National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 25891

Case Details

VAERS ID: 25891 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Female  
Location: Unknown  
Vaccinated:1990-06-30
Onset:1990-07-05
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 602A4A / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Face oedema, Oedema peripheral, Pain, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: GYnera
Current Illness:
Preexisting Conditions: Hx of hay fever (pollenosis)
Allergies:
Diagnostic Lab Data:
CDC Split Type: EBWWMA011162

Write-up: Pt vaccinated with Engerix-B 30JUN90 approx 5JUL90 presented with urticaria & facial edema Wuincke edema which recurred on many occasions. Antihistamines given. F-UP Edema localized upper lip, back & palms was painful.Hospitalization req.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25891


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166