National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 12/31/2003 release of VAERS data (an older release, current is 2/18/2021):

This is VAERS ID 25293

Case Details

VAERS ID: 25293 (history)  
Form: Version .0  
Age: 31.0  
Sex: Female  
Location: North Carolina  
Vaccinated:1990-02-28
Onset:1990-02-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE ENG 587A4 / - - / IM

Administered by: Private       Purchased by: Unknown
Symptoms: EDEMA INJECT SITE, INJECT SITE REACT, PAIN INJECT SITE
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness:
Preexisting Conditions: ALLERG TO PENICILLIN AND CODEINE. 2-9-90 UNDERWENT BILATERAL TUBAL LIGATION.
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: PT ONSET OF EVENTS SAME DAY SHE RECVD ENGERIX-B:REDNESS, WARMTH AT SOI, WITH VERY SLIGHT SWELLING. TREATMENT OF ICE-PACK AND 2 TABLETS OF ADVIL.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25293


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166