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This is VAERS ID 26964

Case Details

VAERS ID: 26964 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Arkansas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Chills, Cough, Dizziness, Dysuria, Headache, Malaise, Nervousness, Pollakiuria, Pyrexia, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES90110652

Write-up: Pt vaccinated with Heptavax-B in 1987 developed pneumonia & bronchial spasms. On 8NOV90 developed fatigue, malaise, a fever, chills, sensation of warmth, irritability, anorexia,headache,dizziness,coughing,flushing,urinary freq & dysuria.


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