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This is VAERS ID 27954

Case Details

VAERS ID: 27954 (history)  
Form: Version 1.0  
Age: 29.0  
Sex: Female  
Location: Ohio  
Vaccinated:1990-08-29
Onset:1990-09-07
   Days after vaccination:9
Submitted: 1990-11-07
   Days after onset:61
Entered: 1991-01-29
   Days after submission:83
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site pain, Lymphadenopathy, Malaise, Pain, Pseudo lymphoma, Pyrexia, Sinusitis
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow)

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: Ceclor, Entex, Ibuprofen
Current Illness:
Preexisting Conditions: NKA, Tonsillectomy & adenoidectomy, splenectomy d/t ITP, chronic sinus, C-sect, TMJ
Allergies:
Diagnostic Lab Data:
CDC Split Type: EBU900455

Write-up: Pt had swelling of lymph gland(under armpit) 1 wk /p 1st vax, SX abated days later, event occurred again 2 days /p 2nd vax, pt recvd 1st dose 28Aug90 & a few days later developed sinusitis,9Sep90 noted lt axilla egg size lymph node,see WORM


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