|
VAERS ID: |
26077 (history) |
Form: |
Version 1.0 |
Age: |
54.0 |
Sex: |
Female |
Location: |
Louisiana |
Vaccinated: | 1990-06-12 |
Onset: | 1990-06-16 |
Days after vaccination: | 4 |
Submitted: |
1990-09-19 |
Days after onset: | 95 |
Entered: |
1990-09-24 |
Days after submission: | 5 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
1892P / 1 |
- / IM A |
Administered by: Private Purchased by: Unknown Symptoms: Pruritus,
Rash SMQs:, Anaphylactic reaction (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? No
Previous Vaccinations: PENICILLIN UTICARIA, RASH~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: ALLERGY SEAFOOD, PENICILLIN Allergies: Diagnostic Lab Data: CDC Split Type:
Write-up: PT VACCINATED WITH RECOMBIVAX HB APPROX 1 WK TO 10 DAYS LATER DEVELOPED ITCHING SEVER THEN FOLLOWED BY TOTAL BODY RASH. |
|
VAERS ID: |
26079 (history) |
Form: |
Version 1.0 |
Age: |
64.0 |
Sex: |
Female |
Location: |
New Jersey |
Vaccinated: | 1990-08-06 |
Onset: | 1990-09-20 |
Days after vaccination: | 45 |
Submitted: |
1990-09-20 |
Days after onset: | 0 |
Entered: |
1990-09-24 |
Days after submission: | 4 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
1886R / UNK |
- / IM A |
Administered by: Other Purchased by: Public Symptoms: Facial palsy SMQs:, Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad)
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: ~ ()~~~In patient Other Medications: Tenoretic Current Illness: Preexisting Conditions: Hypertension Allergies: Diagnostic Lab Data: Lyme Disease antibodies CDC Split Type:
Write-up: Pt vaccinated with Recombivax HB developed Bells Palsy R onset 2 wks post vaccine. |
|
VAERS ID: |
26096 (history) |
Form: |
Version 1.0 |
Age: |
22.0 |
Sex: |
Male |
Location: |
New York |
Vaccinated: | 1990-06-07 |
Onset: | 1990-06-07 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-09-24 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
1773R / UNK |
- / IM |
Administered by: Private Purchased by: Unknown Symptoms: Pruritus,
Rash maculo-papular SMQs:, Anaphylactic reaction (broad), 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: Known asthmatic with several drug allergies - Penicillin, Aspirin, Valium, Demerol, Morphine, Ceclo, Theophylline, Decanamine, Sulphur, Benadryl, Prednisone Allergies: Diagnostic Lab Data: WBC - 11.6 CDC Split Type:
Write-up: Pt vaccinated with Recombivax HB experienced generalized maculopapular pruritic rash mainly involving face, chest & both upper extremities |
|
VAERS ID: |
26103 (history) |
Form: |
Version 1.0 |
Age: |
37.0 |
Sex: |
Male |
Location: |
Maryland |
Vaccinated: | 1990-09-14 |
Onset: | 1990-09-18 |
Days after vaccination: | 4 |
Submitted: |
0000-00-00 |
Entered: |
1990-09-25 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
1408R / 2 |
LA / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Ear pain,
Ecchymosis,
Lymphadenopathy,
Pyrexia SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (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: Allergies: Diagnostic Lab Data: CDC Split Type:
Write-up: local rxn ecchymotic nodule 3mm in diameter, tender, fever X 48 hrs (100 F), lt ear painful X 5 days. S/T, systemic lymphadenopathy |
|
VAERS ID: |
26111 (history) |
Form: |
Version 1.0 |
Age: |
36.0 |
Sex: |
Female |
Location: |
New Jersey |
Vaccinated: | 1990-07-30 |
Onset: | 1990-08-30 |
Days after vaccination: | 31 |
Submitted: |
0000-00-00 |
Entered: |
1990-09-26 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
597AK / UNK |
- / IM |
Administered by: Private Purchased by: Unknown Symptoms: Arthralgia SMQs:, Arthritis (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: ESR = 26; RHEU FACTOR = NEG; ANA = NEG CDC Split Type:
Write-up: Pt vaccinated with Engerix and experienced generalized joint pain over several days; but forgot about it. She did not report symptoms. She recd the second dose & began to experience the joint pain again up to present. |
|
VAERS ID: |
26115 (history) |
Form: |
Version 1.0 |
Age: |
40.0 |
Sex: |
Male |
