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This is VAERS ID 25068

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25068
VAERS Form:
Age:
Sex:Male
Location:Oregon
Vaccinated:1990-01-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 585A4 / 2 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: ENCEPHALITIS, NO DRUG EFFECT

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: no hx of allergies
Allergies:
Diagnostic Lab Data: 10Jan90 titier test - nonresponder, Herpes varicella was recovered from the brain
CDC 'Split Type':

Write-up: nonresponder to a previous 3 dose series with MSD vaccine, encephalitis, Herpes varicella recovered from the brain


Changed on 12/8/2009

VAERS ID: 25068 Before After
VAERS Form:
Age:
Sex:Male
Location:Oregon
Vaccinated:1990-01-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-12 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 585A4 / 2 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Encephalitis, ENCEPHALITIS, NO DRUG EFFECT

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: no hx of allergies
Allergies:
Diagnostic Lab Data: 10Jan90 titier test - nonresponder, Herpes varicella was recovered from the brain
CDC 'Split Type': (blank) EBU900170

Write-up: nonresponder to a previous 3 dose series with MSD vaccine, encephalitis, Herpes varicella recovered from the brain


Changed on 5/14/2017

VAERS ID: 25068 Before After
VAERS Form:
Age:
Sex:Male
Location:Oregon
Vaccinated:1990-01-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 2 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Encephalitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no hx of allergies
Allergies:
Diagnostic Lab Data: 10Jan90 titier test - nonresponder, Herpes varicella was recovered from the brain
CDC 'Split Type': EBU900170

Write-up: nonresponder to a previous 3 dose series with MSD vaccine, encephalitis, Herpes varicella recovered from the brain


Changed on 9/14/2017

VAERS ID: 25068 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:Oregon
Vaccinated:1990-01-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 2 3 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Encephalitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no hx of allergies
Allergies:
Diagnostic Lab Data: 10Jan90 titier test - nonresponder, Herpes varicella was recovered from the brain
CDC 'Split Type': EBU900170

Write-up: nonresponder to a previous 3 dose series with MSD vaccine, encephalitis, Herpes varicella recovered from the brain


Changed on 2/14/2018

VAERS ID: 25068 Before After
VAERS Form:1
Age:
Sex:Male
Location:Oregon
Vaccinated:1990-01-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 3 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Encephalitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no hx of allergies
Allergies:
Diagnostic Lab Data: 10Jan90 titier test - nonresponder, Herpes varicella was recovered from the brain
CDC 'Split Type': EBU900170

Write-up: nonresponder to a previous 3 dose series with MSD vaccine, encephalitis, Herpes varicella recovered from the brain


Changed on 6/14/2018

VAERS ID: 25068 Before After
VAERS Form:1
Age:
Sex:Male
Location:Oregon
Vaccinated:1990-01-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 3 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Encephalitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no hx of allergies
Allergies:
Diagnostic Lab Data: 10Jan90 titier test - nonresponder, Herpes varicella was recovered from the brain
CDC 'Split Type': EBU900170

Write-up: nonresponder to a previous 3 dose series with MSD vaccine, encephalitis, Herpes varicella recovered from the brain


Changed on 8/14/2018

VAERS ID: 25068 Before After
VAERS Form:1
Age:
Sex:Male
Location:Oregon
Vaccinated:1990-01-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 3 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Encephalitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no hx of allergies
Allergies:
Diagnostic Lab Data: 10Jan90 titier test - nonresponder, Herpes varicella was recovered from the brain
CDC 'Split Type': EBU900170

Write-up: nonresponder to a previous 3 dose series with MSD vaccine, encephalitis, Herpes varicella recovered from the brain


Changed on 9/14/2018

VAERS ID: 25068 Before After
VAERS Form:1
Age:
Sex:Male
Location:Oregon
Vaccinated:1990-01-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 3 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Encephalitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no hx of allergies
Allergies:
Diagnostic Lab Data: 10Jan90 titier test - nonresponder, Herpes varicella was recovered from the brain
CDC 'Split Type': EBU900170

Write-up: nonresponder to a previous 3 dose series with MSD vaccine, encephalitis, Herpes varicella recovered from the brain


Changed on 10/14/2018

VAERS ID: 25068 Before After
VAERS Form:1
Age:
Sex:Male
Location:Oregon
Vaccinated:1990-01-25
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 3 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Encephalitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: no hx of allergies
Allergies:
Diagnostic Lab Data: 10Jan90 titier test - nonresponder, Herpes varicella was recovered from the brain
CDC 'Split Type': EBU900170

Write-up: nonresponder to a previous 3 dose series with MSD vaccine, encephalitis, Herpes varicella recovered from the brain

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