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This is VAERS ID 28394

Case Details

VAERS ID: 28394 (history)  
Form: Version 1.0  
Age: 32.0  
Sex: Male  
Location: Ohio  
Vaccinated:1990-12-19
Onset:1990-12-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 2213R / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthma, Dizziness, Dysphagia, Dyspnoea, Headache, Malaise, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: NO relevant data.
CDC Split Type: WAES91020458

Write-up: 40min p/vax exp a gradual onset of "severe" headache, flushing & dysphagia. Tx unspecified prescription medication. Later recovered. Additional info requested. F/U 1MAR91: BP = 160/90, ALSO HAD THROAT TIGHTNESS, DYSPHAGIA, AUDIBLE BR SOUND


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