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This is VAERS ID 25488

(NOTE: This result is from the 9/14/2017 version of the VAERS database)

Case Details

VAERS ID: 25488 (history)  
Form: Version 1.0  
Age: 26.0  
Sex: Male  
Location: Texas  
Vaccinated:1990-05-10
Onset:1990-05-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 48049/1884R / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Amblyopia, Confusional state, Dizziness, Extrasystoles, Eye pain, Hyperhidrosis, Myalgia, Nausea, Nervousness, Vertigo, Vomiting
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Optic nerve disorders (broad), Eosinophilic pneumonia (broad), Tachyarrhythmia terms, nonspecific (narrow), Vestibular disorders (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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? Yes
Previous Vaccinations: ~ ()~~~In patient
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: WAES90050424

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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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170914&IDNUMBER=25488


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