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This is VAERS ID 25133

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 25133 (history)  
Form: Version .0  
Age: 50.0  
Sex: Female  
Location: Texas  
Vaccinated:1990-03-02
Onset:1990-04-04
   Days after vaccination:33
Submitted: 0000-00-00
Entered: 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 1648R / - - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: HEMATURIA, PAIN BACK
SMQs:

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? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NO PREVIOUS KIDNEY PROBLEMS
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: SEVERE BACK PAIN & SEVERE HEMATURIA RESULTED WITHIN 2 DAYS /P 1ST DOSE OF HBV-VACCINE GIVEN OF 2MAR90. 2ND INJECT GIVEN ON 8MAY90. WITHIN 2 DAYS PT C/O BACK PAIN AND HEMATURIA. PHYSICIAN FELT SYMPTOMS FROM VACCINE.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25133


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