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This is VAERS ID 25521

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 25521 (history)  
Form: Version .0  
Age: 47.0  
Sex: Female  
Location: Kentucky  
Vaccinated:1990-04-05
Onset:1990-04-09
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 591A4 / 3 - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Back pain, Dizziness, Drug ineffective, Dyspnoea, Hepatic function abnormal, Hypokalaemia, Nausea, Pallor, Vomiting
SMQs:, Liver related investigations, signs and symptoms (narrow), Anaphylactic reaction (broad), Acute pancreatitis (broad), Lack of efficacy/effect (narrow), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad)

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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ogen, Prinzide, Synthroid, Vivactil
Current Illness: Gallbladder removed 30 yrs ago;
Preexisting Conditions: Hypothyroid, Hypertension; Allergic to Codeine, sulfa;
Allergies:
Diagnostic Lab Data: LDH inc, GGTP inc, SGOT inc, Liver func Abnorm, CAT SCAN of ADBOMEN was negative
CDC Split Type: EBU900128

Write-up: Pt given Engerix-B experienced dizziness, non responder, feeling of faintness, flank pain rt side, nausea became very pale, decreased potassium, and back pain rt side. Was admitted to hospital given Phenergan 25 mg & Demerol to relieve pain


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=25521


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