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This is VAERS ID 25133

(NOTE: This result is from the 6/14/2018 version of the VAERS database)

Case Details

VAERS ID: 25133 (history)  
Form: Version 1.0  
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: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1648R / UNK - / IM

Administered by: Private       Purchased by: Private
Symptoms: Back pain, Haematuria
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
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=20180614&IDNUMBER=25133


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