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This is VAERS ID 25613

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25613
VAERS Form:
Age:
Sex:Male
Location:Missouri
Vaccinated:1990-06-05
Onset:1990-06-14
Submitted:0000-00-00
Entered:1990-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: CHILLS, FEVER, ANOREXIA, LIVER FUNC ABNORM, CHOLELITH

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? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Jun90-ultasound of gallbladder showed "one stone". Jun90- liver function tests "elevated"
CDC 'Split Type':

Write-up: Pt developed chills, nausea, anorexia & elevated liver function tests. Pt hospitalized & is being treated /w antipyretics for fever which recurs in the evenings.


Changed on 12/30/2006

VAERS ID: 25613 Before After
VAERS Form:
Age:
Sex:Male
Location:Missouri
Vaccinated:1990-06-05
Onset:1990-06-14
Submitted:0000-00-00
Entered:1990-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: CHILLS, FEVER, ANOREXIA, LIVER FUNC ABNORM, CHOLELITH

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? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Jun90-ultasound of gallbladder showed "one stone". /"one stone/". Jun90- liver function tests "elevated" /"elevated/"
CDC 'Split Type':

Write-up: Pt developed chills, nausea, anorexia & elevated liver function tests. Pt hospitalized & is being treated /w antipyretics for fever which recurs in the evenings.


Changed on 12/8/2009

VAERS ID: 25613 Before After
VAERS Form:
Age:
Sex:Male
Location:Missouri
Vaccinated:1990-06-05
Onset:1990-06-14
Submitted:0000-00-00
Entered:1990-07-31 1990-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Chills, Cholelithiasis, Hepatic function abnormal, Nausea, Pyrexia, CHILLS, FEVER, ANOREXIA, LIVER FUNC ABNORM, CHOLELITH

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? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Jun90-ultasound of gallbladder showed /"one stone/". "one stone". Jun90- liver function tests /"elevated/" "elevated"
CDC 'Split Type': (blank) EBU900263

Write-up: Pt developed chills, nausea, anorexia & elevated liver function tests. Pt hospitalized & is being treated /w antipyretics for fever which recurs in the evenings.


Changed on 5/14/2017

VAERS ID: 25613 Before After
VAERS Form:
Age:
Sex:Male
Location:Missouri
Vaccinated:1990-06-05
Onset:1990-06-14
Submitted:0000-00-00
Entered:1990-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Chills, Cholelithiasis, Hepatic function abnormal, Nausea, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Jun90-ultasound of gallbladder showed "one stone". Jun90- liver function tests "elevated"
CDC 'Split Type': EBU900263

Write-up: Pt developed chills, nausea, anorexia & elevated liver function tests. Pt hospitalized & is being treated /w antipyretics for fever which recurs in the evenings.


Changed on 9/14/2017

VAERS ID: 25613 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:Missouri
Vaccinated:1990-06-05
Onset:1990-06-14
Submitted:0000-00-00
Entered:1990-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Chills, Cholelithiasis, Hepatic function abnormal, Nausea, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Jun90-ultasound of gallbladder showed "one stone". Jun90- liver function tests "elevated"
CDC 'Split Type': EBU900263

Write-up: Pt developed chills, nausea, anorexia & elevated liver function tests. Pt hospitalized & is being treated /w antipyretics for fever which recurs in the evenings.


Changed on 2/14/2018

VAERS ID: 25613 Before After
VAERS Form:1
Age:
Sex:Male
Location:Missouri
Vaccinated:1990-06-05
Onset:1990-06-14
Submitted:0000-00-00
Entered:1990-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Chills, Cholelithiasis, Hepatic function abnormal, Nausea, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Jun90-ultasound of gallbladder showed "one stone". Jun90- liver function tests "elevated"
CDC 'Split Type': EBU900263

Write-up: Pt developed chills, nausea, anorexia & elevated liver function tests. Pt hospitalized & is being treated /w antipyretics for fever which recurs in the evenings.


Changed on 6/14/2018

VAERS ID: 25613 Before After
VAERS Form:1
Age:
Sex:Male
Location:Missouri
Vaccinated:1990-06-05
Onset:1990-06-14
Submitted:0000-00-00
Entered:1990-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Chills, Cholelithiasis, Hepatic function abnormal, Nausea, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Jun90-ultasound of gallbladder showed "one stone". Jun90- liver function tests "elevated"
CDC 'Split Type': EBU900263

Write-up: Pt developed chills, nausea, anorexia & elevated liver function tests. Pt hospitalized & is being treated /w antipyretics for fever which recurs in the evenings.


Changed on 8/14/2018

VAERS ID: 25613 Before After
VAERS Form:1
Age:
Sex:Male
Location:Missouri
Vaccinated:1990-06-05
Onset:1990-06-14
Submitted:0000-00-00
Entered:1990-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Chills, Cholelithiasis, Hepatic function abnormal, Nausea, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Jun90-ultasound of gallbladder showed "one stone". Jun90- liver function tests "elevated"
CDC 'Split Type': EBU900263

Write-up: Pt developed chills, nausea, anorexia & elevated liver function tests. Pt hospitalized & is being treated /w antipyretics for fever which recurs in the evenings.


Changed on 9/14/2018

VAERS ID: 25613 Before After
VAERS Form:1
Age:
Sex:Male
Location:Missouri
Vaccinated:1990-06-05
Onset:1990-06-14
Submitted:0000-00-00
Entered:1990-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Chills, Cholelithiasis, Hepatic function abnormal, Nausea, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Jun90-ultasound of gallbladder showed "one stone". Jun90- liver function tests "elevated"
CDC 'Split Type': EBU900263

Write-up: Pt developed chills, nausea, anorexia & elevated liver function tests. Pt hospitalized & is being treated /w antipyretics for fever which recurs in the evenings.


Changed on 10/14/2018

VAERS ID: 25613 Before After
VAERS Form:1
Age:
Sex:Male
Location:Missouri
Vaccinated:1990-06-05
Onset:1990-06-14
Submitted:0000-00-00
Entered:1990-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Chills, Cholelithiasis, Hepatic function abnormal, Nausea, Pyrexia

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Jun90-ultasound of gallbladder showed "one stone". Jun90- liver function tests "elevated"
CDC 'Split Type': EBU900263

Write-up: Pt developed chills, nausea, anorexia & elevated liver function tests. Pt hospitalized & is being treated /w antipyretics for fever which recurs in the evenings.

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