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This is VAERS ID 26988

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26988
VAERS Form:
Age:50.0
Sex:Male
Location:Florida
Vaccinated:1990-02-27
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 5A6A4 / - LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, SEPSIS, ESR INC, PAIN NECK

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 developed gram negative sepsis suspected, low grade gever then 102 , pain in neck, pain in shoulder girdle, pain in upper thighs, sedimentation rate 138.


Changed on 12/8/2009

VAERS ID: 26988 Before After
VAERS Form:
Age:50.0
Sex:Male
Location:Florida
Vaccinated:1990-02-27
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-12-14 1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 5A6A4 / - LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neck pain, Pyrexia, Sepsis, Red blood cell sedimentation rate increased, FEVER, SEPSIS, ESR INC, PAIN NECK

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) EBU900489

Write-up: Pt vaccinated with Engerix-B developed gram negative sepsis suspected, low grade gever then 102 , pain in neck, pain in shoulder girdle, pain in upper thighs, sedimentation rate 138.


Changed on 5/14/2017

VAERS ID: 26988 Before After
VAERS Form:
Age:50.0
Sex:Male
Location:Florida
Vaccinated:1990-02-27
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 5A6A4 / - LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neck pain, Pyrexia, Sepsis, Red blood cell sedimentation rate increased

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': EBU900489

Write-up: Pt vaccinated with Engerix-B developed gram negative sepsis suspected, low grade gever then 102 , pain in neck, pain in shoulder girdle, pain in upper thighs, sedimentation rate 138.


Changed on 9/14/2017

VAERS ID: 26988 Before After
VAERS Form:(blank) 1
Age:50.0
Sex:Male
Location:Florida
Vaccinated:1990-02-27
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 5A6A4 / - UNK LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neck pain, Pyrexia, Sepsis, Red blood cell sedimentation rate increased

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': EBU900489

Write-up: Pt vaccinated with Engerix-B developed gram negative sepsis suspected, low grade gever then 102 , pain in neck, pain in shoulder girdle, pain in upper thighs, sedimentation rate 138.


Changed on 2/14/2018

VAERS ID: 26988 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Florida
Vaccinated:1990-02-27
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 5A6A4 / UNK LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neck pain, Pyrexia, Sepsis, Red blood cell sedimentation rate increased

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': EBU900489

Write-up: Pt vaccinated with Engerix-B developed gram negative sepsis suspected, low grade gever then 102 , pain in neck, pain in shoulder girdle, pain in upper thighs, sedimentation rate 138.


Changed on 6/14/2018

VAERS ID: 26988 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Florida
Vaccinated:1990-02-27
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 5A6A4 / UNK LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neck pain, Pyrexia, Sepsis, Red blood cell sedimentation rate increased

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': EBU900489

Write-up: Pt vaccinated with Engerix-B developed gram negative sepsis suspected, low grade gever then 102 , pain in neck, pain in shoulder girdle, pain in upper thighs, sedimentation rate 138.


Changed on 8/14/2018

VAERS ID: 26988 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Florida
Vaccinated:1990-02-27
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 5A6A4 / UNK LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neck pain, Pyrexia, Sepsis, Red blood cell sedimentation rate increased

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': EBU900489

Write-up: Pt vaccinated with Engerix-B developed gram negative sepsis suspected, low grade gever then 102 , pain in neck, pain in shoulder girdle, pain in upper thighs, sedimentation rate 138.


Changed on 9/14/2018

VAERS ID: 26988 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Florida
Vaccinated:1990-02-27
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 5A6A4 / UNK LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neck pain, Pyrexia, Sepsis, Red blood cell sedimentation rate increased

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': EBU900489

Write-up: Pt vaccinated with Engerix-B developed gram negative sepsis suspected, low grade gever then 102 , pain in neck, pain in shoulder girdle, pain in upper thighs, sedimentation rate 138.


Changed on 10/14/2018

VAERS ID: 26988 Before After
VAERS Form:1
Age:50.0
Sex:Male
Location:Florida
Vaccinated:1990-02-27
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 5A6A4 / UNK LA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neck pain, Pyrexia, Sepsis, Red blood cell sedimentation rate increased

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': EBU900489

Write-up: Pt vaccinated with Engerix-B developed gram negative sepsis suspected, low grade gever then 102 , pain in neck, pain in shoulder girdle, pain in upper thighs, sedimentation rate 138.

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