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This is VAERS ID 29679

Case Details

VAERS ID: 29679 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Female  
Location: Ohio  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1694R / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Condition aggravated, Rheumatoid arthritis, Systemic lupus erythematosus
SMQs:, Systemic lupus erythematosus (narrow), Arthritis (narrow), Immune-mediated/autoimmune disorders (narrow)

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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: rheumatoid arthritis
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC Split Type: WAES90030743

Write-up: Pt vaccinated w/1st dose of vax w/o adverse experience; following 2nd dose rheumatoid arthritis flared up;


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