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This is VAERS ID 25890

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25890
VAERS Form:
Age:42.4
Sex:Female
Location:New Hampshire
Vaccinated:1990-01-24
Onset:1990-02-01
Submitted:0000-00-00
Entered:1990-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 586A4 / 2 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: HYPOTONIA, PAIN BACK, PAIN ABDO, AMBLYOPIA, PARESTHESIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Multiple sclerosis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Spinal tap showed elevated protein level.
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B 24JAN90, Feb90 developed pain after sitting, primarily in base of coccyx which still persists. 2nd vax given 4MAR90 on 5APR90 worse exacerbation of ms ever experienced. Given Prednisone. See WORM for details.


Changed on 12/8/2009

VAERS ID: 25890 Before After
VAERS Form:
Age:42.4
Sex:Female
Location:New Hampshire
Vaccinated:1990-01-24
Onset:1990-02-01
Submitted:0000-00-00
Entered:1990-09-18 1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 586A4 / 2 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Amblyopia, Back pain, Hypotonia, Paraesthesia, HYPOTONIA, PAIN BACK, PAIN ABDO, AMBLYOPIA, PARESTHESIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Multiple sclerosis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Spinal tap showed elevated protein level.
CDC 'Split Type': (blank) EBU900341

Write-up: Pt vaccinated with Hepatitis B 24JAN90, Feb90 developed pain after sitting, primarily in base of coccyx which still persists. 2nd vax given 4MAR90 on 5APR90 worse exacerbation of ms ever experienced. Given Prednisone. See WORM for details.


Changed on 2/14/2017

VAERS ID: 25890 Before After
VAERS Form:
Age:42.4 42.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-01-24
Onset:1990-02-01
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 2 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Amblyopia, Back pain, Hypotonia, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Multiple sclerosis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Spinal tap showed elevated protein level.
CDC 'Split Type': EBU900341

Write-up: Pt vaccinated with Hepatitis B 24JAN90, Feb90 developed pain after sitting, primarily in base of coccyx which still persists. 2nd vax given 4MAR90 on 5APR90 worse exacerbation of ms ever experienced. Given Prednisone. See WORM for details.


Changed on 5/14/2017

VAERS ID: 25890 Before After
VAERS Form:
Age:42.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-01-24
Onset:1990-02-01
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 2 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Amblyopia, Back pain, Hypotonia, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness: Multiple sclerosis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Spinal tap showed elevated protein level.
CDC 'Split Type': EBU900341

Write-up: Pt vaccinated with Hepatitis B 24JAN90, Feb90 developed pain after sitting, primarily in base of coccyx which still persists. 2nd vax given 4MAR90 on 5APR90 worse exacerbation of ms ever experienced. Given Prednisone. See WORM for details.


Changed on 9/14/2017

VAERS ID: 25890 Before After
VAERS Form:(blank) 1
Age:42.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-01-24
Onset:1990-02-01
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 2 3 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Amblyopia, Back pain, Hypotonia, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness: Multiple sclerosis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Spinal tap showed elevated protein level.
CDC 'Split Type': EBU900341

Write-up: Pt vaccinated with Hepatitis B 24JAN90, Feb90 developed pain after sitting, primarily in base of coccyx which still persists. 2nd vax given 4MAR90 on 5APR90 worse exacerbation of ms ever experienced. Given Prednisone. See WORM for details.


Changed on 2/14/2018

VAERS ID: 25890 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-01-24
Onset:1990-02-01
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 3 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Amblyopia, Back pain, Hypotonia, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness: Multiple sclerosis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Spinal tap showed elevated protein level.
CDC 'Split Type': EBU900341

Write-up: Pt vaccinated with Hepatitis B 24JAN90, Feb90 developed pain after sitting, primarily in base of coccyx which still persists. 2nd vax given 4MAR90 on 5APR90 worse exacerbation of ms ever experienced. Given Prednisone. See WORM for details.


Changed on 6/14/2018

VAERS ID: 25890 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-01-24
Onset:1990-02-01
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 3 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Amblyopia, Back pain, Hypotonia, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness: Multiple sclerosis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Spinal tap showed elevated protein level.
CDC 'Split Type': EBU900341

Write-up: Pt vaccinated with Hepatitis B 24JAN90, Feb90 developed pain after sitting, primarily in base of coccyx which still persists. 2nd vax given 4MAR90 on 5APR90 worse exacerbation of ms ever experienced. Given Prednisone. See WORM for details.


Changed on 8/14/2018

VAERS ID: 25890 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-01-24
Onset:1990-02-01
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 3 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Amblyopia, Back pain, Hypotonia, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness: Multiple sclerosis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Spinal tap showed elevated protein level.
CDC 'Split Type': EBU900341

Write-up: Pt vaccinated with Hepatitis B 24JAN90, Feb90 developed pain after sitting, primarily in base of coccyx which still persists. 2nd vax given 4MAR90 on 5APR90 worse exacerbation of ms ever experienced. Given Prednisone. See WORM for details.


Changed on 9/14/2018

VAERS ID: 25890 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-01-24
Onset:1990-02-01
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 3 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Amblyopia, Back pain, Hypotonia, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness: Multiple sclerosis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Spinal tap showed elevated protein level.
CDC 'Split Type': EBU900341

Write-up: Pt vaccinated with Hepatitis B 24JAN90, Feb90 developed pain after sitting, primarily in base of coccyx which still persists. 2nd vax given 4MAR90 on 5APR90 worse exacerbation of ms ever experienced. Given Prednisone. See WORM for details.


Changed on 10/14/2018

VAERS ID: 25890 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-01-24
Onset:1990-02-01
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 3 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Amblyopia, Back pain, Hypotonia, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ~ ()~~~In patient
Other Medications:
Current Illness: Multiple sclerosis
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Spinal tap showed elevated protein level.
CDC 'Split Type': EBU900341

Write-up: Pt vaccinated with Hepatitis B 24JAN90, Feb90 developed pain after sitting, primarily in base of coccyx which still persists. 2nd vax given 4MAR90 on 5APR90 worse exacerbation of ms ever experienced. Given Prednisone. See WORM for details.

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