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This is VAERS ID 26691

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26691
VAERS Form:
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1984-11-15
Onset:1984-11-15
Submitted:0000-00-00
Entered:1990-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEPTAVAX / MSD - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: BRAIN SYND ACUTE, MYALGIA, GAIT ABNORM, ASTHENIA, FOOT DROP

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: No past hx until Hepatitis Vaccine
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B developed severe progressive demyelinizing disease.


Changed on 12/8/2009

VAERS ID: 26691 Before After
VAERS Form:
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1984-11-15
Onset:1984-11-15
Submitted:0000-00-00
Entered:1990-11-26 1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEPTAVAX HEP B (HEPTAVAX) / MSD MERCK & CO. INC. - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Delirium, Gait disturbance, Hyperreflexia, Myalgia, Myasthenic syndrome, Neuropathy, Paraesthesia, Peroneal nerve palsy, BRAIN SYND ACUTE, MYALGIA, GAIT ABNORM, ASTHENIA, FOOT DROP

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: No past hx until Hepatitis Vaccine
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B developed severe progressive demyelinizing disease.


Changed on 8/31/2010

VAERS ID: 26691 Before After
VAERS Form:
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1984-11-15
Onset:1984-11-15
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Delirium, Gait disturbance, Hyperreflexia, Myalgia, Myasthenic syndrome, Neuropathy, Paraesthesia, Peroneal nerve palsy

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: No past hx until Hepatitis Vaccine
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B developed severe progressive demyelinizing disease.


Changed on 5/14/2017

VAERS ID: 26691 Before After
VAERS Form:
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1984-11-15
Onset:1984-11-15
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Delirium, Gait disturbance, Hyperreflexia, Myalgia, Myasthenic syndrome, Neuropathy, Paraesthesia, Peroneal nerve palsy

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: No past hx until Hepatitis Vaccine
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B developed severe progressive demyelinizing disease.


Changed on 9/14/2017

VAERS ID: 26691 Before After
VAERS Form:(blank) 1
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1984-11-15
Onset:1984-11-15
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Delirium, Gait disturbance, Hyperreflexia, Myalgia, Myasthenic syndrome, Neuropathy, Paraesthesia, Peroneal nerve palsy

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: No past hx until Hepatitis Vaccine
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B developed severe progressive demyelinizing disease.


Changed on 2/14/2018

VAERS ID: 26691 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1984-11-15
Onset:1984-11-15
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Delirium, Gait disturbance, Hyperreflexia, Myalgia, Myasthenic syndrome, Neuropathy, Paraesthesia, Peroneal nerve palsy

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: No past hx until Hepatitis Vaccine
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B developed severe progressive demyelinizing disease.


Changed on 6/14/2018

VAERS ID: 26691 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1984-11-15
Onset:1984-11-15
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Delirium, Gait disturbance, Hyperreflexia, Myalgia, Myasthenic syndrome, Neuropathy, Paraesthesia, Peroneal nerve palsy

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: No past hx until Hepatitis Vaccine
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B developed severe progressive demyelinizing disease.


Changed on 8/14/2018

VAERS ID: 26691 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1984-11-15
Onset:1984-11-15
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Delirium, Gait disturbance, Hyperreflexia, Myalgia, Myasthenic syndrome, Neuropathy, Paraesthesia, Peroneal nerve palsy

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: No past hx until Hepatitis Vaccine
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B developed severe progressive demyelinizing disease.


Changed on 9/14/2018

VAERS ID: 26691 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1984-11-15
Onset:1984-11-15
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Delirium, Gait disturbance, Hyperreflexia, Myalgia, Myasthenic syndrome, Neuropathy, Paraesthesia, Peroneal nerve palsy

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: No past hx until Hepatitis Vaccine
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B developed severe progressive demyelinizing disease.


Changed on 10/14/2018

VAERS ID: 26691 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1984-11-15
Onset:1984-11-15
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Delirium, Gait disturbance, Hyperreflexia, Myalgia, Myasthenic syndrome, Neuropathy, Paraesthesia, Peroneal nerve palsy

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: No past hx until Hepatitis Vaccine
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B developed severe progressive demyelinizing disease.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26691&WAYBACKHISTORY=ON


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