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This is VAERS ID 26148

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26148
VAERS Form:
Age:43.7
Sex:Female
Location:Georgia
Vaccinated:1990-09-04
Onset:1990-09-04
Submitted:1990-09-27
Entered:1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 1878R / 2 - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: HEADACHE, ARTHRALGIA, ANOREXIA, CHILLS FEVER, HEART FAIL RIGHT

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tenoretic
Current Illness:
Preexisting Conditions: Hypertension; Obesity
Allergies:
Diagnostic Lab Data: SGOT 13SEP90 109, LDH 13SEP90 443, Serum ALK Phos 13SEP90 129, WBC 13SEP90 5500; Seg Neutro 13SEP90 43, Bands 13SEP90 7, Eos13SEP90 3, Hepatitis B Test Neg
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax HB 3rd dose developed temp 103, chills, myalgia, arthralgia was hospitalized 13SEP90. More info being requested.


Changed on 12/8/2009

VAERS ID: 26148 Before After
VAERS Form:
Age:43.7
Sex:Female
Location:Georgia
Vaccinated:1990-09-04
Onset:1990-09-04
Submitted:1990-09-27
Entered:1990-10-03 1990-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 1878R / 2 - / IM

Administered by: Public      Purchased by: Unknown Private
Symptoms: Anorexia, Arthralgia, Headache, Hyperhidrosis, Lung disorder, Malaise, Myalgia, Pharyngitis, Pyrexia, Rash, Right ventricular failure, HEADACHE, ARTHRALGIA, ANOREXIA, CHILLS FEVER, HEART FAIL RIGHT

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tenoretic
Current Illness:
Preexisting Conditions: Hypertension; Obesity
Allergies:
Diagnostic Lab Data: SGOT 13SEP90 109, LDH 13SEP90 443, Serum ALK Phos 13SEP90 129, WBC 13SEP90 5500; Seg Neutro 13SEP90 43, Bands 13SEP90 7, Eos13SEP90 3, Hepatitis B Test Neg
CDC 'Split Type': (blank) WAES90090718

Write-up: Pt vaccinated with Recombivax HB 3rd dose developed temp 103, chills, myalgia, arthralgia was hospitalized 13SEP90. More info being requested.


Changed on 2/14/2017

VAERS ID: 26148 Before After
VAERS Form:
Age:43.7 43.0
Sex:Female
Location:Georgia
Vaccinated:1990-09-04
Onset:1990-09-04
Submitted:1990-09-27
Entered:1990-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1878R / 2 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Anorexia, Arthralgia, Headache, Hyperhidrosis, Lung disorder, Malaise, Myalgia, Pharyngitis, Pyrexia, Rash, Right ventricular failure

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Tenoretic
Current Illness:
Preexisting Conditions: Hypertension; Obesity
Allergies:
Diagnostic Lab Data: SGOT 13SEP90 109, LDH 13SEP90 443, Serum ALK Phos 13SEP90 129, WBC 13SEP90 5500; Seg Neutro 13SEP90 43, Bands 13SEP90 7, Eos13SEP90 3, Hepatitis B Test Neg
CDC 'Split Type': WAES90090718

Write-up: Pt vaccinated with Recombivax HB 3rd dose developed temp 103, chills, myalgia, arthralgia was hospitalized 13SEP90. More info being requested.


Changed on 5/14/2017

VAERS ID: 26148 Before After
VAERS Form:
Age:43.0
Sex:Female
Location:Georgia
Vaccinated:1990-09-04
Onset:1990-09-04
Submitted:1990-09-27
Entered:1990-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1878R / 2 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Anorexia, Arthralgia, Headache, Hyperhidrosis, Lung disorder, Malaise, Myalgia, Pharyngitis, Pyrexia, Rash, Right ventricular failure

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Tenoretic Tenoretic, Vasotec
Current Illness: Allergies: Sulfa - Hypertension
Preexisting Conditions: Hypertension; Obesity
Allergies:
Diagnostic Lab Data: SGOT 13SEP90 109, LDH 13SEP90 443, Serum 11SEP90- Increased SGOT, Increased LDH, Increased ALK Phos 13SEP90 129, WBC 13SEP90 5500; Seg Neutro 13SEP90 43, Bands 13SEP90 7, Eos13SEP90 3, Hepatitis B Test Neg Phos, Increased GGT, Increased TSH, Decreased Iron.See WORM for more details.
CDC 'Split Type': WAES90090718 (blank)

Write-up: Pt vaccinated with Recombivax HB 3rd dose developed temp 103, chills, myalgia, arthralgia was hospitalized 13SEP90. More info being requested. chills & fever, had sore throat, general malaise, profuse sweating, severe headache & joint pain later developed a rash.


