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This is VAERS ID 27672

Case Details

VAERS ID: 27672 (history)  
Form: Version 1.0  
Age: 42.0  
Sex: Female  
Location: North Carolina  
Vaccinated:1990-02-27
Onset:1990-07-01
   Days after vaccination:124
Submitted: 0000-00-00
Entered: 1991-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 4 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Drug ineffective
SMQs:, Lack of efficacy/effect (narrow)

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, 7 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Cardizem, Depo Provera, Humulin N, Procardia XL
Current Illness:
Preexisting Conditions: Allergic to Aspirin, tetracycline, Indocin, Butazolidin & any mint-flavored product. Insulin-Dependent Diabetes, Hypertension
Allergies:
Diagnostic Lab Data:
CDC Split Type: EBU910033

Write-up: Pt rec''d 3 Engerix-B vax. Jul90 hosp for chest pain. Since then running low grade fever;9NOV90 needle stick & found to be non-immune. Booster vax 15NOV90, still non-immune as of 02JAN91. Chest pain & fever "simply concurrent events".


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