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Case Details (Sorted by Age)

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VAERS ID:117964 (history)  Vaccinated:1998-12-16
Age:13.0  Onset:1998-12-17, Days after vaccination: 1
Gender:Female  Submitted:1998-12-21, Days after onset: 4
Location:Massachusetts  Entered:1999-01-07, Days after submission: 17
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TD ADSORBED (NO BRAND NAME)CONNAUGHT LABORATORIES09605806IMRA
Administered by: Public     Purchased by: Unknown
Symptoms: Injection site abscess, Injection site hypersensitivity, Injection site mass
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: pt recv vax 16DEC98 & next day large red area @ site rt arm;redness dec but lump persists;5 days later 2x2cm sc mass "sterile" abscess

VAERS ID:118064 (history)  Vaccinated:1998-10-28
Age:13.1  Onset:1998-10-28, Days after vaccination: 0
Gender:Male  Submitted:1998-10-28, Days after onset: 0
Location:Minnesota  Entered:1999-01-12, Days after submission: 76
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES  IMLA
Administered by: Other     Purchased by: Private
Symptoms: Amblyopia, Dizziness, Hyperhidrosis, Hypertension, Tinnitus
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypertension (narrow), Optic nerve disorders (broad), Hearing impairment (narrow), Vestibular disorders (broad)
Write-up: blurred vision, ringing in ears, sweating, faint/light headed;sat down on floor-BP 118/60, P72;BP remained stable;pt remain seated or 15-20min;

VAERS ID:118076 (history)  Vaccinated:0000-00-00
Age:13.1  Onset:1998-12-29
Gender:Female  Submitted:1998-12-31, Days after onset: 2
Location:Nevada  Entered:1999-01-13, Days after submission: 13
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: pt recv MMR 31AUG88 & 22FEB93;
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: mumps IGm negative;amylase 1667
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
MMR: MEASLES + MUMPS + RUBELLA (MMR II)MERCK & CO. INC.0121V2SCLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Parotid gland enlargement
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)
Write-up: rt parotid swelling tx observe;rt parotitis;

VAERS ID:118513 (history)  Vaccinated:1999-01-12
Age:13.3  Onset:1999-01-12, Days after vaccination: 0
Gender:Female  Submitted:1999-01-12, Days after onset: 0
Location:Nevada  Entered:1999-02-02, Days after submission: 21
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: UNK
CDC Split Type: NV99002
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2602A93 LA
Administered by: Public     Purchased by: Public
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)
Write-up: Pt recv vax on 1/12/99; on same day pt exp sore arm at vax site

VAERS ID:118782 (history)  Vaccinated:1998-07-28
Age:13.1  Onset:1998-08-10, Days after vaccination: 13
Gender:Female  Submitted:1999-01-13, Days after onset: 156
Location:Missouri  Entered:1999-02-09, Days after submission: 27
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: pt recv 1st hep b shot 16JUN98 lot# 1037E by MSD & 3rd hep b shot 30DEC98, lot# 0829H by MSD;
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: Ct superior rectus & superior oblique mysositis;
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1560E1 LA
Administered by: Private     Purchased by: Private
Symptoms: Exophthalmos, Myositis
SMQs:, Rhabdomyolysis/myopathy (broad), Hyperthyroidism (narrow), Ocular infections (broad)
Write-up: pt recv vax 27JUL98 & 10AUG98 pt exp exophthalmos on 10SEP98 CT showed superior rectus & superior oblique myositis;

VAERS ID:118799 (history)  Vaccinated:1999-01-25
Age:13.9  Onset:1999-01-26, Days after vaccination: 1
Gender:Male  Submitted:1999-02-03, Days after onset: 8
Location:Connecticut  Entered:1999-02-09, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: UNK
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.1667H2 LA
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad)
Write-up: Pt recv vax on 1/25/99; on 1/26/99 pt exp itchy skin, left side leg pain & stomach ache

