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This is VAERS ID 25488

(NOTE: This result is from the 12/30/2006 version of the VAERS database)

Case Details

VAERS ID: 25488 (history)  
Form: Version .0  
Age: 26.0  
Sex: Male  
Location: Texas  
Vaccinated:1990-05-10
Onset:1990-05-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 48049/1884R / - - / -

Administered by: Private       Purchased by: Unknown
Symptoms: AMBLYOPIA, CONFUS, DIZZINESS, EXTRASYSTOLES BIGEM, MYALGIA
SMQs:

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? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy to penicillin, hx of PVC''s
Allergies:
Diagnostic Lab Data: Holter moniter- pretreatment, no adv. Dysrhythmias
CDC Split Type:

Write-up: Pt vaccinated /w 1st dose of Recombivax, developed dizziness, blurred vision, jitteriness, sweating, myalia, vomiting, nause, vertigo, disorientation & pain in eye. Exam revealed Pt''''s fundi & intraocular pressure WNL. Pt hospitalized.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20061230&IDNUMBER=25488


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