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This is VAERS ID 27055

Case Details

VAERS ID: 27055 (history)  
Form: Version 1.0  
Age: 45.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1989-11-14
Onset:1989-12-25
   Days after vaccination:41
Submitted: 0000-00-00
Entered: 1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0951R / 2 - / -

Administered by: Other       Purchased by: Other
Symptoms: Arthralgia, CSF test abnormal, Eye pain, Optic atrophy, Optic neuritis, Papilloedema, Photophobia, Visual disturbance
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious meningitis (narrow), Glaucoma (broad), Optic nerve disorders (narrow), Demyelination (narrow), Lens disorders (broad), Corneal disorders (broad), Retinal disorders (broad), Ocular infections (broad), Arthritis (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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: medical hx: chalazion
Allergies:
Diagnostic Lab Data: 08JAN90 CSF protein 52 mg/dl;
CDC Split Type: WAES90020779

Write-up: Pt vaccinated with Recombivax HB developed eye pain, photophobia & loss of vision.


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