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This is VAERS ID 30570

Case Details

VAERS ID: 30570 (history)  
Form: Version 1.0  
Age: 22.0  
Sex: Male  
Location: New Jersey  
Vaccinated:1990-06-08
Onset:1990-06-08
   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. - / 2 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Asthma, Dysphonia, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (narrow), Parkinson-like events (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: asthma allergy to food and drugs
Allergies:
Diagnostic Lab Data: NA
CDC Split Type: WAES90060437

Write-up: 08jun9 pt vax 2nd hepta B. 10min after pt devel urticaria, wheezing, and hoarseness. pt adm to er tx w/ steroids and recovered. after discharge wheezing more severe. readm to er.


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