|
VAERS ID: |
25630 (history) |
Form: |
Version 1.0 |
Age: |
55.0 |
Sex: |
Female |
Location: |
Unknown |
Vaccinated: | 1990-06-11 |
Onset: | 1990-06-12 |
Days after vaccination: | 1 |
Submitted: |
0000-00-00 |
Entered: |
1990-08-06 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
- / UNK |
- / IM |
Administered by: Private Purchased by: Unknown Symptoms: Injection site oedema,
Injection site pain SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: WAES90070941
Write-up: Pt vaccinated w/Hepatitis B vaccine developed painful edema & erythema of the legs. Transaminases and ESR were increased. Aft 3 wks of conservative treatment and immobilization, pt recovered. MD felt edema, erythema & pain were vac relat |
|
VAERS ID: |
25661 (history) |
Form: |
Version 1.0 |
Age: |
47.0 |
Sex: |
Male |
Location: |
Vermont |
Vaccinated: | 1990-06-27 |
Onset: | 1990-06-28 |
Days after vaccination: | 1 |
Submitted: |
0000-00-00 |
Entered: |
1990-08-13 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
586A4 / 3 |
- / - |
Administered by: Private Purchased by: Unknown Symptoms: Arthralgia,
Arthropathy,
Face oedema,
Osteoarthritis,
Pain,
Rash SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Arthritis (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: Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: hepatitis B surfact Antibody done 22-JAN-90 - negative (after 2nd does give) CDC Split Type:
Write-up: Pt received 3rd dose of Engerix B on 27-JUN-90 and on 28-JUN-90 noted mild arthralgias in hands on 29-JUN-90 rash, causing sellling mainly on rt side of fact & worsened arthralgias in wrists & fingers. Rt knee began to swell, stiff & painfu |
|
VAERS ID: |
25667 (history) |
Form: |
Version 1.0 |
Age: |
39.0 |
Sex: |
Female |
Location: |
California |
Vaccinated: | 1990-02-01 |
Onset: | 1990-02-01 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-08-13 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
586A4 / 2 |
- / IM |
Administered by: Private Purchased by: Unknown Symptoms: Arthralgia,
Myalgia,
Pain SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament 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: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type:
Write-up: Pt received 2nd dose of hepatitis; injection site/shoulder was very sore one day after injection, lasting 2-3 days. Pain progressed to other joints ie, hands, ankles, feet, hips etc., has now been 3+ months. Also muscle aches. |
|
VAERS ID: |
25669 (history) |
Form: |
Version 1.0 |
Age: |
39.0 |
Sex: |
Female |
Location: |
Wisconsin |
Vaccinated: | 1990-07-10 |
Onset: | 1990-07-13 |
Days after vaccination: | 3 |
Submitted: |
0000-00-00 |
Entered: |
1990-08-13 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
6591A4 / 2 |
RA / IM |
Administered by: Private Purchased by: Unknown Symptoms: Petechiae,
Pruritus,
Rash SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (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: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type:
Write-up: Pt received 2nd dose of Energix and developed rash & petechiae over both lower limbs. Had been on lower arms but this resolved in a couple of days. Had soem itching of areas. |
|
VAERS ID: |
25678 (history) |
Form: |
Version 1.0 |
Age: |
34.0 |
Sex: |
Female |
Location: |
Oklahoma |
Vaccinated: | 1989-08-31 |
Onset: | 1989-09-05 |
Days after vaccination: | 5 |
Submitted: |
0000-00-00 |
Entered: |
1990-08-21 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
44967 / 3 |
- / - |
Administered by: Private Purchased by: Unknown Symptoms: Abscess,
Arthralgia,
Asthenia,
Depression,
Infection,
Influenza,
Jaundice,
Pain,
Pyrexia SMQs:, Cholestasis and jaundice of hepatic origin (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Biliary system related investigations, signs and symptoms (narrow), Biliary tract disorders (narrow), Guillain-Barre syndrome (broad), Depression (excl suicide and self injury) (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (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? No
Previous Vaccinations: anti-HBs positive but negative for markers of active infection for hepatitis.~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: WAES90071208
