National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 26692

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26692
VAERS Form:
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-06-15
Onset:1988-06-30
Submitted:0000-00-00
Entered:1990-11-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEPTAVAX / MSD 2040N / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: HEADACHE, ENCEPHALITIS, ASTHENIA, DEPRESSION, ATAXIA

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No past hx of problems
Allergies:
Diagnostic Lab Data: other causes ruled out.
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B vaccine severe progressive encephalomyelitis with chronic demyelinizing disease.


Changed on 12/8/2009

VAERS ID: 26692 Before After
VAERS Form:
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-06-15
Onset:1988-06-30
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. 2040N / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Coordination abnormal, Depression, Encephalitis, Headache, Lymphocytosis, Myalgia, Neuropathy, Pain, Paraesthesia, Somnolence, Thinking abnormal, Vomiting, HEADACHE, ENCEPHALITIS, ASTHENIA, DEPRESSION, ATAXIA

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No past hx of problems
Allergies:
Diagnostic Lab Data: other causes ruled out.
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B vaccine severe progressive encephalomyelitis with chronic demyelinizing disease.


Changed on 8/31/2010

VAERS ID: 26692 Before After
VAERS Form:
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-06-15
Onset:1988-06-30
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. 2040N / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Coordination abnormal, Depression, Encephalitis, Headache, Lymphocytosis, Myalgia, Neuropathy, Pain, Paraesthesia, Somnolence, Thinking abnormal, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No past hx of problems
Allergies:
Diagnostic Lab Data: other causes ruled out.
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B vaccine severe progressive encephalomyelitis with chronic demyelinizing disease.


Changed on 5/14/2017

VAERS ID: 26692 Before After
VAERS Form:
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-06-15
Onset:1988-06-30
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2040N / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Coordination abnormal, Depression, Encephalitis, Headache, Lymphocytosis, Myalgia, Neuropathy, Pain, Paraesthesia, Somnolence, Thinking abnormal, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No past hx of problems
Allergies:
Diagnostic Lab Data: other causes ruled out.
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B vaccine severe progressive encephalomyelitis with chronic demyelinizing disease.


Changed on 9/14/2017

VAERS ID: 26692 Before After
VAERS Form:(blank) 1
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-06-15
Onset:1988-06-30
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2040N / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Coordination abnormal, Depression, Encephalitis, Headache, Lymphocytosis, Myalgia, Neuropathy, Pain, Paraesthesia, Somnolence, Thinking abnormal, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No past hx of problems
Allergies:
Diagnostic Lab Data: other causes ruled out.
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B vaccine severe progressive encephalomyelitis with chronic demyelinizing disease.


Changed on 2/14/2018

VAERS ID: 26692 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-06-15
Onset:1988-06-30
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2040N / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Coordination abnormal, Depression, Encephalitis, Headache, Lymphocytosis, Myalgia, Neuropathy, Pain, Paraesthesia, Somnolence, Thinking abnormal, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No past hx of problems
Allergies:
Diagnostic Lab Data: other causes ruled out.
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B vaccine severe progressive encephalomyelitis with chronic demyelinizing disease.


Changed on 6/14/2018

VAERS ID: 26692 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-06-15
Onset:1988-06-30
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2040N / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Coordination abnormal, Depression, Encephalitis, Headache, Lymphocytosis, Myalgia, Neuropathy, Pain, Paraesthesia, Somnolence, Thinking abnormal, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No past hx of problems
Allergies:
Diagnostic Lab Data: other causes ruled out.
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B vaccine severe progressive encephalomyelitis with chronic demyelinizing disease.


Changed on 8/14/2018

VAERS ID: 26692 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-06-15
Onset:1988-06-30
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2040N / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Coordination abnormal, Depression, Encephalitis, Headache, Lymphocytosis, Myalgia, Neuropathy, Pain, Paraesthesia, Somnolence, Thinking abnormal, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No past hx of problems
Allergies:
Diagnostic Lab Data: other causes ruled out.
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B vaccine severe progressive encephalomyelitis with chronic demyelinizing disease.


Changed on 9/14/2018

VAERS ID: 26692 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-06-15
Onset:1988-06-30
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2040N / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Coordination abnormal, Depression, Encephalitis, Headache, Lymphocytosis, Myalgia, Neuropathy, Pain, Paraesthesia, Somnolence, Thinking abnormal, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No past hx of problems
Allergies:
Diagnostic Lab Data: other causes ruled out.
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B vaccine severe progressive encephalomyelitis with chronic demyelinizing disease.


Changed on 10/14/2018

VAERS ID: 26692 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Wisconsin
Vaccinated:1988-06-15
Onset:1988-06-30
Submitted:0000-00-00
Entered:1990-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2040N / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Coordination abnormal, Depression, Encephalitis, Headache, Lymphocytosis, Myalgia, Neuropathy, Pain, Paraesthesia, Somnolence, Thinking abnormal, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: No past hx of problems
Allergies:
Diagnostic Lab Data: other causes ruled out.
CDC 'Split Type':

Write-up: Pt vaccinated with Hepatitis B vaccine severe progressive encephalomyelitis with chronic demyelinizing disease.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26692&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166