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This is VAERS ID 25473

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25473
VAERS Form:
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:1989-12-01
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 587A4 / - A / -

Administered by: Unknown      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:
Other Medications: aldoril
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data: titers checked: non-detected
CDC 'Split Type':

Write-up: non responder, recvd 1 dose of Engerix B (deltoid area) as a second F/U booster /p a needle stick injury. Titers checked and none detected.


Changed on 12/8/2009

VAERS ID: 25473 Before After
VAERS Form:
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:1989-12-01
Onset:0000-00-00
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 587A4 / - A / -

Administered by: Unknown      Purchased by: Unknown
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:
Other Medications: aldoril
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data: titers checked: non-detected
CDC 'Split Type': (blank) EBU900077

Write-up: non responder, recvd 1 dose of Engerix B (deltoid area) as a second F/U booster /p a needle stick injury. Titers checked and none detected.


Changed on 5/14/2017

VAERS ID: 25473 Before After
VAERS Form:
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:1989-12-01
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 587A4 / - A - / - A

Administered by: Unknown      Purchased by: Unknown
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: ~ ()~~~In patient
Other Medications: aldoril
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data: titers checked: non-detected
CDC 'Split Type': EBU900077

Write-up: non responder, recvd 1 dose of Engerix B (deltoid area) as a second F/U booster /p a needle stick injury. Titers checked and none detected.


Changed on 9/14/2017

VAERS ID: 25473 Before After
VAERS Form:(blank) 1
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:1989-12-01
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 587A4 / - UNK - / A

Administered by: Unknown      Purchased by: Unknown
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: ~ ()~~~In patient
Other Medications: aldoril
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data: titers checked: non-detected
CDC 'Split Type': EBU900077

Write-up: non responder, recvd 1 dose of Engerix B (deltoid area) as a second F/U booster /p a needle stick injury. Titers checked and none detected.


Changed on 2/14/2018

VAERS ID: 25473 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:1989-12-01
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 587A4 / UNK - / A

Administered by: Unknown      Purchased by: Unknown
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: ~ ()~~~In patient
Other Medications: aldoril
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data: titers checked: non-detected
CDC 'Split Type': EBU900077

Write-up: non responder, recvd 1 dose of Engerix B (deltoid area) as a second F/U booster /p a needle stick injury. Titers checked and none detected.


Changed on 6/14/2018

VAERS ID: 25473 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:1989-12-01
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 587A4 / UNK - / A

Administered by: Unknown      Purchased by: Unknown
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: ~ ()~~~In patient
Other Medications: aldoril
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data: titers checked: non-detected
CDC 'Split Type': EBU900077

Write-up: non responder, recvd 1 dose of Engerix B (deltoid area) as a second F/U booster /p a needle stick injury. Titers checked and none detected.


Changed on 8/14/2018

VAERS ID: 25473 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:1989-12-01
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 587A4 / UNK - / A

Administered by: Unknown      Purchased by: Unknown
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: ~ ()~~~In patient
Other Medications: aldoril
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data: titers checked: non-detected
CDC 'Split Type': EBU900077

Write-up: non responder, recvd 1 dose of Engerix B (deltoid area) as a second F/U booster /p a needle stick injury. Titers checked and none detected.


Changed on 9/14/2018

VAERS ID: 25473 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:1989-12-01
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 587A4 / UNK - / A

Administered by: Unknown      Purchased by: Unknown
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: ~ ()~~~In patient
Other Medications: aldoril
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data: titers checked: non-detected
CDC 'Split Type': EBU900077

Write-up: non responder, recvd 1 dose of Engerix B (deltoid area) as a second F/U booster /p a needle stick injury. Titers checked and none detected.


Changed on 10/14/2018

VAERS ID: 25473 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:1989-12-01
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 587A4 / UNK - / A

Administered by: Unknown      Purchased by: Unknown
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: ~ ()~~~In patient
Other Medications: aldoril
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data: titers checked: non-detected
CDC 'Split Type': EBU900077

Write-up: non responder, recvd 1 dose of Engerix B (deltoid area) as a second F/U booster /p a needle stick injury. Titers checked and none detected.


Changed on 12/24/2020

VAERS ID: 25473 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:1989-12-01
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 587A4 / UNK - / A

Administered by: Unknown      Purchased by: Unknown
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: ~ ()~~~In patient
Other Medications: aldoril
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data: titers checked: non-detected
CDC 'Split Type': EBU900077

Write-up: non responder, recvd 1 dose of Engerix B (deltoid area) as a second F/U booster /p a needle stick injury. Titers checked and none detected.


Changed on 12/30/2020

VAERS ID: 25473 Before After
VAERS Form:1
Age:51.0
Sex:Female
Location:Illinois
Vaccinated:1989-12-01
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 587A4 / UNK - / A

Administered by: Unknown      Purchased by: Unknown
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: ~ ()~~~In patient
Other Medications: aldoril
Current Illness:
Preexisting Conditions: HTN
Allergies:
Diagnostic Lab Data: titers checked: non-detected
CDC 'Split Type': EBU900077

Write-up: non responder, recvd 1 dose of Engerix B (deltoid area) as a second F/U booster /p a needle stick injury. Titers checked and none detected.

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