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This is VAERS ID 25522

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

Case Details

VAERS ID: 25522 (history)  
Form: Version .0  
Age:   
Sex: Female  
Location: Iowa  
Vaccinated:1990-06-08
Onset:1990-06-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 1990-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 587A4 / - - / -

Administered by: Private       Purchased by: Unknown
Symptoms: EDEMA PERIPH, PRURITUS, RASH
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt vaccinated with Engerix-B and developed itching of hands, rash on arms and hands legs groin, club like fingers, tingling in hands, signifcant swelling of hands, big blisters on hands, peeling of both feet.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=25522


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