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This is VAERS ID 25341

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25341
VAERS Form:
Age:50.0
Sex:Female
Location:Florida
Vaccinated:1990-04-16
Onset:1990-04-16
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: FEVER, HEADACHE, EDEMA FACE, EDEMA, LEUKOCYTOSIS

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Temp 99.2, WBC 19.3, ""20 Lymphs, 4 mono, 5 eosinophils, 8 atypical lymphs.""
CDC 'Split Type':

Write-up: ABOUT 1 HR P/ VAX, PT EXP H/A, HIVES, PAIN, SWELLING OF TONGUE & OTHER BODY PARTS, & RAPID HEARTBEAT. TX W/ SOLU-MEDROL & BENADRYL. ALSO ER W/NAUSEA, DIFFUSE PRURITUS, ERYTHEMA, TEMP. D/C''D STILL EXP SXS; READM 12OCT90 W/ DELAYED ALLERG RXN


Changed on 12/30/2006

VAERS ID: 25341 Before After
VAERS Form:
Age:50.0
Sex:Female
Location:Florida
Vaccinated:1990-04-16
Onset:1990-04-16
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: FEVER, HEADACHE, EDEMA FACE, EDEMA, LEUKOCYTOSIS

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Temp 99.2, WBC 19.3, ""20 /"20 Lymphs, 4 mono, 5 eosinophils, 8 atypical lymphs."" lymphs./"
CDC 'Split Type':

Write-up: ABOUT 1 HR P/ VAX, PT EXP H/A, HIVES, PAIN, SWELLING OF TONGUE & OTHER BODY PARTS, & RAPID HEARTBEAT. TX W/ SOLU-MEDROL & BENADRYL. ALSO ER W/NAUSEA, DIFFUSE PRURITUS, ERYTHEMA, TEMP. D/C''D D/C''''D STILL EXP SXS; READM 12OCT90 W/ DELAYED ALLERG RXN


Changed on 12/8/2009

VAERS ID: 25341 Before After
VAERS Form:
Age:50.0
Sex:Female
Location:Florida
Vaccinated:1990-04-16
Onset:1990-04-16
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: Face oedema, Headache, Leukocytosis, Nausea, Oedema, Pain, Pruritus, Pyrexia, Rash, Tachycardia, Urticaria, FEVER, HEADACHE, EDEMA FACE, EDEMA, LEUKOCYTOSIS

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Temp 99.2, WBC 19.3, /"20 "20 Lymphs, 4 mono, 5 eosinophils, 8 atypical lymphs./" lymphs."
CDC 'Split Type': (blank) EBU900149

Write-up: ABOUT 1 HR P/ VAX, PT EXP H/A, HIVES, PAIN, SWELLING OF TONGUE & OTHER BODY PARTS, & RAPID HEARTBEAT. TX W/ SOLU-MEDROL & BENADRYL. ALSO ER W/NAUSEA, DIFFUSE PRURITUS, ERYTHEMA, TEMP. D/C''''D D/C''D STILL EXP SXS; READM 12OCT90 W/ DELAYED ALLERG RXN


Changed on 5/14/2017

VAERS ID: 25341 Before After
VAERS Form:
Age:50.0
Sex:Female
Location:Florida
Vaccinated:1990-04-16
Onset:1990-04-16
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: Face oedema, Headache, Leukocytosis, Nausea, Oedema, Pain, Pruritus, Pyrexia, Rash, Tachycardia, Urticaria

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Temp 99.2, WBC 19.3, "20 Lymphs, 4 mono, 5 eosinophils, 8 atypical lymphs."
CDC 'Split Type': EBU900149

Write-up: ABOUT 1 HR P/ VAX, PT EXP H/A, HIVES, PAIN, SWELLING OF TONGUE & OTHER BODY PARTS, & RAPID HEARTBEAT. TX W/ SOLU-MEDROL & BENADRYL. ALSO ER W/NAUSEA, DIFFUSE PRURITUS, ERYTHEMA, TEMP. D/C''D STILL EXP SXS; READM 12OCT90 W/ DELAYED ALLERG RXN


Changed on 9/14/2017

VAERS ID: 25341 Before After
VAERS Form:(blank) 1
Age:50.0
Sex:Female
Location:Florida
Vaccinated:1990-04-16
Onset:1990-04-16
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: Face oedema, Headache, Leukocytosis, Nausea, Oedema, Pain, Pruritus, Pyrexia, Rash, Tachycardia, Urticaria

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Temp 99.2, WBC 19.3, "20 Lymphs, 4 mono, 5 eosinophils, 8 atypical lymphs."
CDC 'Split Type': EBU900149

Write-up: ABOUT 1 HR P/ VAX, PT EXP H/A, HIVES, PAIN, SWELLING OF TONGUE & OTHER BODY PARTS, & RAPID HEARTBEAT. TX W/ SOLU-MEDROL & BENADRYL. ALSO ER W/NAUSEA, DIFFUSE PRURITUS, ERYTHEMA, TEMP. D/C''D STILL EXP SXS; READM 12OCT90 W/ DELAYED ALLERG RXN


