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This is VAERS ID 25319

Case Details

VAERS ID: 25319 (history)  
Form: Version 1.0  
Age: 28.0  
Sex: Female  
Location: Kentucky  
Vaccinated:1990-03-29
Onset:1990-03-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 591A4 / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: Arthralgia, Influenza, Injection site reaction, Malaise, Myalgia, Nausea, Pruritus, Rash
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type: EBU900122

Write-up: PT RECVD 1ST ENGERIX-B DOSE (DELT) 3-29-90 AM. SAME DAY EXPER RED AREA AT SOI, NAUSEA. FOLLOWING DAY ACHES SUBSIDING 4-1-90;NAUSEA CONTINUED.3-31-90 FLU-LIKE SYMPTOMS. 4-4-90 RASH AT LF AXILLARY AREA NOT AT SOI.TREATMENT TYLENOL BENADRYL.


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