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This is VAERS ID 25891

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25891
VAERS Form:
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:1990-06-30
Onset:1990-07-05
Submitted:0000-00-00
Entered:1990-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 602A4A / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: EDEMA FACE, URTICARIA, PAIN, EDEMA PERIPH

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: GYnera
Current Illness:
Preexisting Conditions: Hx of hay fever (pollenosis)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Engerix-B 30JUN90 approx 5JUL90 presented with urticaria & facial edema Wuincke edema which recurred on many occasions. Antihistamines given. F-UP Edema localized upper lip, back & palms was painful.Hospitalization req.


Changed on 12/8/2009

VAERS ID: 25891 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:1990-06-30
Onset:1990-07-05
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 602A4A / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Face oedema, Oedema peripheral, Pain, Urticaria, EDEMA FACE, URTICARIA, PAIN, EDEMA PERIPH

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: GYnera
Current Illness:
Preexisting Conditions: Hx of hay fever (pollenosis)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) EBWWMA011162

Write-up: Pt vaccinated with Engerix-B 30JUN90 approx 5JUL90 presented with urticaria & facial edema Wuincke edema which recurred on many occasions. Antihistamines given. F-UP Edema localized upper lip, back & palms was painful.Hospitalization req.


Changed on 5/14/2017

VAERS ID: 25891 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:1990-06-30
Onset:1990-07-05
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 602A4A / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Face oedema, Oedema peripheral, Pain, Urticaria

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: GYnera
Current Illness:
Preexisting Conditions: Hx of hay fever (pollenosis)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBWWMA011162

Write-up: Pt vaccinated with Engerix-B 30JUN90 approx 5JUL90 presented with urticaria & facial edema Wuincke edema which recurred on many occasions. Antihistamines given. F-UP Edema localized upper lip, back & palms was painful.Hospitalization req.


Changed on 9/14/2017

VAERS ID: 25891 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:1990-06-30
Onset:1990-07-05
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 602A4A / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Face oedema, Oedema peripheral, Pain, Urticaria

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: GYnera
Current Illness:
Preexisting Conditions: Hx of hay fever (pollenosis)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBWWMA011162

Write-up: Pt vaccinated with Engerix-B 30JUN90 approx 5JUL90 presented with urticaria & facial edema Wuincke edema which recurred on many occasions. Antihistamines given. F-UP Edema localized upper lip, back & palms was painful.Hospitalization req.


Changed on 2/14/2018

VAERS ID: 25891 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:1990-06-30
Onset:1990-07-05
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 602A4A / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Face oedema, Oedema peripheral, Pain, Urticaria

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: GYnera
Current Illness:
Preexisting Conditions: Hx of hay fever (pollenosis)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBWWMA011162

Write-up: Pt vaccinated with Engerix-B 30JUN90 approx 5JUL90 presented with urticaria & facial edema Wuincke edema which recurred on many occasions. Antihistamines given. F-UP Edema localized upper lip, back & palms was painful.Hospitalization req.


Changed on 6/14/2018

VAERS ID: 25891 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:1990-06-30
Onset:1990-07-05
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 602A4A / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Face oedema, Oedema peripheral, Pain, Urticaria

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: GYnera
Current Illness:
Preexisting Conditions: Hx of hay fever (pollenosis)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBWWMA011162

Write-up: Pt vaccinated with Engerix-B 30JUN90 approx 5JUL90 presented with urticaria & facial edema Wuincke edema which recurred on many occasions. Antihistamines given. F-UP Edema localized upper lip, back & palms was painful.Hospitalization req.


Changed on 8/14/2018

VAERS ID: 25891 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:1990-06-30
Onset:1990-07-05
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 602A4A / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Face oedema, Oedema peripheral, Pain, Urticaria

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: GYnera
Current Illness:
Preexisting Conditions: Hx of hay fever (pollenosis)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBWWMA011162

Write-up: Pt vaccinated with Engerix-B 30JUN90 approx 5JUL90 presented with urticaria & facial edema Wuincke edema which recurred on many occasions. Antihistamines given. F-UP Edema localized upper lip, back & palms was painful.Hospitalization req.


Changed on 9/14/2018

VAERS ID: 25891 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:1990-06-30
Onset:1990-07-05
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 602A4A / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Face oedema, Oedema peripheral, Pain, Urticaria

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: GYnera
Current Illness:
Preexisting Conditions: Hx of hay fever (pollenosis)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBWWMA011162

Write-up: Pt vaccinated with Engerix-B 30JUN90 approx 5JUL90 presented with urticaria & facial edema Wuincke edema which recurred on many occasions. Antihistamines given. F-UP Edema localized upper lip, back & palms was painful.Hospitalization req.


Changed on 10/14/2018

VAERS ID: 25891 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:1990-06-30
Onset:1990-07-05
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 602A4A / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Face oedema, Oedema peripheral, Pain, Urticaria

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: GYnera
Current Illness:
Preexisting Conditions: Hx of hay fever (pollenosis)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBWWMA011162

Write-up: Pt vaccinated with Engerix-B 30JUN90 approx 5JUL90 presented with urticaria & facial edema Wuincke edema which recurred on many occasions. Antihistamines given. F-UP Edema localized upper lip, back & palms was painful.Hospitalization req.

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