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This is VAERS ID 25472

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25472
VAERS Form:
Age:27.0
Sex:Female
Location:New Mexico
Vaccinated:1989-11-30
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE ENG 587A4 / - 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 RECEIPT OF ENGERIX-B. TREATMENT: PT COUNSELING.


Changed on 12/8/2009

VAERS ID: 25472 Before After
VAERS Form:
Age:27.0
Sex:Female
Location:New Mexico
Vaccinated:1989-11-30
Onset:1989-11-30
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 587A4 587A4 / - 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 EBU900075

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


Changed on 5/14/2017

VAERS ID: 25472 Before After
VAERS Form:
Age:27.0
Sex:Female
Location:New Mexico
Vaccinated:1989-11-30
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / - - / 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': EBU900075

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


Changed on 9/14/2017

VAERS ID: 25472 Before After
VAERS Form:(blank) 1
Age:27.0
Sex:Female
Location:New Mexico
Vaccinated:1989-11-30
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / - 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': EBU900075

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


Changed on 2/14/2018

VAERS ID: 25472 Before After
VAERS Form:1
Age:27.0
Sex:Female
Location:New Mexico
Vaccinated:1989-11-30
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / 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': EBU900075

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


Changed on 6/14/2018

VAERS ID: 25472 Before After
VAERS Form:1
Age:27.0
Sex:Female
Location:New Mexico
Vaccinated:1989-11-30
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / 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': EBU900075

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


Changed on 8/14/2018

VAERS ID: 25472 Before After
VAERS Form:1
Age:27.0
Sex:Female
Location:New Mexico
Vaccinated:1989-11-30
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / 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': EBU900075

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


Changed on 9/14/2018

VAERS ID: 25472 Before After
VAERS Form:1
Age:27.0
Sex:Female
Location:New Mexico
Vaccinated:1989-11-30
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / 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': EBU900075

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


Changed on 10/14/2018

VAERS ID: 25472 Before After
VAERS Form:1
Age:27.0
Sex:Female
Location:New Mexico
Vaccinated:1989-11-30
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / 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': EBU900075

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


Changed on 12/24/2020

VAERS ID: 25472 Before After
VAERS Form:1
Age:27.0
Sex:Female
Location:New Mexico
Vaccinated:1989-11-30
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / 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': EBU900075

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


Changed on 12/30/2020

VAERS ID: 25472 Before After
VAERS Form:1
Age:27.0
Sex:Female
Location:New Mexico
Vaccinated:1989-11-30
Onset:1989-11-30
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / 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': EBU900075

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

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