|
VAERS ID: |
26380 (history) |
Form: |
Version 1.0 |
Age: |
30.0 |
Sex: |
Female |
Location: |
North Carolina |
Vaccinated: | 1990-05-23 |
Onset: | 1990-05-23 |
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: Diarrhoea,
Injection site pain,
Nausea,
Pain,
Pharyngitis,
Pyrexia,
Rhinitis SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), Extravasation events (injections, infusions and implants) (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: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: No concomitant illnesses. Allergies: Diagnostic Lab Data: CDC Split Type: EBU900217
Write-up: Pt vaccinated with diarrhea, fever, injectin site pain, nausea, sorethroat, aches, congestion. |
|
VAERS ID: |
26381 (history) |
Form: |
Version 1.0 |
Age: |
23.0 |
Sex: |
Female |
Location: |
North Carolina |
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 |
606A4 / UNK |
- / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Asthenia,
Diarrhoea,
Dizziness,
Nausea,
Neck pain,
Pain SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Arthritis (broad), Noninfectious diarrhoea (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: EBU900218
Write-up: Pt vaccinated with Engerix-B developed diarrhea, dizziness, nausea, neck pain, weak, aches, cramping for 12 hrs. |
|
VAERS ID: |
26382 (history) |
Form: |
Version 1.0 |
Age: |
40.0 |
Sex: |
Male |
Location: |
North Carolina |
Vaccinated: | 1990-06-01 |
Onset: | 1990-06-04 |
Days after vaccination: | 3 |
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: Asthenia,
Gastritis,
Headache,
Neck pain SMQs:, Guillain-Barre syndrome (broad), Gastrointestinal nonspecific inflammation (narrow), 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: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: EBU900219
Write-up: Pt vaccinated with Engerix-B developed gastritis, headache, neck pain, weakness. |
|
VAERS ID: |
26383 (history) |
Form: |
Version 1.0 |
Age: |
55.0 |
Sex: |
Female |
Location: |
Arkansas |
Vaccinated: | 1990-05-17 |
Onset: | 1990-05-19 |
Days after vaccination: | 2 |
Submitted: |
0000-00-00 |
Entered: |
1990-10-04 |
Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM |
585A4 / UNK |
- / - |
Administered by: Unknown 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? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Dyazide, Feldene, Voltaren Current Illness: Preexisting Conditions: Arthritis. Allergies: Diagnostic Lab Data: CDC Split Type: EBU900220
Write-up: Pt vaccinated with Engerix-B developed itching, rash , sores. |
|
VAERS ID: |
26384 (history) |
Form: |
Version 1.0 |
Age: |
31.0 |
Sex: |
Female |
Location: |
North Carolina |
Vaccinated: | 1990-05-23 |
Onset: | 1990-05-28 |
Days after vaccination: | 5 |
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: Diarrhoea,
Nausea,
Pain,
Pharyngitis,
Pyrexia SMQs:, Acute pancreatitis (broad), Agranulocytosis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal infections (narrow), 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: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: EBU900221
Write-up: Pt vaccinated with Engerix-B developed diarrhea, fever, nausea, sore throat, aches. |
|
VAERS ID: |
26385 (history) |
Form: |
Version 1.0 |
Age: |
43.0 |
Sex: |
Male |
Location: |
Washington |
Vaccinated: | 1990-05-24 |
Onset: | 1990-06-03 |
Days after vaccination: | 10 |
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: 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? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Has many allergies. Allergies: Diagnostic Lab Data: CDC Split Type: EBU900222
Write-up: Pt vaccinated with Engerix-B developed papular rash, pruritus. |
|
VAERS ID: |
26386 (history) |
Form: |
Version 1.0 |
Age: |
26.0 |
Sex: |
Female |
Location: |
Ohio |
Vaccinated: | 1990-05-16 |
Onset: | 1990-05-16 |
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: Asthma,
Chest pain,
Drug ineffective,
Rash,
Urinary tract infection,
Urticaria SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (narrow), Lack of efficacy/effect (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (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: Urinary Tract Infection; pt will be tested for seroconversion. Allergies: Diagnostic Lab Data: CDC Split Type: EBU900223
Write-up: Pt vaccinated with Engerix-B developed HBSAB level 2.3 RU, hives, local soreness of the inject site, rash over her whole body, UTI, wheezing, tightness in chest. |
|
VAERS ID: |
26387 (history) |
Form: |
Version 1.0 |
Age: |
64.0 |
Sex: |
Female |
Location: |
Ohio |
Vaccinated: | 1990-05-10 |
Onset: | 1990-05-10 |
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 |
LA / - |
Administered by: Unknown Purchased by: Unknown Symptoms: Pruritus SMQs:, Anaphylactic reaction (broad), Hypersensitivity (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: Procardia Current Illness: Preexisting Conditions: Bowens''s Disease Allergies: Diagnostic Lab Data: CDC Split Type: EBU900224
Write-up: Pt started to itch 2 hrs/p vax /w Engerix |
|
VAERS ID: |
26388 (history) |
Form: |
Version 1.0 |
Age: |
|
Sex: |
Male |
Location: |
Idaho |
Vaccinated: | 1990-02-12 |
Onset: | 1990-02-12 |
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: Private Purchased by: Unknown Symptoms: Convulsion SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (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: ~ ()~~~In patient Other Medications: Current Illness: Preexisting Conditions: Allergies: Diagnostic Lab Data: CDC Split Type: EBU900225
Write-up: Pt vacc. w/Engerix-B developed Petit mal seizure 5 min after inject. Treated w/smelling salts. Fine after an hour. |
|
VAERS ID: |
26389 (history) |
Form: |
Version 1.0 |
Age: |
51.0 |
Sex: |
Female |
Location: |
California |
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 |
591A4 / UNK |
LA / IM |
Administered by: Unknown Purchased by: Unknown Symptoms: Asthenia,
Dizziness,
Oedema,
Pruritus,
Rash SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient Other Medications: Estrogen Current Illness: Preexisting Conditions: allergic to broccoli & lobster Allergies: Diagnostic Lab Data: CDC Split Type: EBU900226
Write-up: Pt felt /win 7 min of vax weakness, lightheaded, dizzy also had swelling, redness & itchiness lt hand |
|