VAERS ID: 25526

AGE: 45| SEX: F|STATE: TX

Description

Pt given Imovax rabies on 9-JUN-90 c/o sore arm. 17-JUN-90 pt. had fever & abd tenderness. Family member states worsened. While traveling w/husband pt. began to vomit blood. Taken to ER & admittedto intensive care. Pt had a cardiac arrest

Symptoms

Abdominal pain, Acidosis, Anaphylactoid reaction, Cardiac arrest, Cardiac failure, Haematemesis, Injection site pain, Pancreatitis, Pyrexia, Renal failure

Vaccines

VAX DATE: 06-08-1990| ONSET DATE: 06-17-1990| DAYS TO ONSET: 9
NameDose #TypeManufacturerLotRouteSite
RABIES (IMOVAX ID) Unknown RAB PASTEUR MERIEUX INST. Unknown Unknown

RECVDATE:07-13-1990
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:Y
DATEDIED:06-19-1990
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:30Jul90- cause of death: anaphylactic shock; the poisonous efectof ingested food stuff causing an accute systemic anaphylactic response which led to acute myocardial failure & ended in cardo-respiratory arrest.
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:~ ()~~~In patient
SPLTTYPE:CO3526
FORM_VERS:1
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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