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This is VAERS ID 26658

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26658
VAERS Form:
Age:38.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-25
Onset:1990-08-01
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE ENG591A4 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: ARTHRALGIA, DEAF, PAIN, AMBLYOPIA, PARESTHESIA

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 vax w/ Engerix-B dev ache in lt knee, bilat hearing loss, blurred vision lt eye, eye muscle spasm, has not ruled out MS, jaw numbness, painful salivation. 06SEP90 TESTS FOR VISUAL & AUDITORY BRAIN STEM EVOKED POTENTIALS = NL; MRI-HEAD=NL


Changed on 12/8/2009

VAERS ID: 26658 Before After
VAERS Form:
Age:38.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-25
Onset:1990-08-01
Submitted:0000-00-00
Entered:1990-11-20 1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM ENG591A4 591A4 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Amblyopia, Arthralgia, Deafness, Multiple sclerosis, Pain, Paraesthesia, ARTHRALGIA, DEAF, PAIN, AMBLYOPIA, PARESTHESIA

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) EBU900467

Write-up: Pt vax w/ Engerix-B dev ache in lt knee, bilat hearing loss, blurred vision lt eye, eye muscle spasm, has not ruled out MS, jaw numbness, painful salivation. 06SEP90 TESTS FOR VISUAL & AUDITORY BRAIN STEM EVOKED POTENTIALS = NL; MRI-HEAD=NL


Changed on 9/14/2017

VAERS ID: 26658 Before After
VAERS Form:(blank) 1
Age:38.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-25
Onset:1990-08-01
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 591A4 / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Amblyopia, Arthralgia, Deafness, Multiple sclerosis, Pain, Paraesthesia

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': EBU900467

Write-up: Pt vax w/ Engerix-B dev ache in lt knee, bilat hearing loss, blurred vision lt eye, eye muscle spasm, has not ruled out MS, jaw numbness, painful salivation. 06SEP90 TESTS FOR VISUAL & AUDITORY BRAIN STEM EVOKED POTENTIALS = NL; MRI-HEAD=NL


Changed on 2/14/2018

VAERS ID: 26658 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-25
Onset:1990-08-01
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 591A4 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Amblyopia, Arthralgia, Deafness, Multiple sclerosis, Pain, Paraesthesia

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': EBU900467

Write-up: Pt vax w/ Engerix-B dev ache in lt knee, bilat hearing loss, blurred vision lt eye, eye muscle spasm, has not ruled out MS, jaw numbness, painful salivation. 06SEP90 TESTS FOR VISUAL & AUDITORY BRAIN STEM EVOKED POTENTIALS = NL; MRI-HEAD=NL


Changed on 6/14/2018

VAERS ID: 26658 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-25
Onset:1990-08-01
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 591A4 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Amblyopia, Arthralgia, Deafness, Multiple sclerosis, Pain, Paraesthesia

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': EBU900467

Write-up: Pt vax w/ Engerix-B dev ache in lt knee, bilat hearing loss, blurred vision lt eye, eye muscle spasm, has not ruled out MS, jaw numbness, painful salivation. 06SEP90 TESTS FOR VISUAL & AUDITORY BRAIN STEM EVOKED POTENTIALS = NL; MRI-HEAD=NL


Changed on 8/14/2018

VAERS ID: 26658 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-25
Onset:1990-08-01
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 591A4 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Amblyopia, Arthralgia, Deafness, Multiple sclerosis, Pain, Paraesthesia

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': EBU900467

Write-up: Pt vax w/ Engerix-B dev ache in lt knee, bilat hearing loss, blurred vision lt eye, eye muscle spasm, has not ruled out MS, jaw numbness, painful salivation. 06SEP90 TESTS FOR VISUAL & AUDITORY BRAIN STEM EVOKED POTENTIALS = NL; MRI-HEAD=NL


Changed on 9/14/2018

VAERS ID: 26658 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-25
Onset:1990-08-01
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 591A4 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Amblyopia, Arthralgia, Deafness, Multiple sclerosis, Pain, Paraesthesia

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': EBU900467

Write-up: Pt vax w/ Engerix-B dev ache in lt knee, bilat hearing loss, blurred vision lt eye, eye muscle spasm, has not ruled out MS, jaw numbness, painful salivation. 06SEP90 TESTS FOR VISUAL & AUDITORY BRAIN STEM EVOKED POTENTIALS = NL; MRI-HEAD=NL


Changed on 10/14/2018

VAERS ID: 26658 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-25
Onset:1990-08-01
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 591A4 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Amblyopia, Arthralgia, Deafness, Multiple sclerosis, Pain, Paraesthesia

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': EBU900467

Write-up: Pt vax w/ Engerix-B dev ache in lt knee, bilat hearing loss, blurred vision lt eye, eye muscle spasm, has not ruled out MS, jaw numbness, painful salivation. 06SEP90 TESTS FOR VISUAL & AUDITORY BRAIN STEM EVOKED POTENTIALS = NL; MRI-HEAD=NL

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