From the 9/14/2018 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 1.0
Age:	47.0
Sex:	Female
Location:	California

Vaccinated:	1990-04-19
Onset:	1990-04-26
Days after vaccination:	7
Submitted:	0000-00-00
Entered:	1991-03-12

Vaccination / Manufacturer	Lot / Dose	Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC.	1647R / UNK	- / -

Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Gastroenteritis, Red blood cell sedimentation rate increased, Serum sickness, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Arthritis (broad), Noninfectious diarrhoea (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: esr - 58
CDC Split Type: WAES90061124

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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