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This is VAERS ID 26664

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26664
VAERS Form:
Age:47.0
Sex:Female
Location:Unknown
Vaccinated:1990-09-28
Onset:1990-09-29
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: DIZZINESS, HYPOTENS, LYMPHADENO, ASTHENIA, AMNESIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Engerix-B 24 hrs post 2nd dose felt unwell & drained, then fainted. Taken to hospital. Felt nauseated, neck, groins & axilla were tender. Condition lasted x4 days. See WORM for more details.


Changed on 12/8/2009

VAERS ID: 26664 Before After
VAERS Form:
Age:47.0
Sex:Female
Location:Unknown
Vaccinated:1990-09-28
Onset:1990-09-29
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 - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Dizziness, Hypotension, Lymphadenopathy, Malaise, Nausea, Syncope, DIZZINESS, HYPOTENS, LYMPHADENO, ASTHENIA, AMNESIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) EBW908372

Write-up: Pt vaccinated with Engerix-B 24 hrs post 2nd dose felt unwell & drained, then fainted. Taken to hospital. Felt nauseated, neck, groins & axilla were tender. Condition lasted x4 days. See WORM for more details.


Changed on 5/14/2017

VAERS ID: 26664 Before After
VAERS Form:
Age:47.0
Sex:Female
Location:Unknown
Vaccinated:1990-09-28
Onset:1990-09-29
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Dizziness, Hypotension, Lymphadenopathy, Malaise, Nausea, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW908372

Write-up: Pt vaccinated with Engerix-B 24 hrs post 2nd dose felt unwell & drained, then fainted. Taken to hospital. Felt nauseated, neck, groins & axilla were tender. Condition lasted x4 days. See WORM for more details.


Changed on 9/14/2017

VAERS ID: 26664 Before After
VAERS Form:(blank) 1
Age:47.0
Sex:Female
Location:Unknown
Vaccinated:1990-09-28
Onset:1990-09-29
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Dizziness, Hypotension, Lymphadenopathy, Malaise, Nausea, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW908372

Write-up: Pt vaccinated with Engerix-B 24 hrs post 2nd dose felt unwell & drained, then fainted. Taken to hospital. Felt nauseated, neck, groins & axilla were tender. Condition lasted x4 days. See WORM for more details.


Changed on 2/14/2018

VAERS ID: 26664 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Unknown
Vaccinated:1990-09-28
Onset:1990-09-29
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Dizziness, Hypotension, Lymphadenopathy, Malaise, Nausea, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW908372

Write-up: Pt vaccinated with Engerix-B 24 hrs post 2nd dose felt unwell & drained, then fainted. Taken to hospital. Felt nauseated, neck, groins & axilla were tender. Condition lasted x4 days. See WORM for more details.


Changed on 6/14/2018

VAERS ID: 26664 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Unknown
Vaccinated:1990-09-28
Onset:1990-09-29
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Dizziness, Hypotension, Lymphadenopathy, Malaise, Nausea, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW908372

Write-up: Pt vaccinated with Engerix-B 24 hrs post 2nd dose felt unwell & drained, then fainted. Taken to hospital. Felt nauseated, neck, groins & axilla were tender. Condition lasted x4 days. See WORM for more details.


Changed on 8/14/2018

VAERS ID: 26664 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Unknown
Vaccinated:1990-09-28
Onset:1990-09-29
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Dizziness, Hypotension, Lymphadenopathy, Malaise, Nausea, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW908372

Write-up: Pt vaccinated with Engerix-B 24 hrs post 2nd dose felt unwell & drained, then fainted. Taken to hospital. Felt nauseated, neck, groins & axilla were tender. Condition lasted x4 days. See WORM for more details.


Changed on 9/14/2018

VAERS ID: 26664 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Unknown
Vaccinated:1990-09-28
Onset:1990-09-29
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Dizziness, Hypotension, Lymphadenopathy, Malaise, Nausea, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW908372

Write-up: Pt vaccinated with Engerix-B 24 hrs post 2nd dose felt unwell & drained, then fainted. Taken to hospital. Felt nauseated, neck, groins & axilla were tender. Condition lasted x4 days. See WORM for more details.


Changed on 10/14/2018

VAERS ID: 26664 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:Unknown
Vaccinated:1990-09-28
Onset:1990-09-29
Submitted:0000-00-00
Entered:1990-11-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Dizziness, Hypotension, Lymphadenopathy, Malaise, Nausea, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBW908372

Write-up: Pt vaccinated with Engerix-B 24 hrs post 2nd dose felt unwell & drained, then fainted. Taken to hospital. Felt nauseated, neck, groins & axilla were tender. Condition lasted x4 days. See WORM for more details.

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