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This is VAERS ID 25395

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25395
VAERS Form:
Age:37.0
Sex:Female
Location:Connecticut
Vaccinated:1989-11-17
Onset:1989-11-18
Submitted:0000-00-00
Entered:1990-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 585A4 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: ARTHRITIS, FEVER, ARTHRALGIA, EDEMA, ASTHENIA

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prozac, Xanax
Current Illness:
Preexisting Conditions: chronic fatigue
Allergies:
Diagnostic Lab Data: Fever readings 18Nov89- 101 F, 19Nov89-100.2F, 20Nov89-100 F, Low grade fever from 21Nov89 through 25Nov89.
CDC 'Split Type':

Write-up: Pt developed fever of 100 F or greater for approx 3 days, 20Nov89 c/o muscles & bone aches, knees, ankles swollen/itching. Possible that the Engerix-B exacerbated chronic fatigue syndrome


Changed on 12/8/2009

VAERS ID: 25395 Before After
VAERS Form:
Age:37.0
Sex:Female
Location:Connecticut
Vaccinated:1989-11-17
Onset:1989-11-18
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 585A4 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Arthritis, Asthenia, Myalgia, Nausea, Oedema, Pain, Pruritus, Pyrexia, Serum sickness, Tremor, Vomiting, ARTHRITIS, FEVER, ARTHRALGIA, EDEMA, ASTHENIA

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prozac, Xanax
Current Illness:
Preexisting Conditions: chronic fatigue
Allergies:
Diagnostic Lab Data: Fever readings 18Nov89- 101 F, 19Nov89-100.2F, 20Nov89-100 F, Low grade fever from 21Nov89 through 25Nov89.
CDC 'Split Type': (blank) EBU890021

Write-up: Pt developed fever of 100 F or greater for approx 3 days, 20Nov89 c/o muscles & bone aches, knees, ankles swollen/itching. Possible that the received Engerix-B exacerbated and experienced chronic fatigue syndrome exacerated, fever, unable to sleep, itching over inflamed joints, residual joint aches, joints knees ankles inflamed, all joints painful, muscle pain


Changed on 9/14/2017

VAERS ID: 25395 Before After
VAERS Form:(blank) 1
Age:37.0
Sex:Female
Location:Connecticut
Vaccinated:1989-11-17
Onset:1989-11-18
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: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Arthritis, Asthenia, Myalgia, Nausea, Oedema, Pain, Pruritus, Pyrexia, Serum sickness, Tremor, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU890021

Write-up: Pt received Engerix-B and experienced chronic fatigue syndrome exacerated, fever, unable to sleep, itching over inflamed joints, residual joint aches, joints knees ankles inflamed, all joints painful, muscle pain


Changed on 2/14/2018

VAERS ID: 25395 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Connecticut
Vaccinated:1989-11-17
Onset:1989-11-18
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: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Arthritis, Asthenia, Myalgia, Nausea, Oedema, Pain, Pruritus, Pyrexia, Serum sickness, Tremor, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU890021

Write-up: Pt received Engerix-B and experienced chronic fatigue syndrome exacerated, fever, unable to sleep, itching over inflamed joints, residual joint aches, joints knees ankles inflamed, all joints painful, muscle pain


Changed on 6/14/2018

VAERS ID: 25395 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Connecticut
Vaccinated:1989-11-17
Onset:1989-11-18
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: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Arthritis, Asthenia, Myalgia, Nausea, Oedema, Pain, Pruritus, Pyrexia, Serum sickness, Tremor, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU890021

Write-up: Pt received Engerix-B and experienced chronic fatigue syndrome exacerated, fever, unable to sleep, itching over inflamed joints, residual joint aches, joints knees ankles inflamed, all joints painful, muscle pain


Changed on 8/14/2018

VAERS ID: 25395 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Connecticut
Vaccinated:1989-11-17
Onset:1989-11-18
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: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Arthritis, Asthenia, Myalgia, Nausea, Oedema, Pain, Pruritus, Pyrexia, Serum sickness, Tremor, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU890021

Write-up: Pt received Engerix-B and experienced chronic fatigue syndrome exacerated, fever, unable to sleep, itching over inflamed joints, residual joint aches, joints knees ankles inflamed, all joints painful, muscle pain


Changed on 9/14/2018

VAERS ID: 25395 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Connecticut
Vaccinated:1989-11-17
Onset:1989-11-18
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: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Arthritis, Asthenia, Myalgia, Nausea, Oedema, Pain, Pruritus, Pyrexia, Serum sickness, Tremor, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU890021

Write-up: Pt received Engerix-B and experienced chronic fatigue syndrome exacerated, fever, unable to sleep, itching over inflamed joints, residual joint aches, joints knees ankles inflamed, all joints painful, muscle pain


Changed on 10/14/2018

VAERS ID: 25395 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Connecticut
Vaccinated:1989-11-17
Onset:1989-11-18
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: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Arthritis, Asthenia, Myalgia, Nausea, Oedema, Pain, Pruritus, Pyrexia, Serum sickness, Tremor, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU890021

Write-up: Pt received Engerix-B and experienced chronic fatigue syndrome exacerated, fever, unable to sleep, itching over inflamed joints, residual joint aches, joints knees ankles inflamed, all joints painful, muscle pain

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