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This is VAERS ID 29710

Case Details

VAERS ID: 29710 (history)  
Form: Version 1.0  
Age: 39.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:1989-12-12
Onset:1990-01-16
   Days after vaccination:35
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1527P / 2 - / -

Administered by: Other       Purchased by: Other
Symptoms: Amblyopia, Blindness, Colour blindness, Optic atrophy, Optic neuritis, Pupillary disorder, Visual disturbance, Visual field defect
SMQs:, Anticholinergic syndrome (broad), Congenital, familial and genetic disorders (narrow), Noninfectious encephalitis (broad), Glaucoma (broad), Optic nerve disorders (narrow), Demyelination (narrow), Lens disorders (broad), Retinal disorders (narrow), Ocular infections (broad), Hypoglycaemia (broad), 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: NONE~ ()~~~In patient
Other Medications: Multivitamin, Alka seltzer
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: ANA positive, ESR 4, MRI 24JAN90 2
CDC Split Type: WAES90040371

Write-up: Developed blurred vision in lt eye in lower lt temporal quad & also nausea; Next day 1/4 of vision lt eye very blurred; Seen by MD; Blurred vision in the inferior hemifield of eye; pain when eye touched, pain upon moving, pupil defect;


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