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This is VAERS ID 30580

Case Details

VAERS ID: 30580 (history)  
Form: Version 1.0  
Age: 34.0  
Sex: Male  
Location: Alabama  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Asthenia, Back pain, Malaise, Muscle spasms, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: ct scan negative
CDC Split Type: WAES90060639

Write-up: pt vax hepta B. pt ex low grade fever, malaise, backache, fatigue, and abdo cramping which persisted for 3-4 days. aft recv 2nd vax, pt devel fever <103degF, severe abdo spasms, & backache. pt hosp.


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