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This is VAERS ID 27931

Case Details

VAERS ID: 27931 (history)  
Form: Version 1.0  
Age: 26.0  
Sex: Female  
Location: Michigan  
Vaccinated:1990-10-06
Onset:1990-10-18
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Amblyopia, Back pain, Diplopia, Headache, Multiple sclerosis, Myasthenic syndrome, Nuchal rigidity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Optic nerve disorders (broad), Demyelination (narrow), Ocular motility disorders (broad), Hypoglycaemia (broad), Immune-mediated/autoimmune disorders (narrow)

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:
CDC Split Type: EBU900488

Write-up: Vaccinee rec''d Engerix-B "early OCT90" & experienced "numbness of tongue; lightheadness/dizziness & tiredness" two or three wks later. Tx vaccinee is seeing a neurologist.


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