|
VAERS ID: |
25365 (history) |
Form: |
Version 1.0 |
Age: |
|
Sex: |
Unknown |
Location: |
Colorado |
Vaccinated: | 1990-04-19 |
Onset: | 1990-04-19 |
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: Asthenia,
Dizziness,
Headache,
Nausea,
Paraesthesia,
Pyrexia SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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: NONE Current Illness: Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900177
Write-up: AFTER 2ND DOSE OF ENGERIX-B, PT EXP DIZZINESS, NUMBNESS IN BOTH HANDS, FATIGUE, FEVER, HEADACHE, AND QUEASINESS. |
|
VAERS ID: |
25366 (history) |
Form: |
Version 1.0 |
Age: |
|
Sex: |
Female |
Location: |
California |
Vaccinated: | 1990-04-30 |
Onset: | 1990-04-30 |
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 |
591A4 / UNK |
- / NA |
Administered by: Private Purchased by: Private Symptoms: Face oedema,
Paraesthesia,
Sinusitis SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (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: ~ ()~~~In patient Other Medications: PENICILLIN Current Illness: Preexisting Conditions: PENICILLIN FOR DENTAL PROPHYLAXIS Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900178
Write-up: 20 MIN AFTER IMMUN. PT EXP TINGLING AND NUMBNESS IN NOSE AND SINUSES; FELT SWELLING IN SAME AREA AND NOTICED CHANGE IN NASAL QUALITY. ER TREATED HER /W/ BENADRYL. CONDITION RESOLVED |
|
VAERS ID: |
25367 (history) |
Form: |
Version 1.0 |
Age: |
35.0 |
Sex: |
Female |
Location: |
New Hampshire |
Vaccinated: | 1990-01-15 |
Onset: | 1990-01-22 |
Days after vaccination: | 7 |
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: Arthralgia,
Arthropathy,
Influenza,
Pain SMQs:, Arthritis (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: N/A~ ()~~~In patient Other Medications: NONE Current Illness: NONE Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900179
Write-up: ONE WEEK AFTER INJECTION, PT DEV ACHING AND STIFFNESS IN JOINTS OF HANDS, ELBOWS, SHOULDERS, KNEES AND HIPS. CONTINUAL PAIN HOWEVER GRADUALLY DECREASING. AS OF 5-14-90 STILL HAS JOINT PAIN. |
|
VAERS ID: |
25368 (history) |
Form: |
Version 1.0 |
Age: |
35.0 |
Sex: |
Male |
Location: |
New Hampshire |
Vaccinated: | 1990-04-03 |
Onset: | 1990-04-10 |
Days after vaccination: | 7 |
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: Arthralgia,
Influenza,
Pain SMQs:, Arthritis (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: N/A~ ()~~~In patient Other Medications: NONE Current Illness: NONE Preexisting Conditions: MINOR ARTHRITIS IN KNEES Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900180
Write-up: 4 DAYS AFTER VAX, DEVELOPED ACHING IN JOINTS (KNEES, SHOULDERS, HANDS- WHOLE BODY) AND STIFFNESS IN JOINTS. THOUGHT FLU BUT NO OTHER SYMPTOMS. NO MEDS. BEDREST. PT STILL EXP SOME PAIN. |
|
VAERS ID: |
25369 (history) |
Form: |
Version 1.0 |
Age: |
58.0 |
Sex: |
Male |
Location: |
Texas |
Vaccinated: | 1990-05-11 |
Onset: | 1990-05-12 |
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 |
586A4 / 2 |
LA / IM |
Administered by: Private Purchased by: Private Symptoms: Asthenia,
Diarrhoea,
Headache,
Malaise,
Myalgia,
Nausea,
Pyrexia SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (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: N/A~ ()~~~In patient Other Medications: NONE Current Illness: NONE Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900181
Write-up: PT RECVD 2 DOSES ENGERIX-B. 2ND DOSE ON 11-MAY-90. 12-MAY-90 PT EXP HEADACHE, FEVER, MYALAGIA, DIARRHEA, NAUSEA, MALAISE AND FATIGUE. TREATED /W/ ASPIRIN AND LOMOTIL. 21-MAY-90 SYMPS PERSIST. |
