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This is VAERS ID 25468

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25468
VAERS Form:
Age:
Sex:Male
Location:New Mexico
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE ENG 586A4 / - NA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: INJECT SITE REACT, PAIN INJECT SITE

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 PAIN AND STINGING AT SOI AFTER ENGERIX-B. TREATMENT: PT COUNSELING.

Changed on 12/8/2009

VAERS ID: 25468 Before After
VAERS Form:
Age:
Sex:Male
Location:New Mexico
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-27 1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM ENG 586A4 586A4 / - NA - / IM

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Injection site pain, Injection site reaction, INJECT SITE REACT, PAIN INJECT SITE

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 EBU900071

Write-up: PT EXP PAIN AND STINGING AT SOI AFTER ENGERIX-B. TREATMENT: PT COUNSELING.

Changed on 5/14/2017

VAERS ID: 25468 Before After
VAERS Form:
Age:
Sex:Male
Location:New Mexico
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / - - / IM

Administered by: Unknown Private      Purchased by: Unknown Private
Symptoms: Injection site pain, Injection site reaction

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:
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900071

Write-up: PT EXP PAIN AND STINGING AT SOI AFTER ENGERIX-B. TREATMENT: PT COUNSELING.

Changed on 9/14/2017

VAERS ID: 25468 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:New Mexico
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / - UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site pain, Injection site reaction

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:
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900071

Write-up: PT EXP PAIN AND STINGING AT SOI AFTER ENGERIX-B. TREATMENT: PT COUNSELING.

Changed on 2/14/2018

VAERS ID: 25468 Before After
VAERS Form:1
Age:
Sex:Male
Location:New Mexico
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site pain, Injection site reaction

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:
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900071

Write-up: PT EXP PAIN AND STINGING AT SOI AFTER ENGERIX-B. TREATMENT: PT COUNSELING.

Changed on 6/14/2018

VAERS ID: 25468 Before After
VAERS Form:1
Age:
Sex:Male
Location:New Mexico
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site pain, Injection site reaction

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:
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900071

Write-up: PT EXP PAIN AND STINGING AT SOI AFTER ENGERIX-B. TREATMENT: PT COUNSELING.

Changed on 8/14/2018

VAERS ID: 25468 Before After
VAERS Form:1
Age:
Sex:Male
Location:New Mexico
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site pain, Injection site reaction

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:
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900071

Write-up: PT EXP PAIN AND STINGING AT SOI AFTER ENGERIX-B. TREATMENT: PT COUNSELING.

Changed on 9/14/2018

VAERS ID: 25468 Before After
VAERS Form:1
Age:
Sex:Male
Location:New Mexico
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site pain, Injection site reaction

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:
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900071

Write-up: PT EXP PAIN AND STINGING AT SOI AFTER ENGERIX-B. TREATMENT: PT COUNSELING.

Changed on 10/14/2018

VAERS ID: 25468 Before After
VAERS Form:1
Age:
Sex:Male
Location:New Mexico
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site pain, Injection site reaction

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:
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900071

Write-up: PT EXP PAIN AND STINGING AT SOI AFTER ENGERIX-B. TREATMENT: PT COUNSELING.

Changed on 12/24/2020

VAERS ID: 25468 Before After
VAERS Form:1
Age:
Sex:Male
Location:New Mexico
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site pain, Injection site reaction

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:
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900071

Write-up: PT EXP PAIN AND STINGING AT SOI AFTER ENGERIX-B. TREATMENT: PT COUNSELING.

Changed on 12/30/2020

VAERS ID: 25468 Before After
VAERS Form:1
Age:
Sex:Male
Location:New Mexico
Vaccinated:1990-02-05
Onset:1990-02-05
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site pain, Injection site reaction

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:
Other Medications: NONE
Current Illness: N/A
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900071

Write-up: PT EXP PAIN AND STINGING AT SOI AFTER ENGERIX-B. TREATMENT: PT COUNSELING.

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