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This is VAERS ID 25536

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 25536 (history)  
Form: Version .0  
Age: 92.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:1990-02-09
Onset:1990-03-22
   Days after vaccination:41
Submitted: 0000-00-00
Entered: 1990-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 1647R / - - / -

Administered by: Private       Purchased by: Unknown
Symptoms: ANOREXIA, ARTHRITIS, CHILLS, CONFUS, CREATINE PK INC
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Diabetes mellitus, allergies to codeine, sulfa drugs
Allergies:
Diagnostic Lab Data: BUN- 30, WBC- 12600, platelet- 695000, ESR- 110, Hct-29, Hgl-10.3 EXTENSIVE SEE WORM
CDC Split Type:

Write-up: Pt dev pain in arms & legs which inc til unable to walk. T to 105, shaking, chills, arthritis, incontinent, poor oral intake. Rt wrist edematous /w pain on mvmt, erythema & effusion. Extensive pt hx & hospital course


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