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

This is VAERS ID 25475

Case Details

VAERS ID: 25475 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Texas  
Vaccinated:1990-01-27
Onset:1990-01-27
   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 / UNK - / IM

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Headache, Influenza, Injection site hypersensitivity, Injection site pain, Rash
SMQs:, Anaphylactic reaction (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type: EBU900079

Write-up: IMMED AFTER INJECT, SOI BECAME RED, HOT AND PAINFUL.12 HRS LATER, ACHES AND PAINS APPROX 48 TO 72 HRS DURATION, FLU SYMPTOMS; HEADACHE; WEAKNESS. NO FEVER. 28Jan90 DEV FINE RED RASH NO ITCH. RASH LASTED 24-36 HRS. NO TREATMENT GIVEN.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25475


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