VAERS ID:118864 (history)  Vaccinated:1999-01-07
Age:13.2  Onset:1999-01-12, Days after vaccination: 5
Gender:Female  Submitted:1999-01-12, Days after onset: 0
Location:Arizona  Entered:1999-02-09, Days after submission: 28
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Allergic to bee stings
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HIBV: HIB (PEDVAXHIB)MERCK & CO. INC.0238H1 RA
Administered by: Other     Purchased by: Public
Symptoms: Rash maculo-papular
SMQs:, Hypersensitivity (narrow)
Write-up: Pt recv vax on 1/7/99; on 1/12/99 pt exp sand paper-like rash on right & left forearms & hands

VAERS ID:119008 (history)  Vaccinated:1997-04-02
Age:13.1  Onset:1997-04-13, Days after vaccination: 11
Gender:Female  Submitted:1999-01-27, Days after onset: 654
Location:Iowa  Entered:1999-02-16, Days after submission: 20
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Brother recv HepB 1dayold,exp irregular heartrate;other brother 7dayexpnervous
Other Medications: Pt recv HepB #1, MSD, 0459D, IM-LA; HepB #2, MSD, 0643D, IM-LA
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: 5/97 ANA 1:160, Sedrate 53; 1/6/98 Sedrate 11, ANA 1:80, Rheumatoid factor-negative; 5/98 Thyroid fx-normal, Hemoglobin 13.6, Hematocrit 39.5, ANA positive, dsDNA 1.4(slightly positive),CAT scan, X-rays
CDC Split Type: IA99002
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (FOREIGN)MERCK & CO. INC.0361D2IMLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Abdominal pain, Anaemia, Antinuclear antibody, Arthralgia, Asthenia, Hernia, Hypertonia, Hypokinesia, Laboratory test abnormal, Neck pain, Nuchal rigidity, Oedema peripheral, Pain, Peripheral vascular disorder, Pharyngitis, Pyrexia, Rheumatoid arthritis, Rhinitis, Stomatitis, Tenosynovitis
SMQs:, Cardiac failure (broad), Severe cutaneous adverse reactions (broad), Acute pancreatitis (broad), Agranulocytosis (broad), Angioedema (broad), Haematopoietic erythropenia (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (narrow), Oropharyngeal infections (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Arthritis (narrow), Tendinopathies and ligament disorders (narrow)
Write-up: Pt recv #3 vax on 4/2/97; on 4/13/97 pt exp pain in big toe then pain in left foot w/ stiffness;in ''98 pt exp joint sx, fatigue, cool extremities dx=rheumatoid arthritis,tensosynovitis Raynaud''s syndrome, antinuclear antibody, hiatal hernia

VAERS ID:119081 (history)  Vaccinated:1999-02-01
Age:13.1  Onset:1999-02-02, Days after vaccination: 1
Gender:Female  Submitted:1999-02-10, Days after onset: 8
Location:Oklahoma  Entered:1999-02-17, Days after submission: 7
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (NO BRAND NAME)UNKNOWN MANUFACTURER1480H2 RA
HEPA: HEP A (NO BRAND NAME)UNKNOWN MANUFACTURER1444H1 LA
Administered by: Public     Purchased by: Public
Symptoms: Injection site hypersensitivity, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: p/24hr inflammation (soreness/swelling) in lt deltoid;pt mom instructed to use warm then cold packs & anti-inflammatory for soreness;no reaction to prev immun;

VAERS ID:119167 (history)  Vaccinated:1997-12-02
Age:13.6  Onset:1997-12-04, Days after vaccination: 2
Gender:Male  Submitted:1997-12-12, Days after onset: 8
Location:Maine  Entered:1999-02-19, Days after submission: 434
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
    Extended hospital stay? No
Previous Vaccinations: Hep B vax #1 on 10/28/1997, had first seizure on 11/08/1997.
Other Medications: Started Dilantin 11/18/1997, switched to Depakote 12/12/1997
Current Illness: idiopathic epilepsy 11/8/1997
Preexisting Conditions: Allergic to Penicillin
Diagnostic Lab Data: 11/18-EEG abnormal
CDC Split Type: ME98036
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2418A21IMLA
Administered by: Other     Purchased by: Other
Symptoms: Convulsion, Similar reaction on previous exposure to drug
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow)
Write-up: Pt recv vax on 10/28/97 & 12/2/1997; post vax had idiopathic epilepsy, Dr does not think it is related.

