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This is VAERS ID 25233

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25233
VAERS Form:
Age:36.0
Sex:Female
Location:Oregon
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 587A4 / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: CHILLS, FEVER, NAUSEA, HEADACHE, LYMPHADENO

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: FOUR HRS AFTER FIRST DOSE OF HEP B VAX, PT EXP FEVER, CHILLS, NAUSEA. EXP HEADACHE ONE DAY AFTER ADMIN OF VAX. FOR THE FOLLOWING 2 WEEKS SHE DEVELPD SEVERE UPPER RESP INFECTION /W/ SEVERE SWOLLEN GLANDS. NO TREATMENT GIVEN. SYMPTOMS ABATED.


Changed on 12/8/2009

VAERS ID: 25233 Before After
VAERS Form:
Age:36.0
Sex:Female
Location:Oregon
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-23 1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 587A4 / - LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Chills, Headache, Lymphadenopathy, Nausea, Pharyngitis, Pyrexia, CHILLS, FEVER, NAUSEA, HEADACHE, LYMPHADENO

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': (blank) EBU900144

Write-up: FOUR HRS AFTER FIRST DOSE OF HEP B VAX, PT EXP FEVER, CHILLS, NAUSEA. EXP HEADACHE ONE DAY AFTER ADMIN OF VAX. FOR THE FOLLOWING 2 WEEKS SHE DEVELPD SEVERE UPPER RESP INFECTION /W/ SEVERE SWOLLEN GLANDS. NO TREATMENT GIVEN. SYMPTOMS ABATED.


Changed on 5/14/2017

VAERS ID: 25233 Before After
VAERS Form:
Age:36.0
Sex:Female
Location:Oregon
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / - LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Chills, Headache, Lymphadenopathy, Nausea, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900144

Write-up: FOUR HRS AFTER FIRST DOSE OF HEP B VAX, PT EXP FEVER, CHILLS, NAUSEA. EXP HEADACHE ONE DAY AFTER ADMIN OF VAX. FOR THE FOLLOWING 2 WEEKS SHE DEVELPD SEVERE UPPER RESP INFECTION /W/ SEVERE SWOLLEN GLANDS. NO TREATMENT GIVEN. SYMPTOMS ABATED.


Changed on 9/14/2017

VAERS ID: 25233 Before After
VAERS Form:(blank) 1
Age:36.0
Sex:Female
Location:Oregon
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / - UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Chills, Headache, Lymphadenopathy, Nausea, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900144

Write-up: FOUR HRS AFTER FIRST DOSE OF HEP B VAX, PT EXP FEVER, CHILLS, NAUSEA. EXP HEADACHE ONE DAY AFTER ADMIN OF VAX. FOR THE FOLLOWING 2 WEEKS SHE DEVELPD SEVERE UPPER RESP INFECTION /W/ SEVERE SWOLLEN GLANDS. NO TREATMENT GIVEN. SYMPTOMS ABATED.


Changed on 2/14/2018

VAERS ID: 25233 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Oregon
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Chills, Headache, Lymphadenopathy, Nausea, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900144

Write-up: FOUR HRS AFTER FIRST DOSE OF HEP B VAX, PT EXP FEVER, CHILLS, NAUSEA. EXP HEADACHE ONE DAY AFTER ADMIN OF VAX. FOR THE FOLLOWING 2 WEEKS SHE DEVELPD SEVERE UPPER RESP INFECTION /W/ SEVERE SWOLLEN GLANDS. NO TREATMENT GIVEN. SYMPTOMS ABATED.


Changed on 6/14/2018

VAERS ID: 25233 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Oregon
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Chills, Headache, Lymphadenopathy, Nausea, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900144

Write-up: FOUR HRS AFTER FIRST DOSE OF HEP B VAX, PT EXP FEVER, CHILLS, NAUSEA. EXP HEADACHE ONE DAY AFTER ADMIN OF VAX. FOR THE FOLLOWING 2 WEEKS SHE DEVELPD SEVERE UPPER RESP INFECTION /W/ SEVERE SWOLLEN GLANDS. NO TREATMENT GIVEN. SYMPTOMS ABATED.


Changed on 8/14/2018

VAERS ID: 25233 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Oregon
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Chills, Headache, Lymphadenopathy, Nausea, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900144

Write-up: FOUR HRS AFTER FIRST DOSE OF HEP B VAX, PT EXP FEVER, CHILLS, NAUSEA. EXP HEADACHE ONE DAY AFTER ADMIN OF VAX. FOR THE FOLLOWING 2 WEEKS SHE DEVELPD SEVERE UPPER RESP INFECTION /W/ SEVERE SWOLLEN GLANDS. NO TREATMENT GIVEN. SYMPTOMS ABATED.


Changed on 9/14/2018

VAERS ID: 25233 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Oregon
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Chills, Headache, Lymphadenopathy, Nausea, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900144

Write-up: FOUR HRS AFTER FIRST DOSE OF HEP B VAX, PT EXP FEVER, CHILLS, NAUSEA. EXP HEADACHE ONE DAY AFTER ADMIN OF VAX. FOR THE FOLLOWING 2 WEEKS SHE DEVELPD SEVERE UPPER RESP INFECTION /W/ SEVERE SWOLLEN GLANDS. NO TREATMENT GIVEN. SYMPTOMS ABATED.


Changed on 10/14/2018

VAERS ID: 25233 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Oregon
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Chills, Headache, Lymphadenopathy, Nausea, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900144

Write-up: FOUR HRS AFTER FIRST DOSE OF HEP B VAX, PT EXP FEVER, CHILLS, NAUSEA. EXP HEADACHE ONE DAY AFTER ADMIN OF VAX. FOR THE FOLLOWING 2 WEEKS SHE DEVELPD SEVERE UPPER RESP INFECTION /W/ SEVERE SWOLLEN GLANDS. NO TREATMENT GIVEN. SYMPTOMS ABATED.

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