National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/14/2022 release of VAERS data:

This is VAERS ID 150480

Government Disclaimer on use of this data



Case Details

VAERS ID: 150480 (history)  
Form: Version 1.0  
Age: 14.0  
Sex: Female  
Location: Oklahoma  
Vaccinated:1999-09-14
Onset:1999-09-14
   Days after vaccination:0
Submitted: 2000-03-22
   Days after onset:190
Entered: 2000-03-28
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3075 / 2 LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 114HJ / 1 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Dyspnoea, Pain
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: recovering from pneumonia
Preexisting Conditions: asthma, hx of grand mal seizures
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt''s lungs hurt bad, hurt to breath, and then couldn''t breath 2 hours post vax. Pt was taken to ER and admitted to hospital. Put tube in throat so she could breath then gave her a shot to reduce swelling. Took tube out 15 minutes after shot was given.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=150480


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166