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This is VAERS ID 29638

Case Details

VAERS ID: 29638 (history)  
Form: Version 1.0  
Age: 45.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1990-02-15
Onset:1990-02-15
   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. - / 3 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Myasthenic syndrome, Neuropathy, Nuchal rigidity, Rash maculo-papular, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (narrow), Malignancy related conditions (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

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: NONE
Preexisting Conditions: Allergy, Septra
Allergies:
Diagnostic Lab Data: NA
CDC Split Type: WAES90021047

Write-up: Pt given 3 doses of RecombivaxHB 12hrs following 3rd developed pruritic hives; Also maculopapular rash w/hives; stiff neck, proximal rt lower extremity weakness, acute inflam polyneuropathy;


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