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This is VAERS ID 25522

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25522
VAERS Form:
Age:
Sex:Female
Location:Iowa
Vaccinated:1990-06-08
Onset:1990-06-11
Submitted:0000-00-00
Entered:1990-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 587A4 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: RASH, PRURITUS, EDEMA PERIPH

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Engerix-B and developed itching of hands, rash on arms and hands legs groin, club like fingers, tingling in hands, signifcant swelling of hands, big blisters on hands, peeling of both feet.


Changed on 12/8/2009

VAERS ID: 25522 Before After
VAERS Form:
Age:
Sex:Female
Location:Iowa
Vaccinated:1990-06-08
Onset:1990-06-11
Submitted:0000-00-00
Entered:1990-07-18 1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 587A4 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Oedema peripheral, Pruritus, Rash, RASH, PRURITUS, EDEMA PERIPH

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) EBU900241

Write-up: Pt vaccinated with Engerix-B and developed itching of hands, rash on arms and hands legs groin, club like fingers, tingling in hands, signifcant swelling of hands, big blisters on hands, peeling of both feet.


Changed on 5/14/2017

VAERS ID: 25522 Before After
VAERS Form:
Age:
Sex:Female
Location:Iowa
Vaccinated:1990-06-08
Onset:1990-06-11
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Oedema peripheral, Pruritus, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hormones
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900241

Write-up: Pt vaccinated with received lst does of Engerix-B and developed on 8-JUN-90 & was hospitalized on 11-JUN-90 w/significant swelling of both hands also experienced itching of hands, rash on arms and & hands legs groin, club like fingers, tingling in hands, signifcant swelling of hands, big blisters on hands, peeling of both feet. fingers


Changed on 9/14/2017

VAERS ID: 25522 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Iowa
Vaccinated:1990-06-08
Onset:1990-06-11
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Oedema peripheral, Pruritus, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hormones
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900241

Write-up: Pt received lst does of Engerix-B on 8-JUN-90 & was hospitalized on 11-JUN-90 w/significant swelling of both hands also experienced itching of hands, rash on arms & hands club like fingers


Changed on 2/14/2018

VAERS ID: 25522 Before After
VAERS Form:1
Age:
Sex:Female
Location:Iowa
Vaccinated:1990-06-08
Onset:1990-06-11
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Oedema peripheral, Pruritus, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hormones
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900241

Write-up: Pt received lst does of Engerix-B on 8-JUN-90 & was hospitalized on 11-JUN-90 w/significant swelling of both hands also experienced itching of hands, rash on arms & hands club like fingers


Changed on 6/14/2018

VAERS ID: 25522 Before After
VAERS Form:1
Age:
Sex:Female
Location:Iowa
Vaccinated:1990-06-08
Onset:1990-06-11
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Oedema peripheral, Pruritus, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hormones
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900241

Write-up: Pt received lst does of Engerix-B on 8-JUN-90 & was hospitalized on 11-JUN-90 w/significant swelling of both hands also experienced itching of hands, rash on arms & hands club like fingers


Changed on 8/14/2018

VAERS ID: 25522 Before After
VAERS Form:1
Age:
Sex:Female
Location:Iowa
Vaccinated:1990-06-08
Onset:1990-06-11
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Oedema peripheral, Pruritus, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hormones
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900241

Write-up: Pt received lst does of Engerix-B on 8-JUN-90 & was hospitalized on 11-JUN-90 w/significant swelling of both hands also experienced itching of hands, rash on arms & hands club like fingers


Changed on 9/14/2018

VAERS ID: 25522 Before After
VAERS Form:1
Age:
Sex:Female
Location:Iowa
Vaccinated:1990-06-08
Onset:1990-06-11
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Oedema peripheral, Pruritus, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hormones
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900241

Write-up: Pt received lst does of Engerix-B on 8-JUN-90 & was hospitalized on 11-JUN-90 w/significant swelling of both hands also experienced itching of hands, rash on arms & hands club like fingers


Changed on 10/14/2018

VAERS ID: 25522 Before After
VAERS Form:1
Age:
Sex:Female
Location:Iowa
Vaccinated:1990-06-08
Onset:1990-06-11
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Oedema peripheral, Pruritus, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hormones
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900241

Write-up: Pt received lst does of Engerix-B on 8-JUN-90 & was hospitalized on 11-JUN-90 w/significant swelling of both hands also experienced itching of hands, rash on arms & hands club like fingers

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