Changed on 2/14/2018

VAERS ID: 25341 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Florida
Vaccinated:1990-04-16
Onset:1990-04-16
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: Face oedema, Headache, Leukocytosis, Nausea, Oedema, Pain, Pruritus, Pyrexia, Rash, Tachycardia, Urticaria

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Temp 99.2, WBC 19.3, "20 Lymphs, 4 mono, 5 eosinophils, 8 atypical lymphs."
CDC 'Split Type': EBU900149

Write-up: ABOUT 1 HR P/ VAX, PT EXP H/A, HIVES, PAIN, SWELLING OF TONGUE & OTHER BODY PARTS, & RAPID HEARTBEAT. TX W/ SOLU-MEDROL & BENADRYL. ALSO ER W/NAUSEA, DIFFUSE PRURITUS, ERYTHEMA, TEMP. D/C''D STILL EXP SXS; READM 12OCT90 W/ DELAYED ALLERG RXN


Changed on 6/14/2018

VAERS ID: 25341 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Florida
Vaccinated:1990-04-16
Onset:1990-04-16
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: Face oedema, Headache, Leukocytosis, Nausea, Oedema, Pain, Pruritus, Pyrexia, Rash, Tachycardia, Urticaria

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Temp 99.2, WBC 19.3, "20 Lymphs, 4 mono, 5 eosinophils, 8 atypical lymphs."
CDC 'Split Type': EBU900149

Write-up: ABOUT 1 HR P/ VAX, PT EXP H/A, HIVES, PAIN, SWELLING OF TONGUE & OTHER BODY PARTS, & RAPID HEARTBEAT. TX W/ SOLU-MEDROL & BENADRYL. ALSO ER W/NAUSEA, DIFFUSE PRURITUS, ERYTHEMA, TEMP. D/C''D STILL EXP SXS; READM 12OCT90 W/ DELAYED ALLERG RXN


Changed on 8/14/2018

VAERS ID: 25341 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Florida
Vaccinated:1990-04-16
Onset:1990-04-16
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: Face oedema, Headache, Leukocytosis, Nausea, Oedema, Pain, Pruritus, Pyrexia, Rash, Tachycardia, Urticaria

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Temp 99.2, WBC 19.3, "20 Lymphs, 4 mono, 5 eosinophils, 8 atypical lymphs."
CDC 'Split Type': EBU900149

Write-up: ABOUT 1 HR P/ VAX, PT EXP H/A, HIVES, PAIN, SWELLING OF TONGUE & OTHER BODY PARTS, & RAPID HEARTBEAT. TX W/ SOLU-MEDROL & BENADRYL. ALSO ER W/NAUSEA, DIFFUSE PRURITUS, ERYTHEMA, TEMP. D/C''D STILL EXP SXS; READM 12OCT90 W/ DELAYED ALLERG RXN


Changed on 9/14/2018

VAERS ID: 25341 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Florida
Vaccinated:1990-04-16
Onset:1990-04-16
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: Face oedema, Headache, Leukocytosis, Nausea, Oedema, Pain, Pruritus, Pyrexia, Rash, Tachycardia, Urticaria

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Temp 99.2, WBC 19.3, "20 Lymphs, 4 mono, 5 eosinophils, 8 atypical lymphs."
CDC 'Split Type': EBU900149

Write-up: ABOUT 1 HR P/ VAX, PT EXP H/A, HIVES, PAIN, SWELLING OF TONGUE & OTHER BODY PARTS, & RAPID HEARTBEAT. TX W/ SOLU-MEDROL & BENADRYL. ALSO ER W/NAUSEA, DIFFUSE PRURITUS, ERYTHEMA, TEMP. D/C''D STILL EXP SXS; READM 12OCT90 W/ DELAYED ALLERG RXN


Changed on 10/14/2018

VAERS ID: 25341 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Florida
Vaccinated:1990-04-16
Onset:1990-04-16
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: Face oedema, Headache, Leukocytosis, Nausea, Oedema, Pain, Pruritus, Pyrexia, Rash, Tachycardia, Urticaria

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Temp 99.2, WBC 19.3, "20 Lymphs, 4 mono, 5 eosinophils, 8 atypical lymphs."
CDC 'Split Type': EBU900149

Write-up: ABOUT 1 HR P/ VAX, PT EXP H/A, HIVES, PAIN, SWELLING OF TONGUE & OTHER BODY PARTS, & RAPID HEARTBEAT. TX W/ SOLU-MEDROL & BENADRYL. ALSO ER W/NAUSEA, DIFFUSE PRURITUS, ERYTHEMA, TEMP. D/C''D STILL EXP SXS; READM 12OCT90 W/ DELAYED ALLERG RXN

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