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This is VAERS ID 27134

Case Details

VAERS ID: 27134 (history)  
Form: Version 1.0  
Age: 37.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:1990-10-23
Onset:1990-10-30
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Unevaluable event
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES90110366

Write-up: Pt vax w/ Recombivax HB reported that a pt rec''d 4th dose was dx a week later w/ diabetes mellitus. It was felt that DM is not related to hep vax. Pt was hosp for DM.


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