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From the 1/15/2021 release of VAERS data:

This is VAERS ID 25472

Case Details

VAERS ID: 25472 (history)  
Form: Version 1.0  
Age: 27.0  
Sex: Female  
Location: New Mexico  
Vaccinated:1989-11-30
Onset:1989-11-30
   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 587A4 / UNK - / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site pain, Injection site reaction
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: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type: EBU900075

Write-up: PT EXP PAIN AND STINGING AT SOI AFTER RECEIPT OF ENGERIX-B. TREATMENT: PT COUNSELING.


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