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This is VAERS ID 26523

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26523
VAERS Form:
Age:39.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: ARTHRALGIA, MYALGIA, PAIN

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 vacc. w/ Engerix-B experienced, on the same day, a sore shoulder which migrated to the right hip & other joints. Myalgia is beginning. These events are considered permanently disabling.


Changed on 12/8/2009

VAERS ID: 26523 Before After
VAERS Form:
Age:39.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-01-15 1990-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Myalgia, Pain, ARTHRALGIA, MYALGIA, PAIN

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) EBU900306

Write-up: Pt vacc. w/ Engerix-B experienced, on the same day, a sore shoulder which migrated to the right hip & other joints. Myalgia is beginning. These events are considered permanently disabling.


Changed on 5/14/2017

VAERS ID: 26523 Before After
VAERS Form:
Age:39.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Myalgia, Pain

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': EBU900306

Write-up: Pt vacc. w/ Engerix-B experienced, on the same day, a sore shoulder which migrated to the right hip & other joints. Myalgia is beginning. These events are considered permanently disabling.


Changed on 9/14/2017

VAERS ID: 26523 Before After
VAERS Form:(blank) 1
Age:39.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Myalgia, Pain

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': EBU900306

Write-up: Pt vacc. w/ Engerix-B experienced, on the same day, a sore shoulder which migrated to the right hip & other joints. Myalgia is beginning. These events are considered permanently disabling.


Changed on 2/14/2018

VAERS ID: 26523 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Myalgia, Pain

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': EBU900306

Write-up: Pt vacc. w/ Engerix-B experienced, on the same day, a sore shoulder which migrated to the right hip & other joints. Myalgia is beginning. These events are considered permanently disabling.


Changed on 6/14/2018

VAERS ID: 26523 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Myalgia, Pain

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': EBU900306

Write-up: Pt vacc. w/ Engerix-B experienced, on the same day, a sore shoulder which migrated to the right hip & other joints. Myalgia is beginning. These events are considered permanently disabling.


Changed on 8/14/2018

VAERS ID: 26523 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Myalgia, Pain

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': EBU900306

Write-up: Pt vacc. w/ Engerix-B experienced, on the same day, a sore shoulder which migrated to the right hip & other joints. Myalgia is beginning. These events are considered permanently disabling.


Changed on 9/14/2018

VAERS ID: 26523 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Myalgia, Pain

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': EBU900306

Write-up: Pt vacc. w/ Engerix-B experienced, on the same day, a sore shoulder which migrated to the right hip & other joints. Myalgia is beginning. These events are considered permanently disabling.


Changed on 10/14/2018

VAERS ID: 26523 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Myalgia, Pain

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': EBU900306

Write-up: Pt vacc. w/ Engerix-B experienced, on the same day, a sore shoulder which migrated to the right hip & other joints. Myalgia is beginning. These events are considered permanently disabling.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26523&WAYBACKHISTORY=ON


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