Changed on 9/14/2017

VAERS ID: 26148 Before After
VAERS Form:(blank) 1
Age:43.0
Sex:Female
Location:Georgia
Vaccinated:1990-09-04
Onset:1990-09-04
Submitted:1990-09-27
Entered:1990-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1878R / 2 3 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Anorexia, Arthralgia, Headache, Hyperhidrosis, Lung disorder, Malaise, Myalgia, Pharyngitis, Pyrexia, Rash, Right ventricular failure

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Tenoretic, Vasotec
Current Illness: Allergies: Sulfa - Hypertension
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 11SEP90- Increased SGOT, Increased LDH, Increased ALK Phos, Increased GGT, Increased TSH, Decreased Iron.See WORM for more details.
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax developed chills & fever, had sore throat, general malaise, profuse sweating, severe headache & joint pain later developed a rash.


Changed on 2/14/2018

VAERS ID: 26148 Before After
VAERS Form:1
Age:43.0
Sex:Female
Location:Georgia
Vaccinated:1990-09-04
Onset:1990-09-04
Submitted:1990-09-27
Entered:1990-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1878R / 3 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Anorexia, Arthralgia, Headache, Hyperhidrosis, Lung disorder, Malaise, Myalgia, Pharyngitis, Pyrexia, Rash, Right ventricular failure

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Tenoretic, Vasotec
Current Illness: Allergies: Sulfa - Hypertension
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 11SEP90- Increased SGOT, Increased LDH, Increased ALK Phos, Increased GGT, Increased TSH, Decreased Iron.See WORM for more details.
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax developed chills & fever, had sore throat, general malaise, profuse sweating, severe headache & joint pain later developed a rash.


Changed on 6/14/2018

VAERS ID: 26148 Before After
VAERS Form:1
Age:43.0
Sex:Female
Location:Georgia
Vaccinated:1990-09-04
Onset:1990-09-04
Submitted:1990-09-27
Entered:1990-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1878R / 3 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Anorexia, Arthralgia, Headache, Hyperhidrosis, Lung disorder, Malaise, Myalgia, Pharyngitis, Pyrexia, Rash, Right ventricular failure

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Tenoretic, Vasotec
Current Illness: Allergies: Sulfa - Hypertension
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 11SEP90- Increased SGOT, Increased LDH, Increased ALK Phos, Increased GGT, Increased TSH, Decreased Iron.See WORM for more details.
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax developed chills & fever, had sore throat, general malaise, profuse sweating, severe headache & joint pain later developed a rash.


Changed on 8/14/2018

VAERS ID: 26148 Before After
VAERS Form:1
Age:43.0
Sex:Female
Location:Georgia
Vaccinated:1990-09-04
Onset:1990-09-04
Submitted:1990-09-27
Entered:1990-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1878R / 3 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Anorexia, Arthralgia, Headache, Hyperhidrosis, Lung disorder, Malaise, Myalgia, Pharyngitis, Pyrexia, Rash, Right ventricular failure

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Tenoretic, Vasotec
Current Illness: Allergies: Sulfa - Hypertension
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 11SEP90- Increased SGOT, Increased LDH, Increased ALK Phos, Increased GGT, Increased TSH, Decreased Iron.See WORM for more details.
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax developed chills & fever, had sore throat, general malaise, profuse sweating, severe headache & joint pain later developed a rash.


Changed on 9/14/2018

VAERS ID: 26148 Before After
VAERS Form:1
Age:43.0
Sex:Female
Location:Georgia
Vaccinated:1990-09-04
Onset:1990-09-04
Submitted:1990-09-27
Entered:1990-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1878R / 3 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Anorexia, Arthralgia, Headache, Hyperhidrosis, Lung disorder, Malaise, Myalgia, Pharyngitis, Pyrexia, Rash, Right ventricular failure

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Tenoretic, Vasotec
Current Illness: Allergies: Sulfa - Hypertension
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 11SEP90- Increased SGOT, Increased LDH, Increased ALK Phos, Increased GGT, Increased TSH, Decreased Iron.See WORM for more details.
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax developed chills & fever, had sore throat, general malaise, profuse sweating, severe headache & joint pain later developed a rash.


Changed on 10/14/2018

VAERS ID: 26148 Before After
VAERS Form:1
Age:43.0
Sex:Female
Location:Georgia
Vaccinated:1990-09-04
Onset:1990-09-04
Submitted:1990-09-27
Entered:1990-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1878R / 3 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Anorexia, Arthralgia, Headache, Hyperhidrosis, Lung disorder, Malaise, Myalgia, Pharyngitis, Pyrexia, Rash, Right ventricular failure

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Tenoretic, Vasotec
Current Illness: Allergies: Sulfa - Hypertension
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 11SEP90- Increased SGOT, Increased LDH, Increased ALK Phos, Increased GGT, Increased TSH, Decreased Iron.See WORM for more details.
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax developed chills & fever, had sore throat, general malaise, profuse sweating, severe headache & joint pain later developed a rash.

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