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This is VAERS ID 26964

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26964
VAERS Form:
Age:
Sex:Male
Location:Arkansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEPTAVAX / MSD - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: CHILLS, DIZZINESS, ANOREXIA, ASTHENIA, COUGH INC

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 vaccinated with Heptavax-B in 1987 developed pneumonia & bronchial spasms. On 8NOV90 developed fatigue, malaise, a fever, chills, sensation of warmth, irritability, anorexia,headache,dizziness,coughing,flushing,urinary freq & dysuria.


Changed on 12/8/2009

VAERS ID: 26964 Before After
VAERS Form:
Age:
Sex:Male
Location:Arkansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-13 1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEPTAVAX HEP B (HEPTAVAX) / MSD MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Chills, Cough, Dizziness, Dysuria, Headache, Malaise, Nervousness, Pollakiuria, Pyrexia, Vasodilatation, CHILLS, DIZZINESS, ANOREXIA, ASTHENIA, COUGH INC

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) WAES90110652

Write-up: Pt vaccinated with Heptavax-B in 1987 developed pneumonia & bronchial spasms. On 8NOV90 developed fatigue, malaise, a fever, chills, sensation of warmth, irritability, anorexia,headache,dizziness,coughing,flushing,urinary freq & dysuria.


Changed on 8/31/2010

VAERS ID: 26964 Before After
VAERS Form:
Age:
Sex:Male
Location:Arkansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Chills, Cough, Dizziness, Dysuria, Headache, Malaise, Nervousness, Pollakiuria, Pyrexia, Vasodilatation

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': WAES90110652

Write-up: Pt vaccinated with Heptavax-B in 1987 developed pneumonia & bronchial spasms. On 8NOV90 developed fatigue, malaise, a fever, chills, sensation of warmth, irritability, anorexia,headache,dizziness,coughing,flushing,urinary freq & dysuria.


Changed on 5/14/2017

VAERS ID: 26964 Before After
VAERS Form:
Age:
Sex:Male
Location:Arkansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Chills, Cough, Dizziness, Dysuria, Headache, Malaise, Nervousness, Pollakiuria, Pyrexia, Vasodilatation

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': WAES90110652

Write-up: Pt vaccinated with Heptavax-B in 1987 developed pneumonia & bronchial spasms. On 8NOV90 developed fatigue, malaise, a fever, chills, sensation of warmth, irritability, anorexia,headache,dizziness,coughing,flushing,urinary freq & dysuria.


Changed on 9/14/2017

VAERS ID: 26964 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:Arkansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Chills, Cough, Dizziness, Dysuria, Headache, Malaise, Nervousness, Pollakiuria, Pyrexia, Vasodilatation

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': WAES90110652

Write-up: Pt vaccinated with Heptavax-B in 1987 developed pneumonia & bronchial spasms. On 8NOV90 developed fatigue, malaise, a fever, chills, sensation of warmth, irritability, anorexia,headache,dizziness,coughing,flushing,urinary freq & dysuria.


Changed on 2/14/2018

VAERS ID: 26964 Before After
VAERS Form:1
Age:
Sex:Male
Location:Arkansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Chills, Cough, Dizziness, Dysuria, Headache, Malaise, Nervousness, Pollakiuria, Pyrexia, Vasodilatation

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': WAES90110652

Write-up: Pt vaccinated with Heptavax-B in 1987 developed pneumonia & bronchial spasms. On 8NOV90 developed fatigue, malaise, a fever, chills, sensation of warmth, irritability, anorexia,headache,dizziness,coughing,flushing,urinary freq & dysuria.


Changed on 6/14/2018

VAERS ID: 26964 Before After
VAERS Form:1
Age:
Sex:Male
Location:Arkansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Chills, Cough, Dizziness, Dysuria, Headache, Malaise, Nervousness, Pollakiuria, Pyrexia, Vasodilatation

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': WAES90110652

Write-up: Pt vaccinated with Heptavax-B in 1987 developed pneumonia & bronchial spasms. On 8NOV90 developed fatigue, malaise, a fever, chills, sensation of warmth, irritability, anorexia,headache,dizziness,coughing,flushing,urinary freq & dysuria.


Changed on 8/14/2018

VAERS ID: 26964 Before After
VAERS Form:1
Age:
Sex:Male
Location:Arkansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Chills, Cough, Dizziness, Dysuria, Headache, Malaise, Nervousness, Pollakiuria, Pyrexia, Vasodilatation

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': WAES90110652

Write-up: Pt vaccinated with Heptavax-B in 1987 developed pneumonia & bronchial spasms. On 8NOV90 developed fatigue, malaise, a fever, chills, sensation of warmth, irritability, anorexia,headache,dizziness,coughing,flushing,urinary freq & dysuria.


Changed on 9/14/2018

VAERS ID: 26964 Before After
VAERS Form:1
Age:
Sex:Male
Location:Arkansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Chills, Cough, Dizziness, Dysuria, Headache, Malaise, Nervousness, Pollakiuria, Pyrexia, Vasodilatation

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': WAES90110652

Write-up: Pt vaccinated with Heptavax-B in 1987 developed pneumonia & bronchial spasms. On 8NOV90 developed fatigue, malaise, a fever, chills, sensation of warmth, irritability, anorexia,headache,dizziness,coughing,flushing,urinary freq & dysuria.


Changed on 10/14/2018

VAERS ID: 26964 Before After
VAERS Form:1
Age:
Sex:Male
Location:Arkansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Chills, Cough, Dizziness, Dysuria, Headache, Malaise, Nervousness, Pollakiuria, Pyrexia, Vasodilatation

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': WAES90110652

Write-up: Pt vaccinated with Heptavax-B in 1987 developed pneumonia & bronchial spasms. On 8NOV90 developed fatigue, malaise, a fever, chills, sensation of warmth, irritability, anorexia,headache,dizziness,coughing,flushing,urinary freq & dysuria.

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