Anthrax shot reaction. Louis, Missouri THE ISSUES 1.

Anthrax shot reaction. anthracis bacteria on the job, including: some military personnel, as determined by the Department of Defense These people should get five doses of vaccine (in the muscle): the first dose when risk of a potential exposure is identified, and the remaining doses at 4 weeks and All currently used anthrax vaccines show considerable local and general reactogenicity (erythema, induration, soreness, fever) and serious adverse reactions occur in about 1% of recipients. Citation Nr: 1523995 Decision Date: 06/05/15 Archive Date: 06/16/15 DOCKET NO. - (1) The Secretary of Defense shall establish uniform procedures under which members of the armed forces may be exempted from participating in the anthrax vaccine immunization program for either administrative or medical reasons. Mar 11, 2024 · We would like to show you a description here but the site won’t allow us. Mar 29, 2022 · Can reactions to the anthrax vaccine be claimed as a VA disability? Veterans seeking VA disability benefits must first prove a service connection between BioThrax and their symptoms. . Louis, Missouri THE ISSUES 1. Military personnel and anyone who travels to high-risk areas should also be Z88. The vaccine works by causing the body to produce its own protection (antibodies) against anthrax May 11, 2025 · Learn about the side effects of anthrax vaccine adsorbed, from common to rare, for consumers and healthcare professionals. It is important to note that individual reactions to vaccines can vary, and allergic reactions can occur in rare cases. Learn about side effects, interactions and indications. Dec 31, 2023 · In conclusion, excessive doses of the anthrax vaccine can lead to potential side effects or adverse reactions. A purer, more potent form of the anthrax vaccine was later developed, which the Food and Drug Administration (FDA) licensed in November 1970. The chapter discusses animal and human studies that have been conducted on the safety of the anthrax vaccine and the botulinum toxoid vaccine. [3][5][4] Anthrax vaccine adsorbed originated in studies done in the 1950s and was first licensed for use in humans in 1970. The studies examined a variety of outcomes, including local and systemic reactions occurring soon after vaccination, hospitalizations and outpatient visits, long-term health status Mar 10, 2010 · Anthrax vaccine protects against anthrax disease. May 11, 2025 · Learn about the side effects of Biothrax (anthrax vaccine adsorbed), from common to rare, for consumers and healthcare professionals. anthrax vaccine-specific cell mediated immunity (ASCMI), profiling TH1 and TH2 cytokine response to the anthrax vaccine in vitro, and analyzing of skin biopsy specimens. The principal active ingredient is the Protective Antigen (PA) component of the anthrax toxin complex. Is pregnant or thinks she might be pregnant. com Jun 25, 2019 · Here's what to know about the anthrax vaccine, including side effects, ingredients, why it's used, and who it's recommended for. 4 History of Anthrax Disease History of anthrax disease may increase the potential for severe local adverse reactions. Then get an appointment with another doctor in your clinic, preferably the chief of your clinic. Dec 23, 2024 · Cautions for Anthrax Vaccine Adsorbed Vaccine Safety Anthrax vaccine adsorbed is noninfectious and cell-free (i. Includes: indications, dosage, adverse reactions and pharmacology. Systemic reactions occur in fewer than 0. It is used after exposure to anthrax, together with antibiotics, to protect people from getting the disease. Inhaled anthrax is almost always fatal. Anthrax, an uncommon disease in humans, is caused by a large bacterium, Bacillus anthracis. Anthrax vaccine was licensed in 1970. Rheumatoid Arthritis. 5. This includes anyone who works directly with the bacteria, such as in a lab. General Accounting Office (GAO) to be accessible to users with visual impairments, as part of a longer term project to improve GAO products' accessibility. e. Additional mild-moderate efects include headache, joint pain, rash, fatigue, and fever. During the course of the committee's deliberations, it heard and received in writing considerable testimony from individuals describing adverse events that occurred to them or their family members following vaccination against anthrax. Study with Quizlet and memorize flashcards containing terms like When a vaccine is administered too high in a patient's arm they may develop which of the following?, Potential allergenic components within vaccines include:, Which of the following is an adverse reaction following immunizations? and more. This text file was formatted by the U. Apr 16, 2025 · In an emergency, the only people who shouldn't get the vaccine are people with a past serious allergic reaction to the anthrax vaccine, or anyone