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This is VAERS ID 30763

Case Details

VAERS ID: 30763 (history)  
Form: Version 1.0  
Age: 44.0  
Sex: Female  
Location: Missouri  
Vaccinated:1990-06-07
Onset:1990-06-07
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1878R / UNK LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dysphonia, Dyspnoea, Pharyngitis, Tongue oedema, Vasodilatation
SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Angioedema (narrow), Parkinson-like events (broad), Oropharyngeal infections (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (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: ~ ()~~~In patient
Other Medications: benadryl, epinephrine
Current Illness:
Preexisting Conditions: allergy - reglan, tetracycline
Allergies:
Diagnostic Lab Data: NA
CDC Split Type: WAES90071189

Write-up: 07jun90 pt vax hepta B. 1hr aft vax pt devel. diffuse flushing, a subjective feeling of her throat closing and tongue swelling, hoarsness of voice and shortness of breath. pt to er and tx w/ epinephrine, benadryl, and solu-medrol.


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