National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 25628

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25628
VAERS Form:
Age:
Sex:Male
Location:Unknown
Vaccinated:1990-06-20
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE - / 1 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, CONVULS, CONFUS, ASTHENIA, ALCOHOL INTOLER

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: FIRST VAX GIVEN 4 WKS PRIOR WAS UNEVENTFUL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALCOHOL CONC = 1.2 MG/ML; EEG-NORMAL
CDC 'Split Type':

Write-up: PT REC''D ENGERIX-B SHOWED SLIGHT SIGNS OF A FIT; GOT HEAVILY DRUNK; FELT TIRED; DAY AFTER RECEIVED A SECOND DOSE WENT ON EXCURSION AND GOT HEAVILY DRUNK. HOSPITALIZED FOR OBSERVATION. REC DIAZEPAM. f/u 03mar91: hosp X 3 days, outcome unk


Changed on 12/30/2006

VAERS ID: 25628 Before After
VAERS Form:
Age:
Sex:Male
Location:Unknown
Vaccinated:1990-06-20
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE - / 1 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, CONVULS, CONFUS, ASTHENIA, ALCOHOL INTOLER

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: FIRST VAX GIVEN 4 WKS PRIOR WAS UNEVENTFUL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALCOHOL CONC = 1.2 MG/ML; EEG-NORMAL
CDC 'Split Type':

Write-up: PT REC''D REC''''D ENGERIX-B SHOWED SLIGHT SIGNS OF A FIT; GOT HEAVILY DRUNK; FELT TIRED; DAY AFTER RECEIVED A SECOND DOSE WENT ON EXCURSION AND GOT HEAVILY DRUNK. HOSPITALIZED FOR OBSERVATION. REC DIAZEPAM. f/u 03mar91: hosp X 3 days, outcome unk


Changed on 12/8/2009

VAERS ID: 25628 Before After
VAERS Form:
Age:
Sex:Male
Location:Unknown
Vaccinated:1990-06-20
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-08-08 1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM - / 1 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Alcohol intolerance, Asthenia, Confusional state, Convulsion, Dyspnoea, AGITATION, CONVULS, CONFUS, ASTHENIA, ALCOHOL INTOLER

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: FIRST VAX GIVEN 4 WKS PRIOR WAS UNEVENTFUL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALCOHOL CONC = 1.2 MG/ML; EEG-NORMAL
CDC 'Split Type': (blank) EBWWMA011032

Write-up: PT REC''''D REC''D ENGERIX-B SHOWED SLIGHT SIGNS OF A FIT; GOT HEAVILY DRUNK; FELT TIRED; DAY AFTER RECEIVED A SECOND DOSE WENT ON EXCURSION AND GOT HEAVILY DRUNK. HOSPITALIZED FOR OBSERVATION. REC DIAZEPAM. f/u 03mar91: hosp X 3 days, outcome unk


Changed on 5/14/2017

VAERS ID: 25628 Before After
VAERS Form:
Age:
Sex:Male
Location:Unknown
Vaccinated:1990-06-20
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Alcohol intolerance, Asthenia, Confusional state, Convulsion, Dyspnoea

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: FIRST VAX GIVEN 4 WKS PRIOR WAS UNEVENTFUL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALCOHOL CONC = 1.2 MG/ML; EEG-NORMAL
CDC 'Split Type': EBWWMA011032

Write-up: PT REC''D ENGERIX-B SHOWED SLIGHT SIGNS OF A FIT; GOT HEAVILY DRUNK; FELT TIRED; DAY AFTER RECEIVED A SECOND DOSE WENT ON EXCURSION AND GOT HEAVILY DRUNK. HOSPITALIZED FOR OBSERVATION. REC DIAZEPAM. f/u 03mar91: hosp X 3 days, outcome unk


Changed on 9/14/2017

VAERS ID: 25628 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:Unknown
Vaccinated:1990-06-20
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 1 2 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Alcohol intolerance, Asthenia, Confusional state, Convulsion, Dyspnoea

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: FIRST VAX GIVEN 4 WKS PRIOR WAS UNEVENTFUL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALCOHOL CONC = 1.2 MG/ML; EEG-NORMAL
CDC 'Split Type': EBWWMA011032

Write-up: PT REC''D ENGERIX-B SHOWED SLIGHT SIGNS OF A FIT; GOT HEAVILY DRUNK; FELT TIRED; DAY AFTER RECEIVED A SECOND DOSE WENT ON EXCURSION AND GOT HEAVILY DRUNK. HOSPITALIZED FOR OBSERVATION. REC DIAZEPAM. f/u 03mar91: hosp X 3 days, outcome unk