who has an allergy to one of the ingredients in the vaccine. However, like any medicine, this vaccine can cause side effects but the risk of serious side effects is extremely low. Every Considerably fewer were satisfied with the information DOD provided regarding the anthrax vaccine’s effectiveness in battlefield exposures, the history and past usage of the vaccine, the vaccine’s short-term safety and long-term safety, and possible side effects caused by reactions to the anthrax vaccine. Vaccine-associated hypersensitivity reactions are not infrequent. In the US, the principal purchasers of the vaccine are the Department of Defense and Department of Health and Human The anthrax vaccine is the best way to protect service members from the anthrax disease. The risk of inhalation infection is the main indication for anthrax vaccination. No evidence supports an association between receipt of anthrax vaccine and long-term side effects. Many of the anthrax side effects are mild and resolve within 24 Has had an allergic reaction after a previous dose of anthrax vaccine, or has any severe, life-threatening allergies. Apr 15, 2025 · What are the risks from anthrax vaccine? Like any medicine, a vaccine could cause a serious problem, such as a severe allergic reaction. Nov 26, 2024 · Becoming infected with anthrax is much more dangerous to your health than receiving this vaccine. Overview Serious neurologic complications of vaccination are rare. Dec 29, 2023 · Persons with a history of a severe allergic reaction to any of the ingredients found within the anthrax vaccine are at an increased risk for complications if they receive a dose of vaccine. 2. Anthrax vaccine is recommended for certain people 18 through 65 years of age who might be exposed to large amounts of B. SAFETY CONCERNS ABOUT THE ANTHRAX VACCINE AVA was originally licensed in 1970. Feb 1, 2023 · We would like to show you a description here but the site won’t allow us. Persons younger than 18 or older than 65 should not receive Biothrax anthrax vaccine. FDA’s system for collecting data on adverse events associated with the vaccine Oct 5, 2025 · Vibramycin Doxy 100 View more Should I get the anthrax vaccine? The anthrax vaccine helps prevent all forms of infection. Since it has been some time since the reaction occurred, anthrax should no longer be contraindicated for him. Yes. Jan 8, 2020 · Injection anthrax can result in swelling at the injection site, nausea and vomiting, and sweats. See full list on veteransdisabilityinfo. Feb 1, 2025 · Description Anthrax vaccine adsorbed, adjuvanted is used to prevent infection caused by anthrax bacteria. Based on limited but sound evidence, the vaccine protects against both cutaneous (skin) and inhalational Tell your vaccine provider if the person getting the vaccine: Has had an allergic reaction after a previous dose of anthrax vaccine, or has any severe, life-threatening allergies. Pre-exposure vaccination is provided by an acellular vaccine (anthrax Apr 11, 2019 · By way of comparison, the hepatitis B vaccine, required for all health care workers, has a systemic reaction rate five times greater than that observed due to Anthrax Vaccine, Adsorbed. Dec 29, 2023 · The Vaccine Adverse Event Reporting System (VAERS), a national system for monitoring the safety of vaccines in the United States, has not reported any significant cases of asthma following anthrax vaccination. We report a delayed and potentially serious life-threatening adverse reaction to anthrax vaccine. military personnel. Mild Problems: Tenderness on the arm where the shot was given (about 1 person out of 2) Redness on the arm where the shot was given (about 1 out of 7 men and A person who has ever had a life-threatening allergic reaction after a dose of anthrax vaccine, or has a severe allergy to any part of this vaccine, may be advised not to be vaccinated. Synonyms: allergy to anthrax vaccine, allergy to botulinum antitoxin, allergy (a) Procedures for Medical and Administrative Exemptions. These can include local reactions at the injection site, systemic symptoms resembling the flu, or, in rare cases, allergic reactions. A Food and Drug Administration (FDA) review completed in 1975 classified AVA as safe and effective and found that use of AVA is indicated “only for certain occupational groups with a risk of uncontrollable or unavoidable exposure to the organism. Jul 7, 2020 · This vaccine has been used for over 40 years. Jul 31, 2024 · Regularly recommended vaccines DTaP vaccine side effects (diptheria, tetanus, and acellular pertussis) What are the risks from DTaP vaccine? Soreness or swelling where the shot was given, fever, fussiness, feeling tired, loss of appetite, and vomiting sometimes happen after DTaP vaccination. I can’t say much more because I’ll get banned/downvoted into hell but the anthrax shot is a huge reason why I