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This is VAERS ID 25378

Case Details

VAERS ID: 25378 (history)  
Form: Version 1.0  
Age:   
Sex: Unknown  
Location: Illinois  
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 - / UNK - / NA

Administered by: Private       Purchased by: Private
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

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: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type: EBU900191

Write-up: PT HAS RECEIVED SIX DOSES OF HEP B VACCINE(S) (MAY BE ENGERIX-B), AND HAS NOT PRODUCED ANTIBODY.


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