National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/14/2022 release of VAERS data:

This is VAERS ID 113666

Government Disclaimer on use of this data



Case Details

VAERS ID: 113666 (history)  
Form: Version 1.0  
Age: 36.0  
Sex: Male  
Location: Ohio  
Vaccinated:1997-07-01
Onset:0000-00-00
Submitted: 1998-08-20
Entered: 1998-08-27
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 1 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain, Amnesia, Arthralgia, Hepatomegaly, Hyperbilirubinaemia, Myalgia, Paraesthesia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Anaphylactic reaction (broad), Acute pancreatitis (narrow), Peripheral neuropathy (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: sore throat-moderate
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: lots of blood work indicate abn liver functions;
CDC Split Type:

Write-up: joint & muscular pain-severe began w/in a wk of vax;numbness of limbs;swelling of liver-elevated bilirubin-abd pain & short term memory loss, h/a, rash & some itching;


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=113666


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166