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This is VAERS ID 27766

Case Details

VAERS ID: 27766 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Illinois  
Vaccinated:1990-08-07
Onset:1990-11-01
   Days after vaccination:86
Submitted: 0000-00-00
Entered: 1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 618A4 / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Abdominal pain, Biliary colic, Cholecystitis, Cholelithiasis, Drug ineffective, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Lack of efficacy/effect (narrow), Retroperitoneal fibrosis (broad), Infectious biliary disorders (narrow), Gallbladder related disorders (narrow), Biliary tract disorders (narrow), Gallstone related disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (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, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: EBU910045

Write-up: Received 5 Engerix-B vax. @ 1st 3 doses "grossly overweight" now normal wgt. Did not develope HBSAB titer. Second booster given but was delayed because underwent a cholecystectomy.


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