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This is VAERS ID 25522

(NOTE: This result is from the 10/14/2018 version of the VAERS database)

Case Details

VAERS ID: 25522 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Iowa  
Vaccinated:1990-06-08
Onset:1990-06-11
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Oedema peripheral, Pruritus, Rash
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hormones
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: EBU900241

Write-up: Pt received lst does of Engerix-B on 8-JUN-90 & was hospitalized on 11-JUN-90 w/significant swelling of both hands also experienced itching of hands, rash on arms & hands club like fingers


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20181014&IDNUMBER=25522


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