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From the 12/31/2003 release of VAERS data (an older release, current is 1/7/2021):

This is VAERS ID 30640

Case Details

VAERS ID: 30640 (history)  
Form: Version .0  
Age: 47.0  
Sex: Female  
Location: California  
Vaccinated:1990-04-19
Onset:1990-04-26
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 1991-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 1647R / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: ARTHRALGIA, ESR INC, GASTROENTERITIS, SERUM SICK, URTICARIA
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: esr - 58
CDC Split Type:

Write-up: 19apr90 pt vax hepta B. 26apr90 pt devel gastroenteritis followed by serum sickness on 28apr90. pt ex intermittent urticaria and arthralgia. pt treated w/ steroids.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=30640


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