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This is VAERS ID 28810

Case Details

VAERS ID: 28810 (history)  
Form: Version 1.0  
Age: 39.0  
Sex: Male  
Location: Ohio  
Vaccinated:1990-05-04
Onset:1990-05-12
   Days after vaccination:8
Submitted: 1990-11-07
   Days after onset:179
Entered: 1991-03-04
   Days after submission:117
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: Arthritis
SMQs:, Systemic lupus erythematosus (broad), Arthritis (narrow), 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: 1st Recombivax HB - MERCK- 23MAR90.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Arthritis;


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