|
VAERS ID: |
26370 (history) |
Form: |
Version 1.0 |
Age: |
43.0 |
Sex: |
Male |
Location: |
Louisiana |
Vaccinated: | 1990-05-25 |
Onset: | 1990-05-25 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Face oedema,
Pruritus 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? Yes Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: No concomitant illnesses. No concomitant medications. Allergy to pollen for 25yrs. Had asthmas w/numerous allergies until age 16. Allergies: Diagnostic Lab Data: CDC Split Type: EBU900207
Write-up: Pt vaccinated with Engerix-B developed edematous ocular orbits, irritation eye area both sides, eyes were puffy, swelling eye on both sides, eyes became itchy. |
|
VAERS ID: |
26371 (history) |
Form: |
Version 1.0 |
Age: |
|
Sex: |
Female |
Location: |
Louisiana |
Vaccinated: | 1990-05-25 |
Onset: | 1990-05-25 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
- / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Dizziness,
Myasthenic syndrome,
Nausea SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Malignancy related conditions (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Immune-mediated/autoimmune disorders (narrow)
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: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: EBU900208
Write-up: Pt vaccinated with Engerix-B developed dizziness, nausea, arm felt heavy. |
|
VAERS ID: |
26372 (history) |
Form: |
Version 1.0 |
Age: |
35.0 |
Sex: |
Female |
Location: |
New Jersey |
Vaccinated: | 1990-04-27 |
Onset: | 1990-05-01 |
Days after vaccination: | 4 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
591AU / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Amnesia,
Confusional state,
Insomnia SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (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: EBU900209
Write-up: Pt vaccinated with Engerix-B felt out of body, forgetfulness, insomnia, felt like she had alzheimers, confusion. |
|
VAERS ID: |
26373 (history) |
Form: |
Version 1.0 |
Age: |
50.0 |
Sex: |
Female |
Location: |
New York |
Vaccinated: | 1990-05-29 |
Onset: | 1990-05-29 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
606A4 / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Arthralgia,
Asthenia,
Dizziness,
Influenza,
Lymphadenopathy,
Malaise,
Pain SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Vestibular disorders (broad), 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? No
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: Allergic to everything including tylenol; "can''t take asa." Allergies: Diagnostic Lab Data: CDC Split Type: EBU900210
Write-up: Pt vaccinated with Engerix-B developed mild dizziness, felt feverish but no fever, swollen glands, joints generalized ached, general feeling of weakness, achy, flu like symptoms. |
|
VAERS ID: |
26374 (history) |
Form: |
Version 1.0 |
Age: |
72.0 |
Sex: |
Male |
Location: |
Oregon |
Vaccinated: | 1990-04-12 |
Onset: | 0000-00-00 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
597A4 / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Cataract,
Eye disorder,
Visual disturbance,
Vitreous disorder SMQs:, Anticholinergic syndrome (broad), Glaucoma (broad), Optic nerve disorders (broad), Lens disorders (narrow), Corneal disorders (broad), Retinal disorders (narrow), Hypoglycaemia (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: Lopressor, Trental Current Illness: Preexisting Conditions: Hx of migranines. sustained blow to area above lt eye before onset of symptoms. Allergies: Diagnostic Lab Data: CDC Split Type: EBU900211
Write-up: Pt vaccinated with Engerix-B experienced star burst effect on vision in lt eye. |
|
VAERS ID: |
26375 (history) |
Form: |
Version 1.0 |
Age: |
49.0 |
Sex: |
Male |
Location: |
Pennsylvania |
Vaccinated: | 1990-05-01 |
Onset: | 0000-00-00 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
587A4 / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Affect lability,
Agitation,
Depression SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (narrow), Hypoglycaemia (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: Not on any medications. No hx of allergy. Allergies: Diagnostic Lab Data: CDC Split Type: EBU900212
Write-up: Pt vaccinated with Engerix-B developed depression, aggressive reaction for 1 wk, agitated, moody. |
|
VAERS ID: |
26376 (history) |
Form: |
Version 1.0 |
Age: |
44.0 |
Sex: |
Female |
Location: |
Iowa |
Vaccinated: | 1990-05-30 |
Onset: | 1990-05-30 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
591A4 / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Chills,
Malaise,
Pain 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: Preexisting Conditions: No concomitant illnesses. Allergies: Diagnostic Lab Data: CDC Split Type: EBU900213
Write-up: Pt vaccinated with Engerix-B developed general malaise, adverse reaction to vaccination, body aches, chills. |
|
VAERS ID: |
26377 (history) |
Form: |
Version 1.0 |
Age: |
28.0 |
Sex: |
Female |
Location: |
Iowa |
Vaccinated: | 1990-04-26 |
Onset: | 1990-04-26 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
591A4 / UNK |
- / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Abdominal pain,
Arthralgia,
Diarrhoea,
Headache,
Nausea,
Pain,
Somnolence SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Hypoglycaemia (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: Birth Control Pills; Imodium Current Illness: Preexisting Conditions: No concomitant illnesses Allergies: Diagnostic Lab Data: VS BP-120/80, Pulse 80, Resp 16. CDC Split Type: EBU900214
Write-up: Pt vaccinated with Engerix-B developed diarrhea, fatigue, headache, joint aches extremities, nausea, adverse reaction to vaccine generalized body aches, epigastric cramping. |
|
VAERS ID: |
26378 (history) |
Form: |
Version 1.0 |
Age: |
23.0 |
Sex: |
Male |
Location: |
Pennsylvania |
Vaccinated: | 1990-06-01 |
Onset: | 1990-06-01 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
587A4 / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Chills,
Headache,
Hyperhidrosis,
Influenza,
Pain,
Pharyngitis,
Pruritus,
Pyrexia,
Rash,
Weight decreased SMQs:, Anaphylactic reaction (broad), Agranulocytosis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal infections (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad), Opportunistic infections (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: No concomitant illnesses. Allergies: Diagnostic Lab Data: CDC Split Type: EBU900215
Write-up: Pt vaccinated with Engerix-B developed dizziness, viral exanthema, headache, cold sweats, aches, lost 5lbs, flu-like symptoms, chills and fever. |
|
VAERS ID: |
26379 (history) |
Form: |
Version 1.0 |
Age: |
42.0 |
Sex: |
Female |
Location: |
North Carolina |
Vaccinated: | 1990-05-28 |
Onset: | 1990-05-28 |
Days after vaccination: | 0 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
606A4 / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Chest pain,
Cough,
Diarrhoea,
Nausea,
Pyrexia,
Rhinitis SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), 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: ~ ()~~~In patient Other Medications: Vasotec Current Illness: Preexisting Conditions: Hypertension on Vasotec. Allergies: Diagnostic Lab Data: CDC Split Type: EBU900216
Write-up: Pt vaccinated with Engerix-B developed diarrhea, fever, nausea, tightness in chest, congestion, cough. |
|