VAERS ID: |
44801 (history) |
Form: |
Version 1.0 |
Age: |
0.1 |
Sex: |
Male |
Location: |
California |
Vaccinated: | 1992-07-06 |
Onset: | 1992-07-06 |
Days after vaccination: | 0 |
Submitted: |
1992-08-31 |
Days after onset: | 56 |
Entered: |
1992-09-10 |
Days after submission: | 10 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
0522V / 2 |
RL / IM |
Administered by: Private Purchased by: Private Symptoms: Pyrexia SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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, 3 days
Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: NONE Current Illness: mom said had felt warm in PM; Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: cultures/CSF & blood, CBC benign, CIE/urine & CSF neg; CDC Split Type:
Write-up: t104 afternoon of vax; admitted to acute hosp to r/o sepsis; cultures neg, treated meds x 3 days then sent home on no meds; |