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This is VAERS ID 25872

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25872
VAERS Form:
Age:33.0
Sex:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1990-08-31
Entered:1990-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: UNK. HEPATITIS B / UNCLASSIFIED - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: PANCYTOPENIA

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Bone marrow - Michigan State U (John Pennor) - Mayo Clinic (Morie Gentz); currently seen at Harpe Grace Hosp Detroit MI
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis developed Pancytopenia 2 degrees to dysmyelopoietic synd, pt attributes secondary to Hepatitis vaccine.


Changed on 12/8/2009

VAERS ID: 25872 Before After
VAERS Form:
Age:33.0
Sex:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1990-08-31
Entered:1990-09-13 1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: UNK. HEPATITIS B HEP B (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pancytopenia, PANCYTOPENIA

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Bone marrow - Michigan State U (John Pennor) - Mayo Clinic (Morie Gentz); currently seen at Harpe Grace Hosp Detroit MI
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis developed Pancytopenia 2 degrees to dysmyelopoietic synd, pt attributes secondary to Hepatitis vaccine.


Changed on 2/13/2013

VAERS ID: 25872 Before After
VAERS Form:
Age:33.0
Sex:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1990-08-31
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pancytopenia

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Bone marrow - Michigan State U (John Pennor) - Mayo Clinic (Morie Gentz); marrow; currently seen at Harpe Grace Hosp Detroit MI another hospital
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis developed Pancytopenia 2 degrees to dysmyelopoietic synd, pt attributes secondary to Hepatitis vaccine.


Changed on 9/14/2017

VAERS ID: 25872 Before After
VAERS Form:(blank) 1
Age:33.0
Sex:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1990-08-31
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pancytopenia

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Bone marrow; currently seen at another hospital
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis developed Pancytopenia 2 degrees to dysmyelopoietic synd, pt attributes secondary to Hepatitis vaccine.


Changed on 2/14/2018

VAERS ID: 25872 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1990-08-31
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pancytopenia

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Bone marrow; currently seen at another hospital
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis developed Pancytopenia 2 degrees to dysmyelopoietic synd, pt attributes secondary to Hepatitis vaccine.


Changed on 6/14/2018

VAERS ID: 25872 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1990-08-31
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pancytopenia

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Bone marrow; currently seen at another hospital
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis developed Pancytopenia 2 degrees to dysmyelopoietic synd, pt attributes secondary to Hepatitis vaccine.


Changed on 8/14/2018

VAERS ID: 25872 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1990-08-31
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pancytopenia

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Bone marrow; currently seen at another hospital
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis developed Pancytopenia 2 degrees to dysmyelopoietic synd, pt attributes secondary to Hepatitis vaccine.


Changed on 9/14/2018

VAERS ID: 25872 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1990-08-31
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pancytopenia

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Bone marrow; currently seen at another hospital
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis developed Pancytopenia 2 degrees to dysmyelopoietic synd, pt attributes secondary to Hepatitis vaccine.


Changed on 10/14/2018

VAERS ID: 25872 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1990-08-31
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pancytopenia

Life Threatening? Yes
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Bone marrow; currently seen at another hospital
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis developed Pancytopenia 2 degrees to dysmyelopoietic synd, pt attributes secondary to Hepatitis vaccine.

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