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This is VAERS ID 25378

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25378
VAERS Form:
Age:
Sex:Unknown
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE - / - NA / -

Administered by: Private      Purchased by: Unknown
Symptoms: NO DRUG EFFECT

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: N/A
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': NONE

Write-up: PT HAS RECEIVED SIX DOSES OF HEP B VACCINE(S) (MAY BE ENGERIX-B), AND HAS NOT PRODUCED ANTIBODY.


Changed on 12/8/2009

VAERS ID: 25378 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-24 1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM - / - NA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Drug ineffective, NO DRUG EFFECT

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: N/A
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': NONE EBU900191

Write-up: PT HAS RECEIVED SIX DOSES OF HEP B VACCINE(S) (MAY BE ENGERIX-B), AND HAS NOT PRODUCED ANTIBODY.


Changed on 5/14/2017

VAERS ID: 25378 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - NA - / - NA

Administered by: Private      Purchased by: Private
Symptoms: Drug ineffective

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: N/A N/A~ ()~~~In patient
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900191

Write-up: PT HAS RECEIVED SIX DOSES OF HEP B VACCINE(S) (MAY BE ENGERIX-B), AND HAS NOT PRODUCED ANTIBODY.


Changed on 9/14/2017

VAERS ID: 25378 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - UNK - / NA

Administered by: Private      Purchased by: Private
Symptoms: Drug ineffective

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: N/A~ ()~~~In patient
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900191

Write-up: PT HAS RECEIVED SIX DOSES OF HEP B VACCINE(S) (MAY BE ENGERIX-B), AND HAS NOT PRODUCED ANTIBODY.


Changed on 2/14/2018

VAERS ID: 25378 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / NA

Administered by: Private      Purchased by: Private
Symptoms: Drug ineffective

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: N/A~ ()~~~In patient
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900191

Write-up: PT HAS RECEIVED SIX DOSES OF HEP B VACCINE(S) (MAY BE ENGERIX-B), AND HAS NOT PRODUCED ANTIBODY.


Changed on 6/14/2018

VAERS ID: 25378 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / NA

Administered by: Private      Purchased by: Private
Symptoms: Drug ineffective

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: N/A~ ()~~~In patient
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900191

Write-up: PT HAS RECEIVED SIX DOSES OF HEP B VACCINE(S) (MAY BE ENGERIX-B), AND HAS NOT PRODUCED ANTIBODY.


Changed on 8/14/2018

VAERS ID: 25378 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / NA

Administered by: Private      Purchased by: Private
Symptoms: Drug ineffective

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: N/A~ ()~~~In patient
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900191

Write-up: PT HAS RECEIVED SIX DOSES OF HEP B VACCINE(S) (MAY BE ENGERIX-B), AND HAS NOT PRODUCED ANTIBODY.


Changed on 9/14/2018

VAERS ID: 25378 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / NA

Administered by: Private      Purchased by: Private
Symptoms: Drug ineffective

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: N/A~ ()~~~In patient
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900191

Write-up: PT HAS RECEIVED SIX DOSES OF HEP B VACCINE(S) (MAY BE ENGERIX-B), AND HAS NOT PRODUCED ANTIBODY.


Changed on 10/14/2018

VAERS ID: 25378 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / NA

Administered by: Private      Purchased by: Private
Symptoms: Drug ineffective

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: N/A~ ()~~~In patient
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900191

Write-up: PT HAS RECEIVED SIX DOSES OF HEP B VACCINE(S) (MAY BE ENGERIX-B), AND HAS NOT PRODUCED ANTIBODY.

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