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This is VAERS ID 25375

Case Details

VAERS ID: 25375 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Alaska  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 597A4 / 2 - / -

Administered by: Private       Purchased by: Private
Symptoms: Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type: EBU900187

Write-up: SEVERE PAIN AFTER 2ND INJECT OF ENGERIX-B. PTS/EMPLOYEES COMPLAINING OF SEVERE PAIN AFTER INJECTION (DELTOID) OF 2ND DOSE OF ENGERIX-B.


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