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This is VAERS ID 26362

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26362
VAERS Form:
Age:26.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-18
Submitted:0000-00-00
Entered:1990-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEPTAVAX / MSD - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: PARESTHESIA, 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: Allergy, penicillin; Allergy, Bactrim; Allergy, Macrodantin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt w/hx of allergy to penicillin,trimethoprim-sulfamethoxazole (Bactrim),& nitrofurantoin-macrocrystals (Macrodantin) was vaccinated w/ HeptavaxB in 1986. Within 12 hrs of vaccination, the pt experienced rt arm facial numbness, SEE WORM.


Changed on 12/8/2009

VAERS ID: 26362 Before After
VAERS Form:
Age:26.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-18
Submitted:0000-00-00
Entered:1990-11-02 1990-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEPTAVAX HEP B (HEPTAVAX) / MSD MERCK & CO. INC. - / - - / -

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Paraesthesia, Visual field defect, PARESTHESIA, 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: Allergy, penicillin; Allergy, Bactrim; Allergy, Macrodantin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES90090693

Write-up: Pt w/hx of allergy to penicillin,trimethoprim-sulfamethoxazole (Bactrim),& nitrofurantoin-macrocrystals (Macrodantin) was vaccinated w/ HeptavaxB in 1986. Within 12 hrs of vaccination, the pt experienced rt arm facial numbness, SEE WORM.


Changed on 8/31/2010

VAERS ID: 26362 Before After
VAERS Form:
Age:26.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-18
Submitted:0000-00-00
Entered:1990-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Paraesthesia, 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: Allergy, penicillin; Allergy, Bactrim; Allergy, Macrodantin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90090693

Write-up: Pt w/hx of allergy to penicillin,trimethoprim-sulfamethoxazole (Bactrim),& nitrofurantoin-macrocrystals (Macrodantin) was vaccinated w/ HeptavaxB in 1986. Within 12 hrs of vaccination, the pt experienced rt arm facial numbness, SEE WORM.


Changed on 9/14/2017

VAERS ID: 26362 Before After
VAERS Form:(blank) 1
Age:26.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-18
Submitted:0000-00-00
Entered:1990-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Paraesthesia, 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: Allergy, penicillin; Allergy, Bactrim; Allergy, Macrodantin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90090693

Write-up: Pt w/hx of allergy to penicillin,trimethoprim-sulfamethoxazole (Bactrim),& nitrofurantoin-macrocrystals (Macrodantin) was vaccinated w/ HeptavaxB in 1986. Within 12 hrs of vaccination, the pt experienced rt arm facial numbness, SEE WORM.


Changed on 2/14/2018

VAERS ID: 26362 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-18
Submitted:0000-00-00
Entered:1990-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Paraesthesia, 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: Allergy, penicillin; Allergy, Bactrim; Allergy, Macrodantin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90090693

Write-up: Pt w/hx of allergy to penicillin,trimethoprim-sulfamethoxazole (Bactrim),& nitrofurantoin-macrocrystals (Macrodantin) was vaccinated w/ HeptavaxB in 1986. Within 12 hrs of vaccination, the pt experienced rt arm facial numbness, SEE WORM.


Changed on 6/14/2018

VAERS ID: 26362 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-18
Submitted:0000-00-00
Entered:1990-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Paraesthesia, 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: Allergy, penicillin; Allergy, Bactrim; Allergy, Macrodantin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90090693

Write-up: Pt w/hx of allergy to penicillin,trimethoprim-sulfamethoxazole (Bactrim),& nitrofurantoin-macrocrystals (Macrodantin) was vaccinated w/ HeptavaxB in 1986. Within 12 hrs of vaccination, the pt experienced rt arm facial numbness, SEE WORM.


Changed on 8/14/2018

VAERS ID: 26362 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-18
Submitted:0000-00-00
Entered:1990-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Paraesthesia, 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: Allergy, penicillin; Allergy, Bactrim; Allergy, Macrodantin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90090693

Write-up: Pt w/hx of allergy to penicillin,trimethoprim-sulfamethoxazole (Bactrim),& nitrofurantoin-macrocrystals (Macrodantin) was vaccinated w/ HeptavaxB in 1986. Within 12 hrs of vaccination, the pt experienced rt arm facial numbness, SEE WORM.


Changed on 9/14/2018

VAERS ID: 26362 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-18
Submitted:0000-00-00
Entered:1990-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Paraesthesia, 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: Allergy, penicillin; Allergy, Bactrim; Allergy, Macrodantin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90090693

Write-up: Pt w/hx of allergy to penicillin,trimethoprim-sulfamethoxazole (Bactrim),& nitrofurantoin-macrocrystals (Macrodantin) was vaccinated w/ HeptavaxB in 1986. Within 12 hrs of vaccination, the pt experienced rt arm facial numbness, SEE WORM.


Changed on 10/14/2018

VAERS ID: 26362 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-18
Submitted:0000-00-00
Entered:1990-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Paraesthesia, 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: Allergy, penicillin; Allergy, Bactrim; Allergy, Macrodantin
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90090693

Write-up: Pt w/hx of allergy to penicillin,trimethoprim-sulfamethoxazole (Bactrim),& nitrofurantoin-macrocrystals (Macrodantin) was vaccinated w/ HeptavaxB in 1986. Within 12 hrs of vaccination, the pt experienced rt arm facial numbness, SEE WORM.

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