don’t want…other shots… Aug 16, 2019 · VIDEO: JBLM soldier sues USA anthrax vaccine reaction Emel Bosh was born in Turkey but for the past three years, has been willing to put her life on the line for the U-S Army. Unfortunately, many associations between vaccination and putative neurologic complications have been asserted without sufficient objective data to establish a causal relationship. Between 1974 and 1989, 68,000 doses of anthrax vaccine were distributed in the United States. Dec 31, 2023 · This article explores the potential side effects of the anthrax vaccine and provides a comprehensive understanding of its risks and benefits. AVIP Jan 31, 2006 · This case series attempts to immunologically detail this eczematous reaction in four patients by measuring . Mild to Moderate Side Efects: Localized reactions include tenderness, redness, itching, lump or bruise at the vaccination site. Dermatologists played a lead role in the initial response to the anthrax attack. Department of Defense, 1998–2000 Concerns about the potential use of anthrax as a biologic weapon prompted the U. Anthrax causes serious illness when inhaled, ingested, or absorbed through the skin. In naturally occurring instances, these spores infect animals first, and humans can contract the disease if they come into contact with these sick animals through a wound in their skin A small body of published reports as well as results from newer studies by Department of Defense (DoD) researchers provided data regarding adverse events following administration of Anthrax Vaccine Adsorbed (AVA). The vaccine works by causing the body to produce its own protection (antibodies) against anthrax. It causes autoimmune diseases which explains the rash. Some of these events were quite severe, and the committee Mar 30, 2000 · During the development of the anthrax vaccine, several studies examined adverse reactions in humans. It is spread by touching or On the other hand, the anthrax vaccine has a side effect profile similar to vaccines routinely recommended for children (i. Second, the incidences of these side effects to the anthrax vaccine is comparable of that to the Lyme vaccine, diphtheria, tetanus and pertussis, which is a common child immunization agent, the typhoid vaccine, as well as hepatitis A. Nov 8, 2002 · Nov 8, 2002 (CIDRAP News) The Pentagon's mandatory anthrax shots caused adverse reactions in most recipients and helped prompt many Air Force Reserve and Air National Guard members to transfer to other units or leave the military between 1998 and 2000, according to a survey by Congress's General Before discussing the vaccine’s side effects, here is a quick overview of why anthrax attacks can be so serious and potentially deadly. In the event of anthrax exposure, the vaccine also can be offered as post-exposure prophylaxis with 3 doses at 2-week intervals, along with postexposure antibiotics. It is also used after exposure to anthrax, together with antibiotics, to protect people from getting the disease. More severe local reactions are less frequent and consist of extensive edema of the forearm in addition to the local inflammatory reaction. Based on limited but sound evidence, the vaccine protects against both cutaneous (skin) and inhalation anthrax. Understand the risks and benefits to make an informed decision about getting vaccinated. Mild-Moderate Side Effects Reactions on the arm where the shot was given include: tenderness, redness, itching, development of a lump or bruise, muscle aches, or temporary limitation of arm movement. In conclusion, the pain and discomfort associated with anthrax shots are primarily caused by injection site reactions, the immune response to the vaccine, the inclusion of adjuvants, and individual differences. The risk of anthrax vaccine causing serious harm, or death, is extremely small. All types of anthrax can cause fever, chills, fatigue, and headache. These studies used early versions of the culture filtrate (protective-antigen) vaccine. But in doing so, vaccines also cause in some people varying degrees of negative health consequences ranging from a sore arm to potentially fatal hyper-sensitive or allergic reactions. Because adverse reactions in vaccinated personnel were similar to symptoms of GWS, we tested AVIP participants for anti-squalene antibodies (ASA). However, people who have had a serious allergic reaction to a previous dose of the anthrax vaccine or have a severe allergy to any vaccine component should not receive the vaccine. g. Entitlement to service Oct 1, 1999 · As of midsummer, the Pentagon reported only 103 adverse reactions to the anthrax vaccine, out of more than 977,000 doses administered. The anthrax vaccine, which is given as a series of five shots followed While the BioPort vaccine uses aluminum hydroxide — which is standard in many US vaccines — as an adjuvant, it has also been found to contain trace amounts of squalene, an adjuvant that is not approved for vaccine use in the US but is used in some European vaccines. 