Location: |
Michigan |
Vaccinated: | 1990-03-22 |
Onset: | 1990-04-22 |
Days after vaccination: | 31 |
Submitted: |
0000-00-00 |
Entered: |
1990-09-26 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
0790S / UNK |
- / IM |
Administered by: Private Purchased by: Unknown 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: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type:
Write-up: Pt vaccinated with Recombivax developed hives, continued for 4+ months. |
|
VAERS ID: |
26120 (history) |
Form: |
Version 1.0 |
Age: |
45.0 |
Sex: |
Female |
Location: |
New Jersey |
Vaccinated: | 1990-05-19 |
Onset: | 1990-06-18 |
Days after vaccination: | 30 |
Submitted: |
0000-00-00 |
Entered: |
1990-09-27 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
5929A / UNK |
- / IM |
Administered by: Private Purchased by: Unknown Symptoms: Diarrhoea,
Migraine,
Nuchal rigidity,
Pain,
Pyrexia SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: CBC-WNL; SMA 18 - WNL; Thyroid profile - WNL; Lyme titer - Negative; CMV - Negative; Sed Rate-WNL; EBV - Negative CDC Split Type:
Write-up: Pt vaccinated with 2 doses of Engerix-B developed cramps, diarrhea, headache, stiffneck, fever 102-104, and migraine headache. |
|
VAERS ID: |
26121 (history) |
Form: |
Version 1.0 |
Age: |
26.0 |
Sex: |
Male |
Location: |
Illinois |
Vaccinated: | 1990-08-16 |
Onset: | 1990-08-16 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-09-27 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
1884R / 4 |
- / IM |
Administered by: Private Purchased by: Unknown Symptoms: Asthenia,
Nausea,
Vomiting SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type:
Write-up: Pt vaccinated with Recombivax given 3rd dose at 1500 at 1505 suddently felt very nauseated & had an emesis followed by several other episodes of emesis No dyspnea, wheezing noted. Felt Weak. episodes of weakness & Emesis lasted 2 days. |
|
VAERS ID: |
26148 (history) |
Form: |
Version 1.0 |
Age: |
43.0 |
Sex: |
Female |
Location: |
Georgia |
Vaccinated: | 1990-09-04 |
Onset: | 1990-09-04 |
Days after vaccination: | 0 |
Submitted: |
1990-09-27 |
Days after onset: | 23 |
Entered: |
1990-10-01 |
Days after submission: | 4 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
1878R / 3 |
- / IM |
Administered by: Public Purchased by: Private Symptoms: Anorexia,
Arthralgia,
Headache,
Hyperhidrosis,
Lung disorder,
Malaise,
Myalgia,
Pharyngitis,
Pyrexia,
Rash,
Right ventricular failure SMQs:, Rhabdomyolysis/myopathy (broad), Cardiac failure (narrow), Anaphylactic reaction (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Pulmonary hypertension (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)
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? Yes, 5 days
Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Tenoretic, Vasotec Current Illness: Allergies: Sulfa - Hypertension Preexisting Conditions: Allergies: Diagnostic Lab Data: 11SEP90- Increased SGOT, Increased LDH, Increased ALK Phos, Increased GGT, Increased TSH, Decreased Iron.See WORM for more details. CDC Split Type:
Write-up: Pt vaccinated with Recombivax developed chills & fever, had sore throat, general malaise, profuse sweating, severe headache & joint pain later developed a rash. |
|
VAERS ID: |
26171 (history) |
Form: |
Version 1.0 |
Age: |
0.1 |
Sex: |
Male |
Location: |
New York |
Vaccinated: | 1990-09-17 |
Onset: | 1990-09-18 |
Days after vaccination: | 1 |
Submitted: |
1990-09-27 |
Days after onset: | 9 |
Entered: |
1990-10-03 |
Days after submission: | 6 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. |
1380R / 2 |
- / SC |
Administered by: Private Purchased by: Private Symptoms: Agitation,
Pyrexia SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Given Recombivax 16AUG90, route SC, No Lot no. given. Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type:
Write-up: Pt vaccinated with Recombivax developed fever of 104F at 4:50Pm irritable no vomitting, given Tylenol, temp at 5:50PM down to 100.4 next day temp 101. Rechecked on 20SEP90. |
|