VAERS ID:119388 (history)  Vaccinated:1999-02-15
Age:13.3  Onset:1999-02-16, Days after vaccination: 1
Gender:Male  Submitted:1999-02-16, Days after onset: 0
Location:South Carolina  Entered:1999-02-25, Days after submission: 9
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: pt exp rxn w/hep vax dose 3;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1497E2 LA
Administered by: Private     Purchased by: Public
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow)
Write-up: rash-itching all over 6PM on 15FEB99;pred-zyrtec;

VAERS ID:119616 (history)  Vaccinated:1997-11-11
Age:13.3  Onset:1997-11-11, Days after vaccination: 0
Gender:Female  Submitted:1998-11-18, Days after onset: 372
Location:Illinois  Entered:1999-02-26, Days after submission: 100
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: asthma, prev flu doses on 14NOV96, 7OCT94, 9NOV93, 21OCT92, 27NOV92;
Diagnostic Lab Data: NONE
CDC Split Type: 7751
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F818525  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Chest pain, Influenza, Myalgia, Oedema peripheral, Pain
SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (broad), Angioedema (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad)
Write-up: pt recv vax 11NOV97 & 6hr p/vax pt exp a very swollen arm;the next day pt exp chest pain, tremendous swelling in the arm over the deltoid & shoulder area, tenderness & myalgia;

VAERS ID:119636 (history)  Vaccinated:1997-11-20
Age:13.3  Onset:1997-12-01, Days after vaccination: 11
Gender:Female  Submitted:1998-11-19, Days after onset: 353
Location:Illinois  Entered:1999-02-26, Days after submission: 99
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: U199800007
Vaccination
Manufacturer
Lot
Dose
Route
Site
FLU3: INFLUENZA (SEASONAL) (FLUZONE)CONNAUGHT LABORATORIES7F81723   
Administered by: Other     Purchased by: Other
Symptoms: Asthma
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad)
Write-up: Pt recv vax on 11/20/97; approx 5 wk post vax pt developed asthma

VAERS ID:119489 (history)  Vaccinated:1999-01-27
Age:13.1  Onset:1999-01-27, Days after vaccination: 0
Gender:Female  Submitted:1999-01-27, Days after onset: 0
Location:Georgia  Entered:1999-03-01, Days after submission: 33
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: unk
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NA
CDC Split Type: GA99022
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (ENGERIX-B)SMITHKLINE BEECHAM2699A20IMLA
Administered by: Public     Purchased by: Public
Symptoms: Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad)
Write-up: pt recv vax 27JAN99 135PM & got up walked out of the lab & was standing in the hall by the doorway for about 5min;alout hit heard & mom said pt fainted;saw MD told to observe;

VAERS ID:119683 (history)  Vaccinated:1997-09-04
Age:13.1  Onset:1997-10-04, Days after vaccination: 30
Gender:Female  Submitted:1999-02-25, Days after onset: 509
Location:New York  Entered:1999-03-03, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: unk
Current Illness:
Preexisting Conditions: exercise induced asthma
Diagnostic Lab Data:
CDC Split Type: WAES99021223
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 1  
Administered by: Other     Purchased by: Other
Symptoms: Arthralgia, Asthenia, Asthma, Condition aggravated, Cyanosis, Dyspnoea, Oedema peripheral, Rash, Weight decreased
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: pt recv vax 4SEP97 & 4OCT97 exp asthmatic spasm w/diff breathing & taken to ER;also exp rash that came & went over entire body, chronic fatigue,weight loss, failure to thrive, joint pain;fingers & toes turned blue & became itchy & swollen;