Changed on 2/14/2018

VAERS ID: 25628 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:1990-06-20
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 2 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Alcohol intolerance, Asthenia, Confusional state, Convulsion, Dyspnoea

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: FIRST VAX GIVEN 4 WKS PRIOR WAS UNEVENTFUL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALCOHOL CONC = 1.2 MG/ML; EEG-NORMAL
CDC 'Split Type': EBWWMA011032

Write-up: PT REC''D ENGERIX-B SHOWED SLIGHT SIGNS OF A FIT; GOT HEAVILY DRUNK; FELT TIRED; DAY AFTER RECEIVED A SECOND DOSE WENT ON EXCURSION AND GOT HEAVILY DRUNK. HOSPITALIZED FOR OBSERVATION. REC DIAZEPAM. f/u 03mar91: hosp X 3 days, outcome unk


Changed on 6/14/2018

VAERS ID: 25628 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:1990-06-20
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 2 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Alcohol intolerance, Asthenia, Confusional state, Convulsion, Dyspnoea

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: FIRST VAX GIVEN 4 WKS PRIOR WAS UNEVENTFUL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALCOHOL CONC = 1.2 MG/ML; EEG-NORMAL
CDC 'Split Type': EBWWMA011032

Write-up: PT REC''D ENGERIX-B SHOWED SLIGHT SIGNS OF A FIT; GOT HEAVILY DRUNK; FELT TIRED; DAY AFTER RECEIVED A SECOND DOSE WENT ON EXCURSION AND GOT HEAVILY DRUNK. HOSPITALIZED FOR OBSERVATION. REC DIAZEPAM. f/u 03mar91: hosp X 3 days, outcome unk


Changed on 8/14/2018

VAERS ID: 25628 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:1990-06-20
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 2 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Alcohol intolerance, Asthenia, Confusional state, Convulsion, Dyspnoea

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: FIRST VAX GIVEN 4 WKS PRIOR WAS UNEVENTFUL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALCOHOL CONC = 1.2 MG/ML; EEG-NORMAL
CDC 'Split Type': EBWWMA011032

Write-up: PT REC''D ENGERIX-B SHOWED SLIGHT SIGNS OF A FIT; GOT HEAVILY DRUNK; FELT TIRED; DAY AFTER RECEIVED A SECOND DOSE WENT ON EXCURSION AND GOT HEAVILY DRUNK. HOSPITALIZED FOR OBSERVATION. REC DIAZEPAM. f/u 03mar91: hosp X 3 days, outcome unk


Changed on 9/14/2018

VAERS ID: 25628 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:1990-06-20
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 2 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Alcohol intolerance, Asthenia, Confusional state, Convulsion, Dyspnoea

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: FIRST VAX GIVEN 4 WKS PRIOR WAS UNEVENTFUL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALCOHOL CONC = 1.2 MG/ML; EEG-NORMAL
CDC 'Split Type': EBWWMA011032

Write-up: PT REC''D ENGERIX-B SHOWED SLIGHT SIGNS OF A FIT; GOT HEAVILY DRUNK; FELT TIRED; DAY AFTER RECEIVED A SECOND DOSE WENT ON EXCURSION AND GOT HEAVILY DRUNK. HOSPITALIZED FOR OBSERVATION. REC DIAZEPAM. f/u 03mar91: hosp X 3 days, outcome unk


Changed on 10/14/2018

VAERS ID: 25628 Before After
VAERS Form:1
Age:
Sex:Male
Location:Unknown
Vaccinated:1990-06-20
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / 2 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Alcohol intolerance, Asthenia, Confusional state, Convulsion, Dyspnoea

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: FIRST VAX GIVEN 4 WKS PRIOR WAS UNEVENTFUL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALCOHOL CONC = 1.2 MG/ML; EEG-NORMAL
CDC 'Split Type': EBWWMA011032

Write-up: PT REC''D ENGERIX-B SHOWED SLIGHT SIGNS OF A FIT; GOT HEAVILY DRUNK; FELT TIRED; DAY AFTER RECEIVED A SECOND DOSE WENT ON EXCURSION AND GOT HEAVILY DRUNK. HOSPITALIZED FOR OBSERVATION. REC DIAZEPAM. f/u 03mar91: hosp X 3 days, outcome unk

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25628&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166