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 120523

Government Disclaimer on use of this data



Case Details

VAERS ID: 120523 (history)  
Form: Version 1.0  
Age: 36.0  
Sex: Male  
Location: Ohio  
Vaccinated:1997-06-18
Onset:1997-06-22
   Days after vaccination:4
Submitted: 1999-03-18
   Days after onset:634
Entered: 1999-03-23
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2186A4 / 1 LA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 539A6 / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Abdominal pain, Arthralgia, Blood disorder, Eye disorder, Headache, Hyperhidrosis, Immune system disorder, Myalgia, Paraesthesia, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Haematopoietic cytopenias affecting more than one type of blood cell (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Corneal disorders (broad), Eosinophilic pneumonia (broad), Retinal disorders (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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:
Other Medications: none
Current Illness: sore throat-didn''t feel well
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: abnormally low blood complement levels-indicates autoimmune disorder
CDC Split Type:

Write-up: initial onset w/in days of vax: severe h/a, severe joint & muscle pain, noc sweats, rash, numbness in limbs, eye problems, abd pain; Per follow-up dated 9/18/00, the pt states he developed a autoimmune disorder as a result of the vaccine. The same symptoms that were recorded earlier continue to wax and wane in severity. He also developed cancer that the doctors suspect is related to this vaccine induced illness.Annual follow-up received on 09/18/00 provides no additional data.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=120523


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