|
VAERS ID: |
25375 (history) |
Form: |
Version 1.0 |
Age: |
|
Sex: |
Unknown |
Location: |
Alaska |
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: |
0000-00-00 |
Entered: |
1990-07-10 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
597A4 / 2 |
- / - |
Administered by: Private Purchased by: Private Symptoms: Injection site pain SMQs:, Extravasation events (injections, infusions and implants) (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: NONE Current Illness: N/A Preexisting Conditions: N/A Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900187
Write-up: SEVERE PAIN AFTER 2ND INJECT OF ENGERIX-B. PTS/EMPLOYEES COMPLAINING OF SEVERE PAIN AFTER INJECTION (DELTOID) OF 2ND DOSE OF ENGERIX-B. |
|
VAERS ID: |
25376 (history) |
Form: |
Version 1.0 |
Age: |
45.0 |
Sex: |
Female |
Location: |
Tennessee |
Vaccinated: | 1990-04-25 |
Onset: | 1990-04-27 |
Days after vaccination: | 2 |
Submitted: |
0000-00-00 |
Entered: |
1990-07-10 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
NA / IM |
Administered by: Private Purchased by: Private Symptoms: Anorexia,
Arthralgia,
Chills,
Hepatic function abnormal,
Malaise,
Myalgia,
Pyrexia,
Somnolence,
Tachycardia SMQs:, Rhabdomyolysis/myopathy (broad), Liver related investigations, signs and symptoms (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: NONE Current Illness: NONE Preexisting Conditions: NONE (EXCELLENT HEALTH) Allergies: Diagnostic Lab Data: ELEVATED LIVER ENZYMES; WBC WAS NORMAL, REVERSAL OF POLYNYMPHS,RESTING HEART RATE =105; SGOT = 96; SGPT=123; GGTP=69 (ALL 5-7-90) CDC Split Type: EBU900188
Write-up: TWO DAYS AFTER DOSE OF ENGERIX-B ONSET OF ARTHRALGIS, MYALGIA, FEVER TO 104 F,CHILLS, MALAISE, FATIGUE, LOW GRADE ANOREXIA. 5-7-90 FEVER,HEART RATE 105(RESTING).TYLENOL FOR FEVER. SYMPTOMS SUBSIDE AFTER 14 DAYS. PT VERY ILL DURING 14 DAYS. |
|
VAERS ID: |
25377 (history) |
Form: |
Version 1.0 |
Age: |
42.0 |
Sex: |
Female |
Location: |
Massachusetts |
Vaccinated: | 1990-04-17 |
Onset: | 1990-05-02 |
Days after vaccination: | 15 |
Submitted: |
0000-00-00 |
Entered: |
1990-07-10 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
586A4 / UNK |
NA / IM |
Administered by: Private Purchased by: Private Symptoms: Headache,
Hepatic function abnormal,
Hepatitis,
Jaundice,
Malaise,
Nausea,
Pyrexia,
Urine analysis abnormal,
Vomiting SMQs:, Liver related investigations, signs and symptoms (narrow), Cholestasis and jaundice of hepatic origin (narrow), Hepatitis, non-infectious (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: N/A~ ()~~~In patient Other Medications: HYDROCHLOROTHIAZIDE Current Illness: NONE Preexisting Conditions: HISTORY OF VIRAL HEPATITIS Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900189
Write-up: AFTER VAX, EXP INCREASED LIVER ENZYMES, JAUNDICE, AND MALAISE. TX & OUTCOME UNKNOWN. 3 wks p/ receiving vax, pt dev hepatitis (bili = 4.9). Testing for Hep A,B,C was neg. Sx resolved w/o tmt. |
|
VAERS ID: |
25378 (history) |
Form: |
Version 1.0 |
Age: |
|
Sex: |
Unknown |
Location: |
Illinois |
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: |
0000-00-00 |
Entered: |
1990-07-10 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / NA |
Administered by: Private Purchased by: Private Symptoms: Drug ineffective SMQs:, Lack of efficacy/effect (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: N/A~ ()~~~In patient Other Medications: NONE Current Illness: N/A Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900191
Write-up: PT HAS RECEIVED SIX DOSES OF HEP B VACCINE(S) (MAY BE ENGERIX-B), AND HAS NOT PRODUCED ANTIBODY. |
|
VAERS ID: |
25379 (history) |
Form: |
Version 1.0 |
Age: |
|
Sex: |
Female |
Location: |
Pennsylvania |
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: |
0000-00-00 |
Entered: |
1990-07-10 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
586A4 / UNK |
