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This is VAERS ID 27765

Case Details

VAERS ID: 27765 (history)  
Form: Version 1.0  
Age: 38.0  
Sex: Female  
Location: Washington  
Vaccinated:1990-07-01
Onset:1990-07-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Amnesia, Anaphylactoid reaction, Asthenia, CSF test abnormal, Confusional state, Dyspnoea, Facial palsy, Headache, Hypertension, Intracranial pressure increased, Migraine, Myasthenic syndrome, Neck pain, Papilloedema, Somnolence, Speech disorder, Tachycardia, Visual disturbance
SMQs:, Anaphylactic reaction (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Dementia (broad), Malignancy related conditions (narrow), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Glaucoma (broad), Hypertension (narrow), Optic nerve disorders (narrow), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (broad), Hypersensitivity (narrow), Arthritis (broad), Hypoglycaemia (broad), Dehydration (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? Yes
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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: migraine headache, allergy shellfish, iodine
Allergies:
Diagnostic Lab Data: CT scan 4SEP90 normal; EEG 4SEP90- normal; Doppler 4SEP90 normal; MRI 16NOV90 brain-normal; Lumbar puncture 19NOV90 inc. spinal pressure 26cm
CDC Split Type: WAES91010597

Write-up: Immed p/vax anaphylactic rxn w/respiratory distress, increased pulse & sudden hypertension; extreme sharp throbbing pain in back of head; JUL & AUG90 "suffered almost daily" from headaches, memory loss; On 4SEP90 driving lt arm & neck pain.


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