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This is VAERS ID 25476

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25476
VAERS Form:
Age:27.0
Sex:Female
Location:Texas
Vaccinated:1990-01-26
Onset:1990-01-26
Submitted:0000-00-00
Entered:1990-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE ENG 585A4 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: INJECT SITE REACT, HEADACHE, ARTHRALGIA, FLU SYND, MALAISE

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: BENADRYL, TYLENOL
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': ALLERGIC TO SULFA

Write-up: FEW HRS AFTER INJECT, ARM ACHED WARMLY, DEV PINPOINT RASH, CHEST FELT WARM AND ITCHY. HAD MALAISE AND SORENESS. FELT TIRED 2 DAYS. TREATMENT BENADRYL AND TYLENOL. RASH LASTED FOR 24 HRS;OTHER SYMPTOMS(TIREDNESS AND RUN-DOWN FEELING)ONE WEEK


Changed on 12/8/2009

VAERS ID: 25476 Before After
VAERS Form:
Age:27.0
Sex:Female
Location:Texas
Vaccinated:1990-01-26
Onset:1990-01-26
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 / - - / -

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Headache, Influenza, Injection site pain, Injection site reaction, Malaise, Pain, Rash, Somnolence, Vasodilatation, INJECT SITE REACT, HEADACHE, ARTHRALGIA, FLU SYND, MALAISE

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: BENADRYL, TYLENOL
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': ALLERGIC TO SULFA EBU900080

Write-up: FEW HRS AFTER INJECT, ARM ACHED WARMLY, DEV PINPOINT RASH, CHEST FELT WARM AND ITCHY. HAD MALAISE AND SORENESS. FELT TIRED 2 DAYS. TREATMENT BENADRYL AND TYLENOL. RASH LASTED FOR 24 HRS;OTHER SYMPTOMS(TIREDNESS AND RUN-DOWN FEELING)ONE WEEK


Changed on 5/14/2017

VAERS ID: 25476 Before After
VAERS Form:
Age:27.0
Sex:Female
Location:Texas
Vaccinated:1990-01-26
Onset:1990-01-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / - - / -

Administered by: Unknown Private      Purchased by: Unknown Private
Symptoms: Arthralgia, Headache, Influenza, Injection site pain, Injection site reaction, Malaise, Pain, Rash, Somnolence, Vasodilatation

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: BENADRYL, TYLENOL
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900080

Write-up: FEW HRS AFTER INJECT, ARM ACHED WARMLY, DEV PINPOINT RASH, CHEST FELT WARM AND ITCHY. HAD MALAISE AND SORENESS. FELT TIRED 2 DAYS. TREATMENT BENADRYL AND TYLENOL. RASH LASTED FOR 24 HRS;OTHER SYMPTOMS(TIREDNESS AND RUN-DOWN FEELING)ONE WEEK


Changed on 9/14/2017

VAERS ID: 25476 Before After
VAERS Form:(blank) 1
Age:27.0
Sex:Female
Location:Texas
Vaccinated:1990-01-26
Onset:1990-01-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / - UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Influenza, Injection site pain, Injection site reaction, Malaise, Pain, Rash, Somnolence, Vasodilatation

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: BENADRYL, TYLENOL
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900080

Write-up: FEW HRS AFTER INJECT, ARM ACHED WARMLY, DEV PINPOINT RASH, CHEST FELT WARM AND ITCHY. HAD MALAISE AND SORENESS. FELT TIRED 2 DAYS. TREATMENT BENADRYL AND TYLENOL. RASH LASTED FOR 24 HRS;OTHER SYMPTOMS(TIREDNESS AND RUN-DOWN FEELING)ONE WEEK


Changed on 2/14/2018

VAERS ID: 25476 Before After
VAERS Form:1
Age:27.0
Sex:Female
Location:Texas
Vaccinated:1990-01-26
Onset:1990-01-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Influenza, Injection site pain, Injection site reaction, Malaise, Pain, Rash, Somnolence, Vasodilatation

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: BENADRYL, TYLENOL
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900080

Write-up: FEW HRS AFTER INJECT, ARM ACHED WARMLY, DEV PINPOINT RASH, CHEST FELT WARM AND ITCHY. HAD MALAISE AND SORENESS. FELT TIRED 2 DAYS. TREATMENT BENADRYL AND TYLENOL. RASH LASTED FOR 24 HRS;OTHER SYMPTOMS(TIREDNESS AND RUN-DOWN FEELING)ONE WEEK


Changed on 6/14/2018

VAERS ID: 25476 Before After
VAERS Form:1
Age:27.0
Sex:Female
Location:Texas
Vaccinated:1990-01-26
Onset:1990-01-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Influenza, Injection site pain, Injection site reaction, Malaise, Pain, Rash, Somnolence, Vasodilatation

