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This is VAERS ID 25384

Case Details

VAERS ID: 25384 (history)  
Form: Version 1.0  
Age: 42.0  
Sex: Female  
Location: North Carolina  
Vaccinated:1990-04-17
Onset:1990-04-18
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 591A4 / UNK LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Agitation, Lacrimal disorder, Rhinitis
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Lacrimal disorders (narrow), Hypoglycaemia (broad)

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: N/A~ ()~~~In patient
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: MANY ALLERGIES, HYPOGLYCEMIA
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type: EBU900197

Write-up: VAX RECVD 1ST AND 2ND DOSE ON 4-17-90 AND ON 5-17-90 RESPECTIVELY. ON EACH OCCASION THE DAY AFTER INJECT PT EXP WATERY EYES, IRRATABILITY, RUNNY NOSE, SNEEZING, CONGESTION. CLEARED AFTER BENADRYL TAKEN.


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