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This is VAERS ID 25382

Case Details

VAERS ID: 25382 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Pennsylvania  
Vaccinated:1990-04-26
Onset:1990-04-26
   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 586A4 / UNK - / NA

Administered by: Private       Purchased by: Private
Symptoms: Vasodilatation
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
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: EBU900195

Write-up: PT FELT FLUSHED AT TIME OF INJECTION OF FIRST DOSE OF ENGERIX-B


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