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This is VAERS ID 26693

Case Details

VAERS ID: 26693 (history)  
Form: Version 1.0  
Age: 32.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:1989-01-05
Onset:1989-01-19
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0142P / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Hyperreflexia, Hyporeflexia, Multiple sclerosis, Optic neuritis, Pain, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Optic nerve disorders (narrow), Demyelination (narrow), Ocular infections (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no previous problems
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with Recombivax developed progressive demyelinizing disease.


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