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This is VAERS ID 26894

Case Details

VAERS ID: 26894 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Rhode Island  
Vaccinated:1990-10-13
Onset:1990-10-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 4908183 / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Headache, Pyrexia, Syncope, Vomiting
SMQs:, Torsade de pointes/QT prolongation (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Allergies:
Diagnostic Lab Data: Lumbar puncture to t/o Mennigitis - Crytococcal antigen
CDC Split Type:

Write-up: Pt vaccinated with Hepatitis -B two hrs later developed vomitting, fainting, severe, headache, & fever 101.6.


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