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This is VAERS ID 25291

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25291
VAERS Form:
Age:25.0
Sex:Female
Location:Indiana
Vaccinated:1990-01-15
Onset:1990-01-19
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE - / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: URTICARIA

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: FIRST VAX
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': N/A

Write-up: PT BROKE OUT WITH HIVES 4 DAYS AFTER RECVD FIRST ENGERIX B INOCULATION. HIVES HAVE CONTINUED FOUR WEEKS. ANTIHISTAMINE THERAPY.


Changed on 12/8/2009

VAERS ID: 25291 Before After
VAERS Form:
Age:25.0
Sex:Female
Location:Indiana
Vaccinated:1990-01-15
Onset:1990-01-19
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 - / - - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Urticaria, URTICARIA

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: FIRST VAX
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': N/A EBU900088

Write-up: PT BROKE OUT WITH HIVES 4 DAYS AFTER RECVD FIRST ENGERIX B INOCULATION. HIVES HAVE CONTINUED FOUR WEEKS. ANTIHISTAMINE THERAPY.


Changed on 5/14/2017

VAERS ID: 25291 Before After
VAERS Form:
Age:25.0
Sex:Female
Location:Indiana
Vaccinated:1990-01-15
Onset:1990-01-19
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - - / IM

Administered by: Private      Purchased by: Private
Symptoms: Urticaria

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: FIRST VAX VAX~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900088

Write-up: PT BROKE OUT WITH HIVES 4 DAYS AFTER RECVD FIRST ENGERIX B INOCULATION. HIVES HAVE CONTINUED FOUR WEEKS. ANTIHISTAMINE THERAPY.


Changed on 9/14/2017

VAERS ID: 25291 Before After
VAERS Form:(blank) 1
Age:25.0
Sex:Female
Location:Indiana
Vaccinated:1990-01-15
Onset:1990-01-19
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Urticaria

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: FIRST VAX~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900088

Write-up: PT BROKE OUT WITH HIVES 4 DAYS AFTER RECVD FIRST ENGERIX B INOCULATION. HIVES HAVE CONTINUED FOUR WEEKS. ANTIHISTAMINE THERAPY.


Changed on 2/14/2018

VAERS ID: 25291 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Indiana
Vaccinated:1990-01-15
Onset:1990-01-19
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Urticaria

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: FIRST VAX~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900088

Write-up: PT BROKE OUT WITH HIVES 4 DAYS AFTER RECVD FIRST ENGERIX B INOCULATION. HIVES HAVE CONTINUED FOUR WEEKS. ANTIHISTAMINE THERAPY.


Changed on 6/14/2018

VAERS ID: 25291 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Indiana
Vaccinated:1990-01-15
Onset:1990-01-19
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Urticaria

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: FIRST VAX~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900088

Write-up: PT BROKE OUT WITH HIVES 4 DAYS AFTER RECVD FIRST ENGERIX B INOCULATION. HIVES HAVE CONTINUED FOUR WEEKS. ANTIHISTAMINE THERAPY.


Changed on 8/14/2018

VAERS ID: 25291 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Indiana
Vaccinated:1990-01-15
Onset:1990-01-19
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Urticaria

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: FIRST VAX~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900088

Write-up: PT BROKE OUT WITH HIVES 4 DAYS AFTER RECVD FIRST ENGERIX B INOCULATION. HIVES HAVE CONTINUED FOUR WEEKS. ANTIHISTAMINE THERAPY.


Changed on 9/14/2018

VAERS ID: 25291 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Indiana
Vaccinated:1990-01-15
Onset:1990-01-19
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Urticaria

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: FIRST VAX~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900088

Write-up: PT BROKE OUT WITH HIVES 4 DAYS AFTER RECVD FIRST ENGERIX B INOCULATION. HIVES HAVE CONTINUED FOUR WEEKS. ANTIHISTAMINE THERAPY.


Changed on 10/14/2018

VAERS ID: 25291 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Indiana
Vaccinated:1990-01-15
Onset:1990-01-19
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Urticaria

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: FIRST VAX~ ()~~~In patient
Other Medications: N/A
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900088

Write-up: PT BROKE OUT WITH HIVES 4 DAYS AFTER RECVD FIRST ENGERIX B INOCULATION. HIVES HAVE CONTINUED FOUR WEEKS. ANTIHISTAMINE THERAPY.

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