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This is VAERS ID 25474

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25474
VAERS Form:
Age:37.0
Sex:Female
Location:Ohio
Vaccinated:1990-02-23
Onset:1990-02-23
Submitted:0000-00-00
Entered:1990-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 585A4 / 0 NA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: RASH, EDEMA FACE, URTICARIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: ADVIL, ALLERGY MED FOR ALLERGY TO MILK
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': ALLERGIC TO SULFA

Write-up: PT EXP RASH, SWOLLEN FACE AND HIVES ON DAY OF VACCINATION. NO TREATMENT GIVEN. RASH RESOLVED.

Changed on 12/8/2009

VAERS ID: 25474 Before After
VAERS Form:
Age:37.0
Sex:Female
Location:Ohio
Vaccinated:1990-02-23
Onset:1990-02-23
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 585A4 / 0 NA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Face oedema, Rash, Urticaria, RASH, EDEMA FACE, URTICARIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: ADVIL, ALLERGY MED FOR ALLERGY TO MILK
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': ALLERGIC TO SULFA EBU900078

Write-up: PT EXP RASH, SWOLLEN FACE AND HIVES ON DAY OF VACCINATION. NO TREATMENT GIVEN. RASH RESOLVED.

Changed on 5/14/2017

VAERS ID: 25474 Before After
VAERS Form:
Age:37.0
Sex:Female
Location:Ohio
Vaccinated:1990-02-23
Onset:1990-02-23
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 0 NA / IM

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: ADVIL, ALLERGY MED FOR ALLERGY TO MILK
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900078

Write-up: PT EXP RASH, SWOLLEN FACE AND HIVES ON DAY OF VACCINATION. NO TREATMENT GIVEN. RASH RESOLVED.

Changed on 9/14/2017

VAERS ID: 25474 Before After
VAERS Form:(blank) 1
Age:37.0
Sex:Female
Location:Ohio
Vaccinated:1990-02-23
Onset:1990-02-23
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 0 1 NA / IM

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: ADVIL, ALLERGY MED FOR ALLERGY TO MILK
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900078

Write-up: PT EXP RASH, SWOLLEN FACE AND HIVES ON DAY OF VACCINATION. NO TREATMENT GIVEN. RASH RESOLVED.

Changed on 2/14/2018

VAERS ID: 25474 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Ohio
Vaccinated:1990-02-23
Onset:1990-02-23
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 1 NA / IM

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: ADVIL, ALLERGY MED FOR ALLERGY TO MILK
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900078

Write-up: PT EXP RASH, SWOLLEN FACE AND HIVES ON DAY OF VACCINATION. NO TREATMENT GIVEN. RASH RESOLVED.

Changed on 6/14/2018

VAERS ID: 25474 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Ohio
Vaccinated:1990-02-23
Onset:1990-02-23
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 1 NA / IM

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: ADVIL, ALLERGY MED FOR ALLERGY TO MILK
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900078

Write-up: PT EXP RASH, SWOLLEN FACE AND HIVES ON DAY OF VACCINATION. NO TREATMENT GIVEN. RASH RESOLVED.

Changed on 8/14/2018

VAERS ID: 25474 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Ohio
Vaccinated:1990-02-23
Onset:1990-02-23
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 1 NA / IM

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: ADVIL, ALLERGY MED FOR ALLERGY TO MILK
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900078

Write-up: PT EXP RASH, SWOLLEN FACE AND HIVES ON DAY OF VACCINATION. NO TREATMENT GIVEN. RASH RESOLVED.

Changed on 9/14/2018

VAERS ID: 25474 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Ohio
Vaccinated:1990-02-23
Onset:1990-02-23
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 1 NA / IM

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: ADVIL, ALLERGY MED FOR ALLERGY TO MILK
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900078

Write-up: PT EXP RASH, SWOLLEN FACE AND HIVES ON DAY OF VACCINATION. NO TREATMENT GIVEN. RASH RESOLVED.

Changed on 10/14/2018

VAERS ID: 25474 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Ohio
Vaccinated:1990-02-23
Onset:1990-02-23
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 1 NA / IM

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: ADVIL, ALLERGY MED FOR ALLERGY TO MILK
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900078

Write-up: PT EXP RASH, SWOLLEN FACE AND HIVES ON DAY OF VACCINATION. NO TREATMENT GIVEN. RASH RESOLVED.

Changed on 12/24/2020

VAERS ID: 25474 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Ohio
Vaccinated:1990-02-23
Onset:1990-02-23
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 1 NA / IM

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: ADVIL, ALLERGY MED FOR ALLERGY TO MILK
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900078

Write-up: PT EXP RASH, SWOLLEN FACE AND HIVES ON DAY OF VACCINATION. NO TREATMENT GIVEN. RASH RESOLVED.

Changed on 12/30/2020

VAERS ID: 25474 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Ohio
Vaccinated:1990-02-23
Onset:1990-02-23
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / 1 NA / IM

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: ADVIL, ALLERGY MED FOR ALLERGY TO MILK
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900078

Write-up: PT EXP RASH, SWOLLEN FACE AND HIVES ON DAY OF VACCINATION. NO TREATMENT GIVEN. RASH RESOLVED.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25474&WAYBACKHISTORY=ON


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