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: BENADRYL, TYLENOL
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900080

Write-up: FEW HRS AFTER INJECT, ARM ACHED WARMLY, DEV PINPOINT RASH, CHEST FELT WARM AND ITCHY. HAD MALAISE AND SORENESS. FELT TIRED 2 DAYS. TREATMENT BENADRYL AND TYLENOL. RASH LASTED FOR 24 HRS;OTHER SYMPTOMS(TIREDNESS AND RUN-DOWN FEELING)ONE WEEK


Changed on 8/14/2018

VAERS ID: 25476 Before After
VAERS Form:1
Age:27.0
Sex:Female
Location:Texas
Vaccinated:1990-01-26
Onset:1990-01-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Influenza, Injection site pain, Injection site reaction, Malaise, Pain, Rash, Somnolence, Vasodilatation

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: BENADRYL, TYLENOL
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900080

Write-up: FEW HRS AFTER INJECT, ARM ACHED WARMLY, DEV PINPOINT RASH, CHEST FELT WARM AND ITCHY. HAD MALAISE AND SORENESS. FELT TIRED 2 DAYS. TREATMENT BENADRYL AND TYLENOL. RASH LASTED FOR 24 HRS;OTHER SYMPTOMS(TIREDNESS AND RUN-DOWN FEELING)ONE WEEK


Changed on 9/14/2018

VAERS ID: 25476 Before After
VAERS Form:1
Age:27.0
Sex:Female
Location:Texas
Vaccinated:1990-01-26
Onset:1990-01-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Influenza, Injection site pain, Injection site reaction, Malaise, Pain, Rash, Somnolence, Vasodilatation

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: BENADRYL, TYLENOL
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900080

Write-up: FEW HRS AFTER INJECT, ARM ACHED WARMLY, DEV PINPOINT RASH, CHEST FELT WARM AND ITCHY. HAD MALAISE AND SORENESS. FELT TIRED 2 DAYS. TREATMENT BENADRYL AND TYLENOL. RASH LASTED FOR 24 HRS;OTHER SYMPTOMS(TIREDNESS AND RUN-DOWN FEELING)ONE WEEK


Changed on 10/14/2018

VAERS ID: 25476 Before After
VAERS Form:1
Age:27.0
Sex:Female
Location:Texas
Vaccinated:1990-01-26
Onset:1990-01-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Influenza, Injection site pain, Injection site reaction, Malaise, Pain, Rash, Somnolence, Vasodilatation

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: BENADRYL, TYLENOL
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900080

Write-up: FEW HRS AFTER INJECT, ARM ACHED WARMLY, DEV PINPOINT RASH, CHEST FELT WARM AND ITCHY. HAD MALAISE AND SORENESS. FELT TIRED 2 DAYS. TREATMENT BENADRYL AND TYLENOL. RASH LASTED FOR 24 HRS;OTHER SYMPTOMS(TIREDNESS AND RUN-DOWN FEELING)ONE WEEK


Changed on 12/24/2020

VAERS ID: 25476 Before After
VAERS Form:1
Age:27.0
Sex:Female
Location:Texas
Vaccinated:1990-01-26
Onset:1990-01-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Influenza, Injection site pain, Injection site reaction, Malaise, Pain, Rash, Somnolence, Vasodilatation

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: BENADRYL, TYLENOL
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900080

Write-up: FEW HRS AFTER INJECT, ARM ACHED WARMLY, DEV PINPOINT RASH, CHEST FELT WARM AND ITCHY. HAD MALAISE AND SORENESS. FELT TIRED 2 DAYS. TREATMENT BENADRYL AND TYLENOL. RASH LASTED FOR 24 HRS;OTHER SYMPTOMS(TIREDNESS AND RUN-DOWN FEELING)ONE WEEK


Changed on 12/30/2020

VAERS ID: 25476 Before After
VAERS Form:1
Age:27.0
Sex:Female
Location:Texas
Vaccinated:1990-01-26
Onset:1990-01-26
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 585A4 / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Arthralgia, Headache, Influenza, Injection site pain, Injection site reaction, Malaise, Pain, Rash, Somnolence, Vasodilatation

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: BENADRYL, TYLENOL
Current Illness: NONE
Preexisting Conditions: ALLERGIC TO SULFA
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type': EBU900080

Write-up: FEW HRS AFTER INJECT, ARM ACHED WARMLY, DEV PINPOINT RASH, CHEST FELT WARM AND ITCHY. HAD MALAISE AND SORENESS. FELT TIRED 2 DAYS. TREATMENT BENADRYL AND TYLENOL. RASH LASTED FOR 24 HRS;OTHER SYMPTOMS(TIREDNESS AND RUN-DOWN FEELING)ONE WEEK

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