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This is VAERS ID 25294

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25294
VAERS Form:
Age:35.0
Sex:Female
Location:Washington
Vaccinated:1990-01-30
Onset:1990-01-30
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 585A4 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: NAUSEA, HEADACHE, EDEMA FACE, FLU SYND, COORDINAT ABNORM

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: ASPIRIN
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: 11 TO 12 HRS AFTER INJECTION, PT EXP NAUSEA, EQUILIBRIUM DISTURBANCES, HEADACHE ON LEFT SIDE OF HEAD, SOME SWELLING ON LEFT SIDE OF FACE. NO TREATMENT. SIX HRS LATER, NO SYMPTOMS.


Changed on 12/8/2009

VAERS ID: 25294 Before After
VAERS Form:
Age:35.0
Sex:Female
Location:Washington
Vaccinated:1990-01-30
Onset:1990-01-30
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 585A4 / - - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Coordination abnormal, Face oedema, Headache, Influenza, Nausea, NAUSEA, HEADACHE, EDEMA FACE, FLU SYND, COORDINAT ABNORM

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: ASPIRIN
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': (blank) EBU900093

Write-up: 11 TO 12 HRS AFTER INJECTION, PT EXP NAUSEA, EQUILIBRIUM DISTURBANCES, HEADACHE ON LEFT SIDE OF HEAD, SOME SWELLING ON LEFT SIDE OF FACE. NO TREATMENT. SIX HRS LATER, NO SYMPTOMS.


Changed on 5/14/2017

VAERS ID: 25294 Before After
VAERS Form:
Age:35.0
Sex:Female
Location:Washington
Vaccinated:1990-01-30
Onset:1990-01-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / - - / IM

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Face oedema, Headache, Influenza, Nausea

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: ASPIRIN
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900093

Write-up: 11 TO 12 HRS AFTER INJECTION, PT EXP NAUSEA, EQUILIBRIUM DISTURBANCES, HEADACHE ON LEFT SIDE OF HEAD, SOME SWELLING ON LEFT SIDE OF FACE. NO TREATMENT. SIX HRS LATER, NO SYMPTOMS.


Changed on 9/14/2017

VAERS ID: 25294 Before After
VAERS Form:(blank) 1
Age:35.0
Sex:Female
Location:Washington
Vaccinated:1990-01-30
Onset:1990-01-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / - UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Face oedema, Headache, Influenza, Nausea

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: ASPIRIN
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900093

Write-up: 11 TO 12 HRS AFTER INJECTION, PT EXP NAUSEA, EQUILIBRIUM DISTURBANCES, HEADACHE ON LEFT SIDE OF HEAD, SOME SWELLING ON LEFT SIDE OF FACE. NO TREATMENT. SIX HRS LATER, NO SYMPTOMS.


Changed on 2/14/2018

VAERS ID: 25294 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:Washington
Vaccinated:1990-01-30
Onset:1990-01-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Face oedema, Headache, Influenza, Nausea

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: ASPIRIN
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900093

Write-up: 11 TO 12 HRS AFTER INJECTION, PT EXP NAUSEA, EQUILIBRIUM DISTURBANCES, HEADACHE ON LEFT SIDE OF HEAD, SOME SWELLING ON LEFT SIDE OF FACE. NO TREATMENT. SIX HRS LATER, NO SYMPTOMS.


Changed on 6/14/2018

VAERS ID: 25294 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:Washington
Vaccinated:1990-01-30
Onset:1990-01-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Face oedema, Headache, Influenza, Nausea

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: ASPIRIN
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900093

Write-up: 11 TO 12 HRS AFTER INJECTION, PT EXP NAUSEA, EQUILIBRIUM DISTURBANCES, HEADACHE ON LEFT SIDE OF HEAD, SOME SWELLING ON LEFT SIDE OF FACE. NO TREATMENT. SIX HRS LATER, NO SYMPTOMS.


Changed on 8/14/2018

VAERS ID: 25294 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:Washington
Vaccinated:1990-01-30
Onset:1990-01-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Face oedema, Headache, Influenza, Nausea

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: ASPIRIN
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900093

Write-up: 11 TO 12 HRS AFTER INJECTION, PT EXP NAUSEA, EQUILIBRIUM DISTURBANCES, HEADACHE ON LEFT SIDE OF HEAD, SOME SWELLING ON LEFT SIDE OF FACE. NO TREATMENT. SIX HRS LATER, NO SYMPTOMS.


Changed on 9/14/2018

VAERS ID: 25294 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:Washington
Vaccinated:1990-01-30
Onset:1990-01-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Face oedema, Headache, Influenza, Nausea

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: ASPIRIN
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900093

Write-up: 11 TO 12 HRS AFTER INJECTION, PT EXP NAUSEA, EQUILIBRIUM DISTURBANCES, HEADACHE ON LEFT SIDE OF HEAD, SOME SWELLING ON LEFT SIDE OF FACE. NO TREATMENT. SIX HRS LATER, NO SYMPTOMS.


Changed on 10/14/2018

VAERS ID: 25294 Before After
VAERS Form:1
Age:35.0
Sex:Female
Location:Washington
Vaccinated:1990-01-30
Onset:1990-01-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Coordination abnormal, Face oedema, Headache, Influenza, Nausea

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: ASPIRIN
Current Illness:
Preexisting Conditions: N/A
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900093

Write-up: 11 TO 12 HRS AFTER INJECTION, PT EXP NAUSEA, EQUILIBRIUM DISTURBANCES, HEADACHE ON LEFT SIDE OF HEAD, SOME SWELLING ON LEFT SIDE OF FACE. NO TREATMENT. SIX HRS LATER, NO SYMPTOMS.

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