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

This is VAERS ID 29822

Case Details

VAERS ID: 29822 (history)  
Form: Version 1.0  
Age: 61.0  
Sex: Female  
Location: New York  
Vaccinated:1990-11-14
Onset:1990-11-16
   Days after vaccination:2
Submitted: 1991-02-06
   Days after onset:82
Entered: 1991-04-09
   Days after submission:61
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / 1 LA / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Chest pain, Eczema, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cardiozen, Hydrochlorathiazide, Potassium, ASA, Proventyl, Thyroid, Persantine
Current Illness: NONE
Preexisting Conditions: 2 CVA''s (1986 & 87), asthma, hypertension, Atrial Fibrillation; Boarderline diabetic;
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 16NOV90 pt had urticaria x/soles of feet, breasts & face; By 19NOV90 pt report entire body covered w/eczema, pruritus, burning & sensation of needles pricking the skin was described by pt; Admitted to Hosp 19NOV90 w/chest pains;


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