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This is VAERS ID 27767

Case Details

VAERS ID: 27767 (history)  
Form: Version 1.0  
Age: 41.0  
Sex: Female  
Location: California  
Vaccinated:1990-07-01
Onset:1990-10-01
   Days after vaccination:92
Submitted: 0000-00-00
Entered: 1991-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 591A4 / 2 LA / 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, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Anti HBS (prior to vax = 0.8; Serology @NOV90: Anti HBC - borderline ; Anti HBS = 6.2 HBSAG = nondetectable;
CDC Split Type: EBU910041

Write-up: Received 1st & 2nd does of Engerix-B Jun & Jul90. Oct90 hospitalized w/dx of acute hepatitis B.


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