VAERS ID:119709 (history)  Vaccinated:1999-01-27
Age:13.4  Onset:1999-01-28, Days after vaccination: 1
Gender:Female  Submitted:1999-02-12, Days after onset: 15
Location:California  Entered:1999-03-03, Days after submission: 19
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: CA990013
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1169H1 LA
Administered by: Public     Purchased by: Public
Symptoms: Amblyopia, Chest pain, Dizziness, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Optic nerve disorders (broad), Cardiomyopathy (broad), Vestibular disorders (broad)
Write-up: pt recv vax 27JAN99 & 28JAN99 pt c/o severe h/a, including forehead & eyes;h/a were followed by episodes of nausea, dizziness & blurred vision, lasting about 4hr;10FEB99 c/o chest pain, seen by MD rx med;

VAERS ID:119863 (history)  Vaccinated:1997-08-12
Age:13.3  Onset:1997-08-19, Days after vaccination: 7
Gender:Male  Submitted:1999-03-01, Days after onset: 559
Location:Pennsylvania  Entered:1999-03-03, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type: WAES98031446
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 0  
Administered by: Private     Purchased by: Private
Symptoms: Abdominal pain, Adverse drug reaction, Asthenia, Diarrhoea, Pyrexia, Rash maculo-papular, Similar reaction on previous exposure to drug, Urticaria
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow)
Write-up: Pt recv #1 dose vax on 8/12/97;on 8/19/97 pt exp raised rash w/ welts on face,neck,back&chest/pt recv #2 dose vax on 9/15/97;on 10/10/97 pt exp abd pains&diarrhea/pt recv #3 2/23/98;abd pain, fatigue,fever;tx=Hydrocortisone cream w/no help

VAERS ID:119906 (history)  Vaccinated:1997-01-01
Age:13.4  Onset:0000-00-00
Gender:Male  Submitted:1999-03-01
Location:Colorado  Entered:1999-03-03, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: Blood test-positive for cryoglobulins, Renal biopsy-normal
CDC Split Type: WAES98050825
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC. 2  
Administered by: Public     Purchased by: Other
Symptoms: Haematuria
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Tubulointerstitial diseases (broad)
Write-up: Pt recv vax in Fall ''97; post vax pt exp chronic persistent hematuria of glomerular origin

VAERS ID:119973 (history)  Vaccinated:1998-08-10
Age:13.2  Onset:1998-08-11, Days after vaccination: 1
Gender:Male  Submitted:1999-03-01, Days after onset: 202
Location:Michigan  Entered:1999-03-03, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: No relevant data;
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Diagnostic Lab Data:
CDC Split Type: WAES98081244
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1395E0  
Administered by: Unknown     Purchased by: Unknown
Symptoms: Arthralgia, Hypertonia, Rash maculo-papular
SMQs:, Neuroleptic malignant syndrome (broad), Parkinson-like events (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypersensitivity (narrow), Arthritis (broad)
Write-up: pt recv vax 10AUG98 & 11AUG98 pt exp joint pain & stiffness w/flexion in lt hand & pink macules on both hands but worse on lt hand;pt sought unspecified med attention;

VAERS ID:119975 (history)  Vaccinated:1997-03-11
Age:13.0  Onset:1998-05-13, Days after vaccination: 428
Gender:Male  Submitted:1999-03-01, Days after onset: 292
Location:Virginia  Entered:1999-03-03, Days after submission: 2
Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 9 days
    Extended hospital stay? No
Previous Vaccinations: no
Other Medications: unk
Current Illness: none
Preexisting Conditions: sulfa allergy
Diagnostic Lab Data: MAY98 neurological exam negative for multiple sclerosis;
CDC Split Type: WAES98081264
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEP: HEP B (RECOMBIVAX HB)MERCK & CO. INC.1283D2IMLA
Administered by: Private     Purchased by: Private
Symptoms: Amblyopia, Asthenia, Dehydration, Gait disturbance, Hypokinesia, Syncope, Vertigo, Vestibular disorder
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Optic nerve disorders (broad), Cardiomyopathy (broad), Vestibular disorders (narrow), Hypotonic-hyporesponsive episode (broad)
Write-up: pt recv vax 1MAR97 & approx 13MAY98 pt exp numerous black-outs & fainting spells which resulted in hosp for 9 days;sx similar to those of MS;pt becomes fatigued quickly, has to use walker @ times uses a wheelchair;also undergoing PT;

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