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This is VAERS ID 29622

Case Details

VAERS ID: 29622 (history)  
Form: Version 1.0  
Age: 40.0  
Sex: Female  
Location: Illinois  
Vaccinated:1990-01-22
Onset:1990-01-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0343R / 3 RA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthenia, Chest pain, Dizziness, Dyspnoea, Nausea, Rash, Vertigo
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Allergies
Allergies:
Diagnostic Lab Data: NA
CDC Split Type: WAES90020564

Write-up: 22jan90 pt vax hepta B. after 5 min pt ex weakness, vertigo, lightheadedness, nausea. pt presented to er and ex. shortness of breath w/ chest tightness. pt treated w/ benadryl, sus-phrine. pt then devel. rash around neck. See worm...


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