4 million military personnel. Discover the key facts about this vaccine and be informed about the potential adverse reactions you may experience. 2Contraindications to the anthrax vaccine include hypersensitivity reaction to a prior dose or vaccine component, human immunodeficiency virus positivity or immune suppression Citation Nr: 1111676 Decision Date: 03/23/11 Archive Date: 04/05/11 DOCKET NO. Anthrax is a serious disease that may cause death. 2% of recipients. , cholera, typhoid Dec 31, 2023 · Anthrax, a deadly infectious disease caused by the bacillus anthracis, has long posed a threat to individuals and societal health. Explore anthrax vaccine side effects and learn about common reactions and serious risks for informed health decisions. Taken together, reports to VAERS did not definitively link any serious unexpected risk Surveillance for Adverse Events Associated with Anthrax Vaccination — U. 07-05 127 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Cleveland, Ohio THE ISSUES 1. Mar 1, 2025 · Description Anthrax vaccine is used to prevent infection caused by anthrax bacteria. Dec 29, 2023 · Learn about the potential side effects of the anthrax shot and why it may cause illness. Additionally, the issue of multiple vaccinations is addressed. This article explores the possibility and provides information on how to potentially qualify for these benefits. Muscle aches, fatigue, low-grade fever, and headache also may occur. Do some research about normal/abnormal anthrax reactions and explicitly ask them to document your reactions in your record. Nov 1, 2024 · Biothrax and CYFENDUS anthrax vaccines can cause death to an unborn baby if administered to a pregnant woman. The long-term safety of the licensed vaccine has not been studied. see with the anthrax vaccine as well as the commonly used vaccines. Due to its composition and the number of inoculations required, the anthrax vaccine causes local and systemic reactions at what DOD once called problematic rates. During an anthrax vaccine screening, a Sailor reported having a severe allergic reaction to anthrax 5 years ago. troops deployed to the Gulf region, they received a standard series of inoculations against infectious diseases-e. 105 Based on the Vaccine Adverse Events Reporting System data, the Food and Drug Administration has concluded that it has no concerns about the safety of Anthrax Jan 7, 2009 · During the period March 1, 1998 to January 14, 2007, approximately 6 million doses of Anthrax vaccine adsorbed (AVA) vaccine were administered. S. Dec 30, 2023 · This article explains the potential effects of the anthrax vaccine on the human body, including its safety, efficacy, side effects, and long-term impact. It is now relevant for physicians to be familiar with both clinical anthrax and adverse vaccine-related events associated with the resumption of the anthrax vaccine program. Veterans who had an adverse reaction to the anthrax vaccine or other vaccines are encouraged to follow up with their health care provider to submit this information to the Department of Health and Human Service’s Vaccine Adverse Event Reporting System (VAERS) which monitors and tracks vaccine adverse events. Make notes about your reactions--duration, intensity, location, etc and take them with you, along with whatever the ER gave you. , no killed or live bacteria) and generally appears to be well tolerated. Whether new and material evidence has been received to reopen a claim for service-connection for residual disability from an adverse reaction to anthrax vaccine. The United States Department of Defense initiated the Anthrax Vaccine Immuni-zation Program (AVIP) in 1997 to immunize 2. anthracis cells and it does not cause anthrax. A cell free filtrate that contains antigenic proteins which are adsorbed or precipitated using an aluminium-based adjuvant and have been obtained from cultures of attenuated, avirulent strains of Bacillus anthracis. Dec 29, 2023 · NVIC recommends consumers read comprehensive information NVIC provides on anthrax, the vaccine manufacturer product information inserts, and speak with one or more trusted health care professionals before making a vaccination decision for yourself or your child. [3] [4] What Is Flu Vaccine? This chapter discusses several vaccine-related issues that have been of particular concern to Gulf War veterans. 