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This is VAERS ID 26008

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26008
VAERS Form:
Age:30.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-06-20
Onset:1990-06-21
Submitted:0000-00-00
Entered:1990-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 46558 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: NAUSEA, HEADACHE, DIARRHEA, VISION ABNORM, VISUAL FIELD DEFECT

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PT VACCINATED WITH RECOMBIVAX 36 HRS FOLLOWING THE INJECTION DEVELOPED BLURRED VISION, NAUSEA, VOMITING, & DIARRHEA. TWELVE HRS LATER, LOST PERIPHERAL VISION IN RT EYE AND DEVELOPED SEVERE HEADACHE. AFTER 72 HRS SYMPTOMS SUBSIDED.


Changed on 12/8/2009

VAERS ID: 26008 Before After
VAERS Form:
Age:30.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-06-20
Onset:1990-06-21
Submitted:0000-00-00
Entered:1990-09-26 1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 46558 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Headache, Nausea, Visual disturbance, Visual field defect, Vomiting, NAUSEA, HEADACHE, DIARRHEA, VISION ABNORM, VISUAL FIELD DEFECT

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES90081135

Write-up: PT VACCINATED WITH RECOMBIVAX 36 HRS FOLLOWING THE INJECTION DEVELOPED BLURRED VISION, NAUSEA, VOMITING, & DIARRHEA. TWELVE HRS LATER, LOST PERIPHERAL VISION IN RT EYE AND DEVELOPED SEVERE HEADACHE. AFTER 72 HRS SYMPTOMS SUBSIDED.


Changed on 5/14/2017

VAERS ID: 26008 Before After
VAERS Form:
Age:30.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-06-20
Onset:1990-06-21
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 46558 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Headache, Nausea, Visual disturbance, Visual field defect, Vomiting

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90081135

Write-up: PT VACCINATED WITH RECOMBIVAX 36 HRS FOLLOWING THE INJECTION DEVELOPED BLURRED VISION, NAUSEA, VOMITING, & DIARRHEA. TWELVE HRS LATER, LOST PERIPHERAL VISION IN RT EYE AND DEVELOPED SEVERE HEADACHE. AFTER 72 HRS SYMPTOMS SUBSIDED.


Changed on 9/14/2017

VAERS ID: 26008 Before After
VAERS Form:(blank) 1
Age:30.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-06-20
Onset:1990-06-21
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 46558 / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Headache, Nausea, Visual disturbance, Visual field defect, Vomiting

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90081135

Write-up: PT VACCINATED WITH RECOMBIVAX 36 HRS FOLLOWING THE INJECTION DEVELOPED BLURRED VISION, NAUSEA, VOMITING, & DIARRHEA. TWELVE HRS LATER, LOST PERIPHERAL VISION IN RT EYE AND DEVELOPED SEVERE HEADACHE. AFTER 72 HRS SYMPTOMS SUBSIDED.


Changed on 2/14/2018

VAERS ID: 26008 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-06-20
Onset:1990-06-21
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 46558 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Headache, Nausea, Visual disturbance, Visual field defect, Vomiting

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90081135

Write-up: PT VACCINATED WITH RECOMBIVAX 36 HRS FOLLOWING THE INJECTION DEVELOPED BLURRED VISION, NAUSEA, VOMITING, & DIARRHEA. TWELVE HRS LATER, LOST PERIPHERAL VISION IN RT EYE AND DEVELOPED SEVERE HEADACHE. AFTER 72 HRS SYMPTOMS SUBSIDED.


Changed on 6/14/2018

VAERS ID: 26008 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-06-20
Onset:1990-06-21
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 46558 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Headache, Nausea, Visual disturbance, Visual field defect, Vomiting

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90081135

Write-up: PT VACCINATED WITH RECOMBIVAX 36 HRS FOLLOWING THE INJECTION DEVELOPED BLURRED VISION, NAUSEA, VOMITING, & DIARRHEA. TWELVE HRS LATER, LOST PERIPHERAL VISION IN RT EYE AND DEVELOPED SEVERE HEADACHE. AFTER 72 HRS SYMPTOMS SUBSIDED.


Changed on 8/14/2018

VAERS ID: 26008 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-06-20
Onset:1990-06-21
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 46558 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Headache, Nausea, Visual disturbance, Visual field defect, Vomiting

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90081135

Write-up: PT VACCINATED WITH RECOMBIVAX 36 HRS FOLLOWING THE INJECTION DEVELOPED BLURRED VISION, NAUSEA, VOMITING, & DIARRHEA. TWELVE HRS LATER, LOST PERIPHERAL VISION IN RT EYE AND DEVELOPED SEVERE HEADACHE. AFTER 72 HRS SYMPTOMS SUBSIDED.


Changed on 9/14/2018

VAERS ID: 26008 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-06-20
Onset:1990-06-21
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 46558 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Headache, Nausea, Visual disturbance, Visual field defect, Vomiting

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90081135

Write-up: PT VACCINATED WITH RECOMBIVAX 36 HRS FOLLOWING THE INJECTION DEVELOPED BLURRED VISION, NAUSEA, VOMITING, & DIARRHEA. TWELVE HRS LATER, LOST PERIPHERAL VISION IN RT EYE AND DEVELOPED SEVERE HEADACHE. AFTER 72 HRS SYMPTOMS SUBSIDED.


Changed on 10/14/2018

VAERS ID: 26008 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:New Hampshire
Vaccinated:1990-06-20
Onset:1990-06-21
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 46558 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Headache, Nausea, Visual disturbance, Visual field defect, Vomiting

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90081135

Write-up: PT VACCINATED WITH RECOMBIVAX 36 HRS FOLLOWING THE INJECTION DEVELOPED BLURRED VISION, NAUSEA, VOMITING, & DIARRHEA. TWELVE HRS LATER, LOST PERIPHERAL VISION IN RT EYE AND DEVELOPED SEVERE HEADACHE. AFTER 72 HRS SYMPTOMS SUBSIDED.

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