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This is VAERS ID 25293

Case Details

VAERS ID: 25293 (history)  
Form: Version 1.0  
Age: 31.0  
Sex: Female  
Location: North Carolina  
Vaccinated:1990-02-28
Onset:1990-02-28
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site oedema, Injection site pain, Injection site reaction
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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:
Other Medications: N/A
Current Illness:
Preexisting Conditions: ALLERG TO PENICILLIN AND CODEINE. 2-9-90 UNDERWENT BILATERAL TUBAL LIGATION.
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type: EBU900092

Write-up: PT ONSET OF EVENTS SAME DAY SHE RECVD ENGERIX-B:REDNESS, WARMTH AT SOI, WITH VERY SLIGHT SWELLING. TREATMENT OF ICE-PACK AND 2 TABLETS OF ADVIL.


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