4 Serious anaphylactic or cutaneous adverse reactions do occur but are extremely rare. Data on the prevalence and duration of short-term reactions to the vaccine are limited but suggest that women experience a higher rate of adverse reactions than do men. This article aims to explore the arguments on both sides Anthrax vaccine adsorbed, sold under the brand name Biothrax among others, is a vaccine intended to provide acquired immunity against Bacillus anthracis. Many of the anthrax side effects are mild and resolve within 24 Dec 31, 2023 · This can help to support the immune system and reduce fatigue associated with the vaccine's immune response. Fortunately, most reported vaccine-associated adverse reactions are not serious, and many are not immunologically mediated or even reproducible on re-exposure. 7 is a billable diagnosis code used to specify allergy status to serum and vaccine. Anthrax is caused by a bacterium, Bacillus anthracis, which forms spores. Squalene is known to cause autoimmune reactions when injected into animals. Of these 103 events, only 14 reactions resulted in more than 24 hours of lost duty. Entitlement to service connection for fibromyalgia, including as secondary to anthrax vaccinations. The vaccine is recommended for people at high risk for infection. anthracis bacteria on the job, including: some military personnel, as determined by the Department of Defense These people should get five doses of vaccine (in the muscle): the first dose when risk of a potential exposure is identified, and the remaining doses at 4 weeks and Nov 15, 2017 · The anthrax vaccine is the best way to protect service members from the anthrax disease. As of January 16, 2007, 4753 reports of adverse events following receipt of AVA vaccination had been submitted to the Vaccine Adverse Event Reporting System (VAERS). Risks of a vaccine reaction After getting a shot of anthrax vaccine, you may have: Tenderness, redness, itching, or a lump or bruise where the shot is given Muscle aches or short-term trouble moving your arm Headaches or fatigue People sometimes faint after medical procedures, including vaccination. Severe local reactions are infrequent and consist of extensive swelling of the forearm in addition to the local reaction. 13-18 250 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in St. Based on limited but sound evidence, the vaccine protects against both cutaneous (skin) and inhalational anthrax. Anthrax is a very serious disease, and the risk of serious harm from the vaccine is extremely small. Evaluation of immunization-associated, potentially immunologically mediated Apr 24, 2003 · Like any medicine, a vaccine is capable of causing serious problems, such as severe allergic reactions. It is recommended for individuals in industrial settings who come in Dec 29, 2023 · Biothrax Anthrax Vaccine Biothrax anthrax vaccine is FDA approved for use in persons between 18 and 65 years of age who are at high risk of exposure to anthrax. These people should get 3 doses of vaccine (under the skin), with the first dose as soon after exposure as possible, and the 2nd and 3rd doses given 2 and 4 weeks after the first. The purpose of this study was to evaluate anthrax vaccination and its association with arthritic, immunological and gastrointestinal adverse reactions based upon analysis of the Vaccine Adverse Events Reporting System (VAERS) database. More serious reactions, such as seizures, non-stop crying for 3 hours or more, or high fever (over 105 Biothrax and CYFENDUS anthrax vaccines can cause death to an unborn baby if administered to a pregnant woman. [2] New third-generation vaccines being researched include recombinant live vaccines and recombinant sub-unit vaccines. However, controversy and concerns have surrounded the anthrax vaccine, raising questions about its safety and potential dangers. Anyone who has previously experienced an anaphylactic or anaphylactic-like reaction following a previous dose of Biothrax should not receive another This case series attempts to immunologically detail this eczematous reaction in four patients by measuring anthrax vaccine-specific cell mediated immunity (ASCMI), profiling TH1 and TH2 cytokine response to the anthrax vaccine in vitro, and analyzing of skin biopsy specimens. 2 The anthrax vaccine, which is given as a series of five shots followed by annual boosters, is 93% effective at preventing anthrax disease. The vaccine used in the United States does not contain B. , occasional pain, redness, and tenderness at the site of injection; rarely, fever, chills, body aches and nausea). Vaccine Reactions: Most of the safety studies done on anthrax vaccine have been conducted by the Department of Defense, are unpublished, and reportedly do not include long term follow-up, according to military veterans advocacy groups who have reported anthrax vaccine damage. Some service members have reported prolonged fatigue and/ or joint pain that impacted their activities, but Mar 29, 2024 · An increasing number of vaccine-related severe cutaneous adverse reactions (SCARs) have been reported in the literature. Reported mild to moderate anthrax vaccine reactions include local swelling, pain, and redness at the