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This is VAERS ID 25536

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25536
VAERS Form:
Age:92.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-02-09
Onset:1990-03-22
Submitted:0000-00-00
Entered:1990-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 1647R / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: CHILLS, ARTHRITIS, ANOREXIA, CONFUS, CREATINE PK INC

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: Diabetes mellitus, allergies to codeine, sulfa drugs
Allergies:
Diagnostic Lab Data: BUN- 30, WBC- 12600, platelet- 695000, ESR- 110, Hct-29, Hgl-10.3 EXTENSIVE SEE WORM
CDC 'Split Type':

Write-up: Pt dev pain in arms & legs which inc til unable to walk. T to 105, shaking, chills, arthritis, incontinent, poor oral intake. Rt wrist edematous /w pain on mvmt, erythema & effusion. Extensive pt hx & hospital course


Changed on 12/8/2009

VAERS ID: 25536 Before After
VAERS Form:
Age:92.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-02-09
Onset:1990-03-22
Submitted:0000-00-00
Entered:1990-07-19 1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 1647R / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Arthritis, Blood creatine phosphokinase increased, Chills, Confusional state, Dehydration, Haematuria, Hepatic function abnormal, Myasthenic syndrome, Oedema, Pain, Purpura, Pyrexia, Synovitis, Tremor, Urinary incontinence, Urine analysis abnormal, CHILLS, ARTHRITIS, ANOREXIA, CONFUS, CREATINE PK INC

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: Diabetes mellitus, allergies to codeine, sulfa drugs
Allergies:
Diagnostic Lab Data: BUN- 30, WBC- 12600, platelet- 695000, ESR- 110, Hct-29, Hgl-10.3 EXTENSIVE SEE WORM
CDC 'Split Type': (blank) WAES90040623

Write-up: Pt dev pain in arms & legs which inc til unable to walk. T to 105, shaking, chills, arthritis, incontinent, poor oral intake. Rt wrist edematous /w pain on mvmt, erythema & effusion. Extensive pt hx & hospital course


Changed on 5/14/2017

VAERS ID: 25536 Before After
VAERS Form:
Age:92.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-02-09
Onset:1990-03-22
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1647R / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Arthritis, Blood creatine phosphokinase increased, Chills, Confusional state, Dehydration, Haematuria, Hepatic function abnormal, Myasthenic syndrome, Oedema, Pain, Purpura, Pyrexia, Synovitis, Tremor, Urinary incontinence, Urine analysis abnormal

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: Diabetes mellitus, allergies to codeine, sulfa drugs
Allergies:
Diagnostic Lab Data: BUN- 30, WBC- 12600, platelet- 695000, ESR- 110, Hct-29, Hgl-10.3 EXTENSIVE SEE WORM
CDC 'Split Type': WAES90040623

Write-up: Pt dev pain in arms & legs which inc til unable to walk. T to 105, shaking, chills, arthritis, incontinent, poor oral intake. Rt wrist edematous /w pain on mvmt, erythema & effusion. Extensive pt hx & hospital course


Changed on 9/14/2017

VAERS ID: 25536 Before After
VAERS Form:(blank) 1
Age:92.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-02-09
Onset:1990-03-22
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1647R / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Arthritis, Blood creatine phosphokinase increased, Chills, Confusional state, Dehydration, Haematuria, Hepatic function abnormal, Myasthenic syndrome, Oedema, Pain, Purpura, Pyrexia, Synovitis, Tremor, Urinary incontinence, Urine analysis abnormal

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: Diabetes mellitus, allergies to codeine, sulfa drugs
Allergies:
Diagnostic Lab Data: BUN- 30, WBC- 12600, platelet- 695000, ESR- 110, Hct-29, Hgl-10.3 EXTENSIVE SEE WORM
CDC 'Split Type': WAES90040623

Write-up: Pt dev pain in arms & legs which inc til unable to walk. T to 105, shaking, chills, arthritis, incontinent, poor oral intake. Rt wrist edematous /w pain on mvmt, erythema & effusion. Extensive pt hx & hospital course


Changed on 2/14/2018

VAERS ID: 25536 Before After
VAERS Form:1
Age:92.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-02-09
Onset:1990-03-22
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1647R / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Arthritis, Blood creatine phosphokinase increased, Chills, Confusional state, Dehydration, Haematuria, Hepatic function abnormal, Myasthenic syndrome, Oedema, Pain, Purpura, Pyrexia, Synovitis, Tremor, Urinary incontinence, Urine analysis abnormal

