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This is VAERS ID 25292

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25292
VAERS Form:
Age:41.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-09
Onset:1990-02-09
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE ENG 587A4 / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: HYSN INJECT SITE, HYPERTONIA, MYALGIA, ASTHENIA, NEURITIS

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: INDERAL, AND RECOMBIVAX-HB ADMINISTERED 1988.
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Pt exp discomfort, warmth, edema around inject site; treated with Tylenol and ice; saw ER; devlpd muscle and joint aches; neurologist 22FEB90 diagnosed flu;


Changed on 12/8/2009

VAERS ID: 25292 Before After
VAERS Form:
Age:41.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-09
Onset:1990-02-09
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 ENG 587A4 587A4 / - LA / IM

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Asthenia, Hypertonia, Injection site hypersensitivity, Myalgia, Neuritis, Pain, Paraesthesia, Paralysis, HYSN INJECT SITE, HYPERTONIA, MYALGIA, ASTHENIA, NEURITIS

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: INDERAL, AND RECOMBIVAX-HB ADMINISTERED 1988.
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': (blank) EBU900091

Write-up: Pt exp discomfort, warmth, edema around inject site; treated with Tylenol and ice; saw ER; devlpd muscle and joint aches; neurologist 22FEB90 diagnosed flu;


Changed on 5/14/2017

VAERS ID: 25292 Before After
VAERS Form:
Age:41.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-09
Onset:1990-02-09
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: Unknown Private      Purchased by: Unknown Private
Symptoms: Asthenia, Hypertonia, Injection site hypersensitivity, Myalgia, Neuritis, Pain, Paraesthesia, Paralysis

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: INDERAL, AND RECOMBIVAX-HB ADMINISTERED 1988.
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900091

Write-up: Pt exp discomfort, warmth, edema around inject site; treated with Tylenol and ice; saw ER; devlpd muscle and joint aches; neurologist 22FEB90 diagnosed flu;


Changed on 9/14/2017

VAERS ID: 25292 Before After
VAERS Form:(blank) 1
Age:41.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-09
Onset:1990-02-09
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: Asthenia, Hypertonia, Injection site hypersensitivity, Myalgia, Neuritis, Pain, Paraesthesia, Paralysis

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: INDERAL, AND RECOMBIVAX-HB ADMINISTERED 1988.
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900091

Write-up: Pt exp discomfort, warmth, edema around inject site; treated with Tylenol and ice; saw ER; devlpd muscle and joint aches; neurologist 22FEB90 diagnosed flu;


Changed on 2/14/2018

VAERS ID: 25292 Before After
VAERS Form:1
Age:41.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-09
Onset:1990-02-09
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: Asthenia, Hypertonia, Injection site hypersensitivity, Myalgia, Neuritis, Pain, Paraesthesia, Paralysis

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: INDERAL, AND RECOMBIVAX-HB ADMINISTERED 1988.
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900091

Write-up: Pt exp discomfort, warmth, edema around inject site; treated with Tylenol and ice; saw ER; devlpd muscle and joint aches; neurologist 22FEB90 diagnosed flu;


Changed on 6/14/2018

VAERS ID: 25292 Before After
VAERS Form:1
Age:41.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-09
Onset:1990-02-09
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: Asthenia, Hypertonia, Injection site hypersensitivity, Myalgia, Neuritis, Pain, Paraesthesia, Paralysis

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: INDERAL, AND RECOMBIVAX-HB ADMINISTERED 1988.
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900091

Write-up: Pt exp discomfort, warmth, edema around inject site; treated with Tylenol and ice; saw ER; devlpd muscle and joint aches; neurologist 22FEB90 diagnosed flu;


Changed on 8/14/2018

VAERS ID: 25292 Before After
VAERS Form:1
Age:41.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-09
Onset:1990-02-09
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: Asthenia, Hypertonia, Injection site hypersensitivity, Myalgia, Neuritis, Pain, Paraesthesia, Paralysis

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: INDERAL, AND RECOMBIVAX-HB ADMINISTERED 1988.
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900091

Write-up: Pt exp discomfort, warmth, edema around inject site; treated with Tylenol and ice; saw ER; devlpd muscle and joint aches; neurologist 22FEB90 diagnosed flu;


Changed on 9/14/2018

VAERS ID: 25292 Before After
VAERS Form:1
Age:41.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-09
Onset:1990-02-09
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: Asthenia, Hypertonia, Injection site hypersensitivity, Myalgia, Neuritis, Pain, Paraesthesia, Paralysis

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: INDERAL, AND RECOMBIVAX-HB ADMINISTERED 1988.
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900091

Write-up: Pt exp discomfort, warmth, edema around inject site; treated with Tylenol and ice; saw ER; devlpd muscle and joint aches; neurologist 22FEB90 diagnosed flu;


Changed on 10/14/2018

VAERS ID: 25292 Before After
VAERS Form:1
Age:41.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-09
Onset:1990-02-09
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: Asthenia, Hypertonia, Injection site hypersensitivity, Myalgia, Neuritis, Pain, Paraesthesia, Paralysis

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: INDERAL, AND RECOMBIVAX-HB ADMINISTERED 1988.
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900091

Write-up: Pt exp discomfort, warmth, edema around inject site; treated with Tylenol and ice; saw ER; devlpd muscle and joint aches; neurologist 22FEB90 diagnosed flu;

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