National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 5/14/2021 release of VAERS data (an older release, current is 11/12/2021):

This is VAERS ID 73622

Government Disclaimer on use of this data



Case Details

VAERS ID: 73622 (history)  
Form: Version 1.0  
Age: 36.0  
Sex: Female  
Location: D.C.  
Vaccinated:1995-04-18
Onset:1995-04-18
   Days after vaccination:0
Submitted: 1995-04-25
   Days after onset:7
Entered: 1995-05-01
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 - / IM
JEV: JAPANESE ENCEPHALITIS (J-VAX) / CONNAUGHT LABORATORIES EJN095 / 1 - / SC L

Administered by: Military       Purchased by: Military
Symptoms: Diarrhoea, Injection site hypersensitivity, Injection site oedema, Nausea, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210514&IDNUMBER=73622


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166