- / NA |
Administered by: Private Purchased by: Private Symptoms: Urticaria SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: N/A~ ()~~~In patient Other Medications: NONE Current Illness: N//A Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900192
Write-up: PT EXP HIVES FOLLOWING 1ST DOSE OF ENGERIX-B. |
|
VAERS ID: |
25380 (history) |
Form: |
Version 1.0 |
Age: |
|
Sex: |
Female |
Location: |
Pennsylvania |
Vaccinated: | 1990-04-26 |
Onset: | 1990-04-26 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-07-10 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
586A4 / UNK |
- / NA |
Administered by: Private Purchased by: Private Symptoms: Injection site reaction,
Paraesthesia SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: N/A~ ()~~~In patient Other Medications: NONE Current Illness: N/A Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900193
Write-up: PT EXP TINGLING AT SOI FOLLOWING ADMIN OF THE 1ST DOSE OF ENGERIX-B. |
|
VAERS ID: |
25381 (history) |
Form: |
Version 1.0 |
Age: |
|
Sex: |
Female |
Location: |
Unknown |
Vaccinated: | 1990-04-23 |
Onset: | 1990-04-23 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-07-10 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
586A4 / UNK |
- / NA |
Administered by: Private Purchased by: Private Symptoms: Headache,
Thinking abnormal SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: N/A~ ()~~~In patient Other Medications: NONE Current Illness: N/A Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900194
Write-up: PT FELT INSTANT HEADACHE, FOGGY FOLLOWING ADMIN OF 1ST DOSE OF ENGERIX-B. PT RECOVERED |
|
VAERS ID: |
25382 (history) |
Form: |
Version 1.0 |
Age: |
|
Sex: |
Female |
Location: |
Pennsylvania |
Vaccinated: | 1990-04-26 |
Onset: | 1990-04-26 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-07-10 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
586A4 / UNK |
- / NA |
Administered by: Private Purchased by: Private Symptoms: Vasodilatation SMQs:
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? No
Previous Vaccinations: N/A~ ()~~~In patient Other Medications: NONE Current Illness: N/A Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900195
Write-up: PT FELT FLUSHED AT TIME OF INJECTION OF FIRST DOSE OF ENGERIX-B |
|
VAERS ID: |
25383 (history) |
Form: |
Version 1.0 |
Age: |
|
Sex: |
Female |
Location: |
Pennsylvania |
Vaccinated: | 1990-04-26 |
Onset: | 1990-04-26 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-07-10 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
586A4 / UNK |
- / NA |
Administered by: Private Purchased by: Private Symptoms: Paraesthesia,
Vasodilatation SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: N/A~ ()~~~In patient Other Medications: NONE Current Illness: N/A Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900196
Write-up: PT FELT FLUSHED AND TINGLY FOLLOWING ADMIN OF 1ST DOSE OF ENGERIX-B |
|
VAERS ID: |
25384 (history) |
Form: |
Version 1.0 |
Age: |
42.0 |
Sex: |
Female |
Location: |
North Carolina |
Vaccinated: | 1990-04-17 |
Onset: | 1990-04-18 |
Days after vaccination: | 1 |
Submitted: |
0000-00-00 |
Entered: |
1990-07-10 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
591A4 / UNK |
LA / IM |
Administered by: Private Purchased by: Private Symptoms: Agitation,
Lacrimal disorder,
Rhinitis SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Lacrimal disorders (narrow), Hypoglycaemia (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: N/A~ ()~~~In patient Other Medications: NONE Current Illness: N/A Preexisting Conditions: MANY ALLERGIES, HYPOGLYCEMIA Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900197
Write-up: VAX RECVD 1ST AND 2ND DOSE ON 4-17-90 AND ON 5-17-90 RESPECTIVELY. ON EACH OCCASION THE DAY AFTER INJECT PT EXP WATERY EYES, IRRATABILITY, RUNNY NOSE, SNEEZING, CONGESTION. CLEARED AFTER BENADRYL TAKEN. |
|