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This is VAERS ID 28823

Case Details

VAERS ID: 28823 (history)  
Form: Version 1.0  
Age: 36.0  
Sex: Male  
Location: Oregon  
Vaccinated:1991-02-07
Onset:1991-02-09
   Days after vaccination:2
Submitted: 1991-02-21
   Days after onset:12
Entered: 1991-03-05
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1238S / 1 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Diarrhoea, Hypotension, Nausea, Pain, Pyrexia, Rash, Vomiting
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Hypokalaemia (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, 2 days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: Was well at time of vaccine.
Preexisting Conditions: 3 wks post hernia repair; Immune compromised
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: 9FEB91 generalized aching; 10FEB91 nausea, vomiting, diarrhea, temp 101, 11FEB91 hospitalized BP 90/60 - nausea, vomiting, diarrhea, temp continued, MD reported "looked like had a sunburn from head to toe" IV - re hydration


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