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From the 1/15/2021 release of VAERS data:

This is VAERS ID 29774

Case Details

VAERS ID: 29774 (history)  
Form: Version 1.0  
Age: 50.0  
Sex: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:1990-03-01
Submitted: 0000-00-00
Entered: 1991-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1772R / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Haematuria, Pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Tubulointerstitial diseases (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no relevant hx
Allergies:
Diagnostic Lab Data: Cystoscopy-blood from ureteral orifices, CT scan-shadow on rt kidney, Sonogram-negative, Angiogram-negative, IVP-negative, CT scan (1Sep90)-no shadow on rt kidney
CDC Split Type: WAES90050968

Write-up: Vax /w Hepta B(recomb).1Mar90 developed"gross"hematuria & lt flank pain.Cystoscopy-blood from both ureteral orifices.Pt hospitalized 14Mar90 X 4 days.Hematuria persisted as of 6Apr90.2nd dose admin 12May90.Hematuria < kidney pain recurred


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