Write-up: vaccinated w/first hepatitis 31AUG89 on 5SEP89 developed flu-like symptoms, temp 104 required bedrest 3 days. Second dose 28SEP89 developed sore arm, arthralgia & was tired. NOV89 pt was fatigue, depressed and joint pain See WORM |
|
VAERS ID: |
25687 (history) |
Form: |
Version 1.0 |
Age: |
42.0 |
Sex: |
Female |
Location: |
California |
Vaccinated: | 1990-02-09 |
Onset: | 1990-04-01 |
Days after vaccination: | 51 |
Submitted: |
0000-00-00 |
Entered: |
1990-08-21 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / IM |
Administered by: Private Purchased by: Unknown Symptoms: Abortion,
Bronchitis,
Cough,
Dry skin,
Menorrhagia,
Pharyngitis,
Pruritus,
Rash,
Rash maculo-papular SMQs:, Anaphylactic reaction (narrow), Agranulocytosis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Oropharyngeal infections (narrow), Termination of pregnancy and risk of abortion (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: 20NOV89 blood test negative for pregnancy. 21MAR90 urine test positive for pregnancy. CDC Split Type: EBU900293
Write-up: Pt vax w/ 3rd dose Engerix-B and experienced menstrual flow increase, also seen for coughs & colds. 21MAR90, dx = pregnancy; had D&C 18APR90 for miscarriage of 3 mo pregnancy. |
|
VAERS ID: |
25708 (history) |
Form: |
Version 1.0 |
Age: |
|
Sex: |
Male |
Location: |
Maryland |
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: |
0000-00-00 |
Entered: |
1990-08-23 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Hepatitis,
Pyrexia SMQs:, Hepatitis, non-infectious (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), 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? Yes, ? days
Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: EBU900310
Write-up: Pt vaccinated with Series (3 doses) of Engerix-B reported to have fever and inflammed liver. Reporting nusre does "Does not think that this hepatitis is due to Engerix-B. |
|
VAERS ID: |
25709 (history) |
Form: |
Version 1.0 |
Age: |
34.0 |
Sex: |
Male |
Location: |
Texas |
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: |
0000-00-00 |
Entered: |
1990-08-23 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (FOREIGN) / MERCK & CO. INC. |
- / UNK |
- / - |
Administered by: Private Purchased by: Unknown Symptoms: Hepatitis,
Laboratory test abnormal SMQs:, Hepatitis, non-infectious (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? Yes
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Insulin Current Illness: Diabetes mellitus Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: WAES90080242
Write-up: Pt vaccinated with Heptavax (3 doses) developed chronic hepatitis C. His liver enzymes were noted to be midly elevated in 1985. In June 1990 he was hepatitis C antibody positive. |
|
VAERS ID: |
25839 (history) |
Form: |
Version 1.0 |
Age: |
58.0 |
Sex: |
Male |
Location: |
South Dakota |
Vaccinated: | 1990-07-02 |
Onset: | 1990-07-03 |
Days after vaccination: | 1 |
Submitted: |
0000-00-00 |
Entered: |
1990-09-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
620A4 / UNK |
LA / IM |
Administered by: Private Purchased by: Unknown Symptoms: Headache SMQs:
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: Current Illness: Hx of diabetes; Rx insulin pump Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type:
Write-up: Pt vaccinated with Engerix B developed severe headache starting 1 day after vaccine. Remained present for next 2 wks. Denied double vision, fever, or stiff neck. |
|
VAERS ID: |
25909 (history) |
Form: |
Version 1.0 |
Age: |
45.0 |
Sex: |
Female |
Location: |
Unknown |
Vaccinated: | 1989-07-07 |
Onset: | 1989-07-09 |
Days after vaccination: | 2 |
Submitted: |
0000-00-00 |
Entered: |
1990-09-06 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / - |
Administered by: Private Purchased by: Unknown Symptoms: Arthralgia,
Pyrexia,
Rash SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Hypersensitivity (narrow), Arthritis (broad), 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: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: systemic lupus erythematosus Allergies: Diagnostic Lab Data: CDC Split Type: EBWWMA010264
Write-up: Also five days 20AUG89 after receiving the second dose of vaccine experienced arthralgia and fever lasting for 2 days. |
|