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This is VAERS ID 25475

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25475
VAERS Form:
Age:
Sex:Female
Location:Texas
Vaccinated:1990-01-27
Onset:1990-01-27
Submitted:0000-00-00
Entered:1990-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE ENG 585A4 / - NA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: PAIN INJECT SITE, HYSN INJECT SITE, HEADACHE, FLU SYND, 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? No
Previous Vaccinations: N/A
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': NONE

Write-up: IMMED AFTER INJECT, SOI BECAME RED, HOT AND PAINFUL.12 HRS LATER, ACHES AND PAINS APPROX 48 TO 72 HRS DURATION, FLU SYMPTOMS; HEADACHE; WEAKNESS. NO FEVER. 28Jan90 DEV FINE RED RASH NO ITCH. RASH LASTED 24-36 HRS. NO TREATMENT GIVEN.

Changed on 12/8/2009

VAERS ID: 25475 Before After
VAERS Form:
Age:
Sex:Female
Location:Texas
Vaccinated:1990-01-27
Onset:1990-01-27
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 585A4 585A4 / - NA - / IM

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Asthenia, Headache, Influenza, Injection site hypersensitivity, Injection site pain, Rash, PAIN INJECT SITE, HYSN INJECT SITE, HEADACHE, FLU SYND, 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? No
Previous Vaccinations: N/A
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': NONE EBU900079

Write-up: IMMED AFTER INJECT, SOI BECAME RED, HOT AND PAINFUL.12 HRS LATER, ACHES AND PAINS APPROX 48 TO 72 HRS DURATION, FLU SYMPTOMS; HEADACHE; WEAKNESS. NO FEVER. 28Jan90 DEV FINE RED RASH NO ITCH. RASH LASTED 24-36 HRS. NO TREATMENT GIVEN.

Changed on 5/14/2017

VAERS ID: 25475 Before After
VAERS Form:
Age:
Sex:Female
Location:Texas
Vaccinated:1990-01-27
Onset:1990-01-27
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / - - / IM

Administered by: Unknown Private      Purchased by: Unknown Private
Symptoms: Asthenia, Headache, Influenza, Injection site hypersensitivity, Injection site pain, Rash

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900079

Write-up: IMMED AFTER INJECT, SOI BECAME RED, HOT AND PAINFUL.12 HRS LATER, ACHES AND PAINS APPROX 48 TO 72 HRS DURATION, FLU SYMPTOMS; HEADACHE; WEAKNESS. NO FEVER. 28Jan90 DEV FINE RED RASH NO ITCH. RASH LASTED 24-36 HRS. NO TREATMENT GIVEN.

Changed on 9/14/2017

VAERS ID: 25475 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Texas
Vaccinated:1990-01-27
Onset:1990-01-27
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: Private      Purchased by: Private
Symptoms: Asthenia, Headache, Influenza, Injection site hypersensitivity, Injection site pain, Rash

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900079

Write-up: IMMED AFTER INJECT, SOI BECAME RED, HOT AND PAINFUL.12 HRS LATER, ACHES AND PAINS APPROX 48 TO 72 HRS DURATION, FLU SYMPTOMS; HEADACHE; WEAKNESS. NO FEVER. 28Jan90 DEV FINE RED RASH NO ITCH. RASH LASTED 24-36 HRS. NO TREATMENT GIVEN.

Changed on 2/14/2018

VAERS ID: 25475 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1990-01-27
Onset:1990-01-27
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: Private      Purchased by: Private
Symptoms: Asthenia, Headache, Influenza, Injection site hypersensitivity, Injection site pain, Rash

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900079

Write-up: IMMED AFTER INJECT, SOI BECAME RED, HOT AND PAINFUL.12 HRS LATER, ACHES AND PAINS APPROX 48 TO 72 HRS DURATION, FLU SYMPTOMS; HEADACHE; WEAKNESS. NO FEVER. 28Jan90 DEV FINE RED RASH NO ITCH. RASH LASTED 24-36 HRS. NO TREATMENT GIVEN.

