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

This is VAERS ID 25474

Case Details

VAERS ID: 25474 (history)  
Form: Version 1.0  
Age: 37.0  
Sex: Female  
Location: Ohio  
Vaccinated:1990-02-23
Onset:1990-02-23
   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 585A4 / 1 NA / IM

Administered by: Private       Purchased by: Private
Symptoms: Face oedema, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: ADVIL, ALLERGY MED FOR ALLERGY TO MILK
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type: EBU900078

Write-up: PT EXP RASH, SWOLLEN FACE AND HIVES ON DAY OF VACCINATION. NO TREATMENT GIVEN. RASH RESOLVED.


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