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This is VAERS ID 25377

Case Details

VAERS ID: 25377 (history)  
Form: Version 1.0  
Age: 42.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:1990-04-17
Onset:1990-05-02
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / UNK NA / IM

Administered by: Private       Purchased by: Private
Symptoms: Headache, Hepatic function abnormal, Hepatitis, Jaundice, Malaise, Nausea, Pyrexia, Urine analysis abnormal, Vomiting
SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Hepatitis, non-infectious (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (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: N/A~ ()~~~In patient
Other Medications: HYDROCHLOROTHIAZIDE
Current Illness: NONE
Preexisting Conditions: HISTORY OF VIRAL HEPATITIS
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type: EBU900189

Write-up: AFTER VAX, EXP INCREASED LIVER ENZYMES, JAUNDICE, AND MALAISE. TX & OUTCOME UNKNOWN. 3 wks p/ receiving vax, pt dev hepatitis (bili = 4.9). Testing for Hep A,B,C was neg. Sx resolved w/o tmt.


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