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This is VAERS ID 26493

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26493
VAERS Form:
Age:68.0
Sex:Male
Location:Florida
Vaccinated:1989-11-27
Onset:1989-11-27
Submitted:1990-10-31
Entered:1990-11-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD - / 2 A / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, HEADACHE, ARTHRALGIA, DEAF, MYALGIA

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PAT-post total lip myositis 13 yrs ago.
Allergies:
Diagnostic Lab Data: All enzymes, MI of quadriceps, EKG etc negative
CDC 'Split Type':

Write-up: Pt vax /w Recombivax 1-6 hrs post inject.of 3rd dose experienced near collapse, w/severe headache,fever,muscle & joint pain. Persisted 5 days, 4wks later episode of muscle & joint pain /w tongue, clonic contractions. Muscle pain since 1/89


Changed on 12/8/2009

VAERS ID: 26493 Before After
VAERS Form:
Age:68.0
Sex:Male
Location:Florida
Vaccinated:1989-11-27
Onset:1989-11-27
Submitted:1990-10-31
Entered:1990-11-12 1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. - / 2 A / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Deafness, Headache, Myalgia, Myoclonus, Pyrexia, Syncope, FEVER, HEADACHE, ARTHRALGIA, DEAF, MYALGIA

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: PAT-post total lip myositis 13 yrs ago.
Allergies:
Diagnostic Lab Data: All enzymes, MI of quadriceps, EKG etc negative
CDC 'Split Type':

Write-up: Pt vax /w Recombivax 1-6 hrs post inject.of 3rd dose experienced near collapse, w/severe headache,fever,muscle & joint pain. Persisted 5 days, 4wks later episode of muscle & joint pain /w tongue, clonic contractions. Muscle pain since 1/89


Changed on 5/14/2017

VAERS ID: 26493 Before After
VAERS Form:
Age:68.0
Sex:Male
Location:Florida
Vaccinated:1989-11-27
Onset:1989-11-27
Submitted:1990-10-31
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 2 A - / IM IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Deafness, Headache, Myalgia, Myoclonus, Pyrexia, Syncope

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: PAT-post total lip myositis 13 yrs ago.
Allergies:
Diagnostic Lab Data: All enzymes, MI of quadriceps, EKG etc negative
CDC 'Split Type':

Write-up: Pt vax /w Recombivax 1-6 hrs post inject.of 3rd dose experienced near collapse, w/severe headache,fever,muscle & joint pain. Persisted 5 days, 4wks later episode of muscle & joint pain /w tongue, clonic contractions. Muscle pain since 1/89


Changed on 9/14/2017

VAERS ID: 26493 Before After
VAERS Form:(blank) 1
Age:68.0
Sex:Male
Location:Florida
Vaccinated:1989-11-27
Onset:1989-11-27
Submitted:1990-10-31
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 2 3 - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Deafness, Headache, Myalgia, Myoclonus, Pyrexia, Syncope

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: PAT-post total lip myositis 13 yrs ago.
Allergies:
Diagnostic Lab Data: All enzymes, MI of quadriceps, EKG etc negative
CDC 'Split Type':

Write-up: Pt vax /w Recombivax 1-6 hrs post inject.of 3rd dose experienced near collapse, w/severe headache,fever,muscle & joint pain. Persisted 5 days, 4wks later episode of muscle & joint pain /w tongue, clonic contractions. Muscle pain since 1/89


Changed on 2/14/2018

VAERS ID: 26493 Before After
VAERS Form:1
Age:68.0
Sex:Male
Location:Florida
Vaccinated:1989-11-27
Onset:1989-11-27
Submitted:1990-10-31
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 3 - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Deafness, Headache, Myalgia, Myoclonus, Pyrexia, Syncope

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: PAT-post total lip myositis 13 yrs ago.
Allergies:
Diagnostic Lab Data: All enzymes, MI of quadriceps, EKG etc negative
CDC 'Split Type':

Write-up: Pt vax /w Recombivax 1-6 hrs post inject.of 3rd dose experienced near collapse, w/severe headache,fever,muscle & joint pain. Persisted 5 days, 4wks later episode of muscle & joint pain /w tongue, clonic contractions. Muscle pain since 1/89


Changed on 6/14/2018

VAERS ID: 26493 Before After
VAERS Form:1
Age:68.0
Sex:Male
Location:Florida
Vaccinated:1989-11-27
Onset:1989-11-27
Submitted:1990-10-31
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 3 - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Deafness, Headache, Myalgia, Myoclonus, Pyrexia, Syncope

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: PAT-post total lip myositis 13 yrs ago.
Allergies:
Diagnostic Lab Data: All enzymes, MI of quadriceps, EKG etc negative
CDC 'Split Type':

Write-up: Pt vax /w Recombivax 1-6 hrs post inject.of 3rd dose experienced near collapse, w/severe headache,fever,muscle & joint pain. Persisted 5 days, 4wks later episode of muscle & joint pain /w tongue, clonic contractions. Muscle pain since 1/89


Changed on 8/14/2018

VAERS ID: 26493 Before After
VAERS Form:1
Age:68.0
Sex:Male
Location:Florida
Vaccinated:1989-11-27
Onset:1989-11-27
Submitted:1990-10-31
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 3 - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Deafness, Headache, Myalgia, Myoclonus, Pyrexia, Syncope

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: PAT-post total lip myositis 13 yrs ago.
Allergies:
Diagnostic Lab Data: All enzymes, MI of quadriceps, EKG etc negative
CDC 'Split Type':

Write-up: Pt vax /w Recombivax 1-6 hrs post inject.of 3rd dose experienced near collapse, w/severe headache,fever,muscle & joint pain. Persisted 5 days, 4wks later episode of muscle & joint pain /w tongue, clonic contractions. Muscle pain since 1/89


Changed on 9/14/2018

VAERS ID: 26493 Before After
VAERS Form:1
Age:68.0
Sex:Male
Location:Florida
Vaccinated:1989-11-27
Onset:1989-11-27
Submitted:1990-10-31
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 3 - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Deafness, Headache, Myalgia, Myoclonus, Pyrexia, Syncope

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: PAT-post total lip myositis 13 yrs ago.
Allergies:
Diagnostic Lab Data: All enzymes, MI of quadriceps, EKG etc negative
CDC 'Split Type':

Write-up: Pt vax /w Recombivax 1-6 hrs post inject.of 3rd dose experienced near collapse, w/severe headache,fever,muscle & joint pain. Persisted 5 days, 4wks later episode of muscle & joint pain /w tongue, clonic contractions. Muscle pain since 1/89


Changed on 10/14/2018

VAERS ID: 26493 Before After
VAERS Form:1
Age:68.0
Sex:Male
Location:Florida
Vaccinated:1989-11-27
Onset:1989-11-27
Submitted:1990-10-31
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 3 - / IM A

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Deafness, Headache, Myalgia, Myoclonus, Pyrexia, Syncope

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: PAT-post total lip myositis 13 yrs ago.
Allergies:
Diagnostic Lab Data: All enzymes, MI of quadriceps, EKG etc negative
CDC 'Split Type':

Write-up: Pt vax /w Recombivax 1-6 hrs post inject.of 3rd dose experienced near collapse, w/severe headache,fever,muscle & joint pain. Persisted 5 days, 4wks later episode of muscle & joint pain /w tongue, clonic contractions. Muscle pain since 1/89

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