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This is VAERS ID 25234

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25234
VAERS Form:
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 586A4 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: PARESTHESIA, VASODILAT

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? No
Previous Vaccinations:
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: PT APPEARED FLUSHED AND SAID ARM TINGLED IMMEDIATELY AFTER INJECTION. PT NOT EXAMINED BY PHYSICIAN.

Changed on 12/8/2009

VAERS ID: 25234 Before After
VAERS Form:
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1990-04-26
Onset:1990-04-26
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 586A4 / - - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Paraesthesia, Vasodilatation, PARESTHESIA, VASODILAT

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? No
Previous Vaccinations:
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': (blank) EBU900155

Write-up: PT APPEARED FLUSHED AND SAID ARM TINGLED IMMEDIATELY AFTER INJECTION. PT NOT EXAMINED BY PHYSICIAN.

Changed on 5/14/2017

VAERS ID: 25234 Before After
VAERS Form:
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Paraesthesia, Vasodilatation

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900155

Write-up: PT APPEARED FLUSHED AND SAID ARM TINGLED IMMEDIATELY AFTER INJECTION. PT NOT EXAMINED BY PHYSICIAN.

Changed on 9/14/2017

VAERS ID: 25234 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / - UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Paraesthesia, Vasodilatation

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900155

Write-up: PT APPEARED FLUSHED AND SAID ARM TINGLED IMMEDIATELY AFTER INJECTION. PT NOT EXAMINED BY PHYSICIAN.

Changed on 2/14/2018

VAERS ID: 25234 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Paraesthesia, Vasodilatation

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900155

Write-up: PT APPEARED FLUSHED AND SAID ARM TINGLED IMMEDIATELY AFTER INJECTION. PT NOT EXAMINED BY PHYSICIAN.

Changed on 6/14/2018

VAERS ID: 25234 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Paraesthesia, Vasodilatation

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900155

Write-up: PT APPEARED FLUSHED AND SAID ARM TINGLED IMMEDIATELY AFTER INJECTION. PT NOT EXAMINED BY PHYSICIAN.

Changed on 8/14/2018

VAERS ID: 25234 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Paraesthesia, Vasodilatation

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900155

Write-up: PT APPEARED FLUSHED AND SAID ARM TINGLED IMMEDIATELY AFTER INJECTION. PT NOT EXAMINED BY PHYSICIAN.

Changed on 9/14/2018

VAERS ID: 25234 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Paraesthesia, Vasodilatation

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900155

Write-up: PT APPEARED FLUSHED AND SAID ARM TINGLED IMMEDIATELY AFTER INJECTION. PT NOT EXAMINED BY PHYSICIAN.

Changed on 10/14/2018

VAERS ID: 25234 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Paraesthesia, Vasodilatation

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900155

Write-up: PT APPEARED FLUSHED AND SAID ARM TINGLED IMMEDIATELY AFTER INJECTION. PT NOT EXAMINED BY PHYSICIAN.

Changed on 12/24/2020

VAERS ID: 25234 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Paraesthesia, Vasodilatation

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900155

Write-up: PT APPEARED FLUSHED AND SAID ARM TINGLED IMMEDIATELY AFTER INJECTION. PT NOT EXAMINED BY PHYSICIAN.

Changed on 12/30/2020

VAERS ID: 25234 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Paraesthesia, Vasodilatation

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900155

Write-up: PT APPEARED FLUSHED AND SAID ARM TINGLED IMMEDIATELY AFTER INJECTION. PT NOT EXAMINED BY PHYSICIAN.

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