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This is VAERS ID 27896

Case Details

VAERS ID: 27896 (history)  
Form: Version 1.0  
Age: 44.0  
Sex: Female  
Location: New Jersey  
Vaccinated:1990-06-01
Onset:1990-06-03
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Pain, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: EBU900537

Write-up: Vaccinee experienced pruritus 2 days post 2nd Engerix-B inject (1st inject was rec''d 1 month prior to 2nd dose & was uneventful). Tx: Antipsychotics & a referral to a psychiatrist. MD has described event as permanently disabling.


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