Changed on 6/14/2018

VAERS ID: 25475 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1990-01-27
Onset:1990-01-27
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: Private      Purchased by: Private
Symptoms: Asthenia, Headache, Influenza, Injection site hypersensitivity, Injection site pain, Rash

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900079

Write-up: IMMED AFTER INJECT, SOI BECAME RED, HOT AND PAINFUL.12 HRS LATER, ACHES AND PAINS APPROX 48 TO 72 HRS DURATION, FLU SYMPTOMS; HEADACHE; WEAKNESS. NO FEVER. 28Jan90 DEV FINE RED RASH NO ITCH. RASH LASTED 24-36 HRS. NO TREATMENT GIVEN.

Changed on 8/14/2018

VAERS ID: 25475 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1990-01-27
Onset:1990-01-27
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: Private      Purchased by: Private
Symptoms: Asthenia, Headache, Influenza, Injection site hypersensitivity, Injection site pain, Rash

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900079

Write-up: IMMED AFTER INJECT, SOI BECAME RED, HOT AND PAINFUL.12 HRS LATER, ACHES AND PAINS APPROX 48 TO 72 HRS DURATION, FLU SYMPTOMS; HEADACHE; WEAKNESS. NO FEVER. 28Jan90 DEV FINE RED RASH NO ITCH. RASH LASTED 24-36 HRS. NO TREATMENT GIVEN.

Changed on 9/14/2018

VAERS ID: 25475 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1990-01-27
Onset:1990-01-27
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: Private      Purchased by: Private
Symptoms: Asthenia, Headache, Influenza, Injection site hypersensitivity, Injection site pain, Rash

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900079

Write-up: IMMED AFTER INJECT, SOI BECAME RED, HOT AND PAINFUL.12 HRS LATER, ACHES AND PAINS APPROX 48 TO 72 HRS DURATION, FLU SYMPTOMS; HEADACHE; WEAKNESS. NO FEVER. 28Jan90 DEV FINE RED RASH NO ITCH. RASH LASTED 24-36 HRS. NO TREATMENT GIVEN.

Changed on 10/14/2018

VAERS ID: 25475 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1990-01-27
Onset:1990-01-27
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: Private      Purchased by: Private
Symptoms: Asthenia, Headache, Influenza, Injection site hypersensitivity, Injection site pain, Rash

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900079

Write-up: IMMED AFTER INJECT, SOI BECAME RED, HOT AND PAINFUL.12 HRS LATER, ACHES AND PAINS APPROX 48 TO 72 HRS DURATION, FLU SYMPTOMS; HEADACHE; WEAKNESS. NO FEVER. 28Jan90 DEV FINE RED RASH NO ITCH. RASH LASTED 24-36 HRS. NO TREATMENT GIVEN.

Changed on 12/24/2020

VAERS ID: 25475 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1990-01-27
Onset:1990-01-27
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: Private      Purchased by: Private
Symptoms: Asthenia, Headache, Influenza, Injection site hypersensitivity, Injection site pain, Rash

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900079

Write-up: IMMED AFTER INJECT, SOI BECAME RED, HOT AND PAINFUL.12 HRS LATER, ACHES AND PAINS APPROX 48 TO 72 HRS DURATION, FLU SYMPTOMS; HEADACHE; WEAKNESS. NO FEVER. 28Jan90 DEV FINE RED RASH NO ITCH. RASH LASTED 24-36 HRS. NO TREATMENT GIVEN.

Changed on 12/30/2020

VAERS ID: 25475 Before After
VAERS Form:1
Age:
Sex:Female
Location:Texas
Vaccinated:1990-01-27
Onset:1990-01-27
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: Private      Purchased by: Private
Symptoms: Asthenia, Headache, Influenza, Injection site hypersensitivity, Injection site pain, Rash

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900079

Write-up: IMMED AFTER INJECT, SOI BECAME RED, HOT AND PAINFUL.12 HRS LATER, ACHES AND PAINS APPROX 48 TO 72 HRS DURATION, FLU SYMPTOMS; HEADACHE; WEAKNESS. NO FEVER. 28Jan90 DEV FINE RED RASH NO ITCH. RASH LASTED 24-36 HRS. NO TREATMENT GIVEN.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25475&WAYBACKHISTORY=ON


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