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This is VAERS ID 25379

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25379
VAERS Form:
Age:
Sex:Female
Location:Pennsylvania
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 586A4 / - NA / -

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: 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 EXP HIVES FOLLOWING 1ST DOSE OF ENGERIX-B.


Changed on 12/8/2009

VAERS ID: 25379 Before After
VAERS Form:
Age:
Sex:Female
Location:Pennsylvania
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 586A4 / - NA / -

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: N/A
Other Medications: NONE
Current Illness: N//A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': NONE EBU900192

Write-up: PT EXP HIVES FOLLOWING 1ST DOSE OF ENGERIX-B.


Changed on 5/14/2017

VAERS ID: 25379 Before After
VAERS Form:
Age:
Sex:Female
Location:Pennsylvania
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 586A4 / - NA - / - NA

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: 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': EBU900192

Write-up: PT EXP HIVES FOLLOWING 1ST DOSE OF ENGERIX-B.


Changed on 9/14/2017

VAERS ID: 25379 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Pennsylvania
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 586A4 / - UNK - / NA

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: N/A~ ()~~~In patient
Other Medications: NONE
Current Illness: N//A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900192

Write-up: PT EXP HIVES FOLLOWING 1ST DOSE OF ENGERIX-B.


Changed on 2/14/2018

VAERS ID: 25379 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
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 586A4 / UNK - / NA

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: N/A~ ()~~~In patient
Other Medications: NONE
Current Illness: N//A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900192

Write-up: PT EXP HIVES FOLLOWING 1ST DOSE OF ENGERIX-B.


Changed on 6/14/2018

VAERS ID: 25379 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
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 586A4 / UNK - / NA

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: N/A~ ()~~~In patient
Other Medications: NONE
Current Illness: N//A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900192

Write-up: PT EXP HIVES FOLLOWING 1ST DOSE OF ENGERIX-B.


Changed on 8/14/2018

VAERS ID: 25379 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
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 586A4 / UNK - / NA

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: N/A~ ()~~~In patient
Other Medications: NONE
Current Illness: N//A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900192

Write-up: PT EXP HIVES FOLLOWING 1ST DOSE OF ENGERIX-B.


Changed on 9/14/2018

VAERS ID: 25379 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
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 586A4 / UNK - / NA

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: N/A~ ()~~~In patient
Other Medications: NONE
Current Illness: N//A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900192

Write-up: PT EXP HIVES FOLLOWING 1ST DOSE OF ENGERIX-B.


Changed on 10/14/2018

VAERS ID: 25379 Before After
VAERS Form:1
Age:
Sex:Female
Location:Pennsylvania
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 586A4 / UNK - / NA

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: N/A~ ()~~~In patient
Other Medications: NONE
Current Illness: N//A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900192

Write-up: PT EXP HIVES FOLLOWING 1ST DOSE OF ENGERIX-B.

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