|
VAERS ID: |
25370 (history) |
Form: |
Version 1.0 |
Age: |
39.0 |
Sex: |
Female |
Location: |
Tennessee |
Vaccinated: | 1990-05-15 |
Onset: | 1990-05-17 |
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 |
586A4 / UNK |
NA / IM |
Administered by: Private Purchased by: Private Symptoms: Diarrhoea,
Headache,
Influenza,
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), 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: N/A~ ()~~~In patient Other Medications: NONE Current Illness: NONE Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900182
Write-up: PT RECVD INJECT EITHER ON 5-15 OR 5-17, 1990. PT EXPER DIARRHEA, FEVER, HEADACHE, FLU LIKE SYMPTOMS |
|
VAERS ID: |
25371 (history) |
Form: |
Version 1.0 |
Age: |
|
Sex: |
Female |
Location: |
Tennessee |
Vaccinated: | 1990-05-15 |
Onset: | 1990-05-16 |
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 |
- / UNK |
NA / IM |
Administered by: Private Purchased by: Private Symptoms: Diarrhoea,
Headache,
Influenza,
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), 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: N/A~ ()~~~In patient Other Medications: NONE Current Illness: NONE Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900183
Write-up: INJECT RECVD EITHER 5-15 OR 5-17, 1990. PT EXP DIARRHEA, FEVER, HEADACHE, FLU LIKE SYMPTOMS. |
|
VAERS ID: |
25372 (history) |
Form: |
Version 1.0 |
Age: |
|
Sex: |
Female |
Location: |
Tennessee |
Vaccinated: | 1990-05-15 |
Onset: | 1990-05-17 |
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: Diarrhoea,
Headache,
Influenza,
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), 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: N/A~ ()~~~In patient Other Medications: NONE Current Illness: NONE Preexisting Conditions: NONE Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900184
Write-up: PT RECVD INJECTION OF EITHER 5-15 OR 5-17, 1990. PT EXP DIARRHEA, FEVER, HEADACHE, AND FLU LIKE SYMPTOMS. |
|
VAERS ID: |
25373 (history) |
Form: |
Version 1.0 |
Age: |
|
Sex: |
Unknown |
Location: |
New York |
Vaccinated: | 1990-03-27 |
Onset: | 1990-03-28 |
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 |
585A4 / UNK |
- / - |
Administered by: Private Purchased by: Private Symptoms: Drug ineffective,
Drug interaction,
Influenza,
Nausea SMQs:, Acute pancreatitis (broad), Lack of efficacy/effect (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: NONE Current Illness: Preexisting Conditions: NO PREVIOUS HISTORY OF HEPATITIS EXPOSURES Allergies: Diagnostic Lab Data: ALL SMA 25 AND LIVER ENZYMES WERE NORMAL. HBSAG (HEPATITIS B SURFACE ANTIGEN) RATIO=.60; HBSAB(ANTIBODY) RATIO=1.60. CDC Split Type: EBU900185
Write-up: INTOLERANT TO ALCOHOLIC BEVERAGES, NO IMMUNITY AFTER 2ND DOSE, NAUSEATED" AFTER 2ND DOSE OF ENGERIX-B PT BECAME NAUSEATED FOR SEVERAL DAYS AND INTOLERANT OF ALC. BEVS(EVEN 1 BEER) PT''S SERUM CHECKED,REVEALED NO IMMUNITY AFTER 2ND DOSE. |
|
VAERS ID: |
25374 (history) |
Form: |
Version 1.0 |
Age: |
40.0 |
Sex: |
Female |
Location: |
Missouri |
Vaccinated: | 1990-05-08 |
Onset: | 1990-05-08 |
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 |
- / 1 |
- / NA |
Administered by: Private Purchased by: Private Symptoms: Arthralgia,
Asthenia,
Hyperhidrosis,
Malaise,
Myalgia,
Nausea,
Pain,
Somnolence SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), 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: NONE Allergies: Diagnostic Lab Data: N/A CDC Split Type: EBU900186
Write-up: ONE DAY AFTER VAX, EXP FATIGUE, BODY ACHES, JOINT PAIN, AND SICKNESS TO HER STOMACH. EVENTS LASTED ONE WEEK. |
|