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This is VAERS ID 25523

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25523
VAERS Form:
Age:21.0
Sex:Female
Location:Unknown
Vaccinated:1990-03-09
Onset:1990-03-11
Submitted:0000-00-00
Entered:1990-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 533A4 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: HEADACHE, VERTIGO, VESTIBUL DIS

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Anti-HBS dosage was performed on17-Feb-990, prior to vaccination, the results were negative. Results to test to detect anti-influenza virus antibodies was negative. Audiometric test were normal. CT scan was negative.
CDC 'Split Type':

Write-up: Headache. Labyrinthitis. Developed headache & vertigo 48 hrs after vaccination. Hospitalized. Acute labyrinthitis diagnosed.


Changed on 12/8/2009

VAERS ID: 25523 Before After
VAERS Form:
Age:21.0
Sex:Female
Location:Unknown
Vaccinated:1990-03-09
Onset:1990-03-11
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 533A4 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Headache, Vertigo, Vestibular disorder, HEADACHE, VERTIGO, VESTIBUL DIS

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Anti-HBS dosage was performed on17-Feb-990, prior to vaccination, the results were negative. Results to test to detect anti-influenza virus antibodies was negative. Audiometric test were normal. CT scan was negative.
CDC 'Split Type': (blank) EBWWMA010775

Write-up: Headache. Labyrinthitis. Developed headache & vertigo 48 hrs after vaccination. Hospitalized. Acute labyrinthitis diagnosed.


Changed on 5/14/2017

VAERS ID: 25523 Before After
VAERS Form:
Age:21.0
Sex:Female
Location:Unknown
Vaccinated:1990-03-09
Onset:1990-03-11
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 533A4 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Headache, Vertigo, Vestibular disorder

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Anti-HBS dosage was performed on17-Feb-990, prior to vaccination, the results were negative. Results to test to detect anti-influenza virus antibodies was negative. Audiometric test were normal. CT scan was negative.
CDC 'Split Type': EBWWMA010775

Write-up: Headache. Labyrinthitis. Developed headache & vertigo 48 hrs after vaccination. Hospitalized. Acute labyrinthitis diagnosed.


Changed on 9/14/2017

VAERS ID: 25523 Before After
VAERS Form:(blank) 1
Age:21.0
Sex:Female
Location:Unknown
Vaccinated:1990-03-09
Onset:1990-03-11
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 533A4 / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Headache, Vertigo, Vestibular disorder

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Anti-HBS dosage was performed on17-Feb-990, prior to vaccination, the results were negative. Results to test to detect anti-influenza virus antibodies was negative. Audiometric test were normal. CT scan was negative.
CDC 'Split Type': EBWWMA010775

Write-up: Headache. Labyrinthitis. Developed headache & vertigo 48 hrs after vaccination. Hospitalized. Acute labyrinthitis diagnosed.


Changed on 2/14/2018

VAERS ID: 25523 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Unknown
Vaccinated:1990-03-09
Onset:1990-03-11
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 533A4 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Headache, Vertigo, Vestibular disorder

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Anti-HBS dosage was performed on17-Feb-990, prior to vaccination, the results were negative. Results to test to detect anti-influenza virus antibodies was negative. Audiometric test were normal. CT scan was negative.
CDC 'Split Type': EBWWMA010775

Write-up: Headache. Labyrinthitis. Developed headache & vertigo 48 hrs after vaccination. Hospitalized. Acute labyrinthitis diagnosed.


Changed on 6/14/2018

VAERS ID: 25523 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Unknown
Vaccinated:1990-03-09
Onset:1990-03-11
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 533A4 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Headache, Vertigo, Vestibular disorder

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Anti-HBS dosage was performed on17-Feb-990, prior to vaccination, the results were negative. Results to test to detect anti-influenza virus antibodies was negative. Audiometric test were normal. CT scan was negative.
CDC 'Split Type': EBWWMA010775

Write-up: Headache. Labyrinthitis. Developed headache & vertigo 48 hrs after vaccination. Hospitalized. Acute labyrinthitis diagnosed.


Changed on 8/14/2018

VAERS ID: 25523 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Unknown
Vaccinated:1990-03-09
Onset:1990-03-11
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 533A4 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Headache, Vertigo, Vestibular disorder

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Anti-HBS dosage was performed on17-Feb-990, prior to vaccination, the results were negative. Results to test to detect anti-influenza virus antibodies was negative. Audiometric test were normal. CT scan was negative.
CDC 'Split Type': EBWWMA010775

Write-up: Headache. Labyrinthitis. Developed headache & vertigo 48 hrs after vaccination. Hospitalized. Acute labyrinthitis diagnosed.


Changed on 9/14/2018

VAERS ID: 25523 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Unknown
Vaccinated:1990-03-09
Onset:1990-03-11
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 533A4 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Headache, Vertigo, Vestibular disorder

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Anti-HBS dosage was performed on17-Feb-990, prior to vaccination, the results were negative. Results to test to detect anti-influenza virus antibodies was negative. Audiometric test were normal. CT scan was negative.
CDC 'Split Type': EBWWMA010775

Write-up: Headache. Labyrinthitis. Developed headache & vertigo 48 hrs after vaccination. Hospitalized. Acute labyrinthitis diagnosed.


Changed on 10/14/2018

VAERS ID: 25523 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:Unknown
Vaccinated:1990-03-09
Onset:1990-03-11
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 533A4 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Headache, Vertigo, Vestibular disorder

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Anti-HBS dosage was performed on17-Feb-990, prior to vaccination, the results were negative. Results to test to detect anti-influenza virus antibodies was negative. Audiometric test were normal. CT scan was negative.
CDC 'Split Type': EBWWMA010775

Write-up: Headache. Labyrinthitis. Developed headache & vertigo 48 hrs after vaccination. Hospitalized. Acute labyrinthitis diagnosed.

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