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: Diabetes mellitus, allergies to codeine, sulfa drugs
Allergies:
Diagnostic Lab Data: BUN- 30, WBC- 12600, platelet- 695000, ESR- 110, Hct-29, Hgl-10.3 EXTENSIVE SEE WORM
CDC 'Split Type': WAES90040623

Write-up: Pt dev pain in arms & legs which inc til unable to walk. T to 105, shaking, chills, arthritis, incontinent, poor oral intake. Rt wrist edematous /w pain on mvmt, erythema & effusion. Extensive pt hx & hospital course


Changed on 6/14/2018

VAERS ID: 25536 Before After
VAERS Form:1
Age:92.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-02-09
Onset:1990-03-22
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1647R / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Arthritis, Blood creatine phosphokinase increased, Chills, Confusional state, Dehydration, Haematuria, Hepatic function abnormal, Myasthenic syndrome, Oedema, Pain, Purpura, Pyrexia, Synovitis, Tremor, Urinary incontinence, Urine analysis abnormal

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: Diabetes mellitus, allergies to codeine, sulfa drugs
Allergies:
Diagnostic Lab Data: BUN- 30, WBC- 12600, platelet- 695000, ESR- 110, Hct-29, Hgl-10.3 EXTENSIVE SEE WORM
CDC 'Split Type': WAES90040623

Write-up: Pt dev pain in arms & legs which inc til unable to walk. T to 105, shaking, chills, arthritis, incontinent, poor oral intake. Rt wrist edematous /w pain on mvmt, erythema & effusion. Extensive pt hx & hospital course


Changed on 8/14/2018

VAERS ID: 25536 Before After
VAERS Form:1
Age:92.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-02-09
Onset:1990-03-22
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1647R / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Arthritis, Blood creatine phosphokinase increased, Chills, Confusional state, Dehydration, Haematuria, Hepatic function abnormal, Myasthenic syndrome, Oedema, Pain, Purpura, Pyrexia, Synovitis, Tremor, Urinary incontinence, Urine analysis abnormal

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: Diabetes mellitus, allergies to codeine, sulfa drugs
Allergies:
Diagnostic Lab Data: BUN- 30, WBC- 12600, platelet- 695000, ESR- 110, Hct-29, Hgl-10.3 EXTENSIVE SEE WORM
CDC 'Split Type': WAES90040623

Write-up: Pt dev pain in arms & legs which inc til unable to walk. T to 105, shaking, chills, arthritis, incontinent, poor oral intake. Rt wrist edematous /w pain on mvmt, erythema & effusion. Extensive pt hx & hospital course


Changed on 9/14/2018

VAERS ID: 25536 Before After
VAERS Form:1
Age:92.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-02-09
Onset:1990-03-22
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1647R / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Arthritis, Blood creatine phosphokinase increased, Chills, Confusional state, Dehydration, Haematuria, Hepatic function abnormal, Myasthenic syndrome, Oedema, Pain, Purpura, Pyrexia, Synovitis, Tremor, Urinary incontinence, Urine analysis abnormal

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: Diabetes mellitus, allergies to codeine, sulfa drugs
Allergies:
Diagnostic Lab Data: BUN- 30, WBC- 12600, platelet- 695000, ESR- 110, Hct-29, Hgl-10.3 EXTENSIVE SEE WORM
CDC 'Split Type': WAES90040623

Write-up: Pt dev pain in arms & legs which inc til unable to walk. T to 105, shaking, chills, arthritis, incontinent, poor oral intake. Rt wrist edematous /w pain on mvmt, erythema & effusion. Extensive pt hx & hospital course


Changed on 10/14/2018

VAERS ID: 25536 Before After
VAERS Form:1
Age:92.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-02-09
Onset:1990-03-22
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1647R / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Arthritis, Blood creatine phosphokinase increased, Chills, Confusional state, Dehydration, Haematuria, Hepatic function abnormal, Myasthenic syndrome, Oedema, Pain, Purpura, Pyrexia, Synovitis, Tremor, Urinary incontinence, Urine analysis abnormal

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: Diabetes mellitus, allergies to codeine, sulfa drugs
Allergies:
Diagnostic Lab Data: BUN- 30, WBC- 12600, platelet- 695000, ESR- 110, Hct-29, Hgl-10.3 EXTENSIVE SEE WORM
CDC 'Split Type': WAES90040623

Write-up: Pt dev pain in arms & legs which inc til unable to walk. T to 105, shaking, chills, arthritis, incontinent, poor oral intake. Rt wrist edematous /w pain on mvmt, erythema & effusion. Extensive pt hx & hospital course

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