injection site, fever, chills, and nausea that resolve without permanent damage. Who should get anthrax 3 vaccine and when? Sep 5, 2025 · Severe anthrax vaccine reaction reports include autoimmune and brain dysfunction, chronic disabling fatigue, persistent headaches, severe joint pain and crippling arthritis, numbness, and muscle weakness, paralysis, brain inflammation, seizures, permanent memory loss, and death. Apr 30, 2017 · Story Highlights In anticipation of biological warfare, military personnel were given the anthrax vaccine during the 1990s Gulf War. These vaccines include Anthrax Vaccine Adsorbed (AVA) and Anthrax Vaccine Are there adverse reactions to the anthrax vaccine? Mild local reactions occur in 30% of recipients and consist of slight tenderness and redness at the injection site. While adverse reactions to the vaccine reported to date generally have been mild to moderate and transient, it is possible that increased clinical use of the vaccine may reveal rare, previously unreported Oct 31, 2024 · BioThrax is used to help prevent anthrax in people exposed to the bacteria through the skin or lungs. Apr 15, 2025 · Anthrax vaccine is recommended for certain people 18 through 65 years of age who might be exposed to large amounts of B. A vaccine, like any prescription medicine, can cause signifcant problems but the risk of the anthrax vaccine causing serious harm or death is very small. Oct 5, 2025 · Care guide for Anthrax Vaccine. All vaccines may cause some adverse reactions. However, DOD is designing studies to examine the vaccine’s long-term effects. What is anthrax vaccine? Anthrax vaccine protects against anthrax disease. A previously healthy 34-year-old male was transported to the emergency department with dyspnea, diaphoresis, pallor, and urticarial wheals on his face, arms, and torso after the administration of the th … Dec 30, 2023 · If you have been administered the anthrax vaccine during your military service and are now experiencing adverse health effects, you may be wondering if you can receive VA disability benefits. After their service, Gulf War veterans suffered a wide range of debilitating symptoms that became known as the Gulf War illness or "Gulf War Syndrome. 4. This is the accessible text file for GAO report number GAO-02-445 entitled 'Anthrax Vaccine: GAO’s Survey of Guard and Reserve Pilots and Aircrew' which was released on September 20, 2002. Department of Defense (DoD) to announce on December 15, 1997, anthrax vaccination of all U. It is used before exposure to anthrax to protect people at high risk of getting the disease. This effort is coordinated by the Anthrax Vaccine Immuni-zation Program (AVIP). Anthrax vaccine protects against anthrax disease. Reported neurologic A moderate local reaction can occur if the vaccine is given to anyone with a past history of anthrax infection. Oct 31, 2024 · Anthrax causes serious illness when inhaled, ingested, or absorbed through the skin. However, the risks of having an adverse reaction associated with the anthrax vaccine are far less than the risk of acquiring the anthrax disease. Tell your vaccine provider if the person getting the vaccine: Has had an allergic reaction after a previous dose of anthrax vaccine, or has any severe, life-threatening allergies. To combat this peril, a vaccine was developed to protect against the disease. Jul 28, 2014 · This vaccine was found to be safe and effective in preventing anthrax infection in mill workers in the late 1950s. Reports of adverse events have also been featured in newspaper reports and congressional testimony. Aug 19, 2016 · Pregnant women who have been exposed to anthrax may also be recommended to receive the vaccine. " There were Dec 16, 2020 · Severe: signs that an adverse reaction to the anthrax vaccine is severe include difficulty breathing, weakness, hoarseness, wheezing, a fast heartbeat, hives, dizziness, paleness, or swelling of the lips and throat. Anthrax vaccine was licensed in 1970 and relicensed in 2008. Anthrax vaccine is also recommended for unvaccinated people who have been exposed to anthrax in certain situations. Entitlement to service connection for dysthymic disorder, including as secondary to BioThrax package insert / prescribing information for healthcare professionals. Multi-year studies by independent civilian groups have found no patterns of long-term health problems due to anthrax vaccination. Includes: possible causes, signs and symptoms, standard treatment options and means of care and support. RE: ANTHRAX AND BOTULINUM TOXOID VACCINES Before U. Most patients with vaccine-associated neurologic complications recover fully, although rare poor outcomes are recognized. Anthrax can spread throughout the body and cause severe illness, including brain infections and even death, if left untreated. ovc w5zjh jdzcw7f my q7u kxqfyb 5h0 emk pb k6sfl