15
Onset:1988-06-30
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2040N / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Coordination abnormal, Depression, Encephalitis, Headache, Lymphocytosis, Myalgia, Neuropathy, Pain, Paraesthesia, Somnolence, Thinking abnormal, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Peripheral neuropathy (narrow), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Depression (excl suicide and self injury) (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (broad)

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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No past hx of problems
Allergies:
Diagnostic Lab Data: other causes ruled out.
CDC Split Type:

Write-up: Pt vaccinated with Hepatitis B vaccine severe progressive encephalomyelitis with chronic demyelinizing disease.


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