National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 27055

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27055
VAERS Form:
Age:45.7
Sex:Female
Location:Pennsylvania
Vaccinated:1989-11-14
Onset:1989-12-25
Submitted:0000-00-00
Entered:1990-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 0951R / 1 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: ARTHRALGIA, NEURITIS OPTIC, CSF ABNORM, ATROPHY OPTIC, PAIN EYE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: medical hx: chalazion
Allergies:
Diagnostic Lab Data: 08JAN90 CSF protein 52 mg/dl;
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax HB developed eye pain, photophobia & loss of vision.


Changed on 12/8/2009

VAERS ID: 27055 Before After
VAERS Form:
Age:45.7
Sex:Female
Location:Pennsylvania
Vaccinated:1989-11-14
Onset:1989-12-25
Submitted:0000-00-00
Entered:1990-12-21 1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 0951R / 1 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Arthralgia, Eye pain, Optic atrophy, Optic neuritis, Papilloedema, Photophobia, Visual disturbance, CSF test abnormal, ARTHRALGIA, NEURITIS OPTIC, CSF ABNORM, ATROPHY OPTIC, PAIN EYE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: medical hx: chalazion
Allergies:
Diagnostic Lab Data: 08JAN90 CSF protein 52 mg/dl;
CDC 'Split Type': (blank) WAES90020779

Write-up: Pt vaccinated with Recombivax HB developed eye pain, photophobia & loss of vision.


Changed on 2/14/2017

VAERS ID: 27055 Before After
VAERS Form:
Age:45.7 45.0
Sex:Female
Location:Pennsylvania
Vaccinated:1989-11-14
Onset:1989-12-25
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0951R / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Eye pain, Optic atrophy, Optic neuritis, Papilloedema, Photophobia, Visual disturbance, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: medical hx: chalazion
Allergies:
Diagnostic Lab Data: 08JAN90 CSF protein 52 mg/dl;
CDC 'Split Type': WAES90020779

Write-up: Pt vaccinated with Recombivax HB developed eye pain, photophobia & loss of vision.


Changed on 5/14/2017

VAERS ID: 27055 Before After
VAERS Form:
Age:45.0
Sex:Female
Location:Pennsylvania
Vaccinated:1989-11-14
Onset:1989-12-25
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0951R / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Eye pain, Optic atrophy, Optic neuritis, Papilloedema, Photophobia, Visual disturbance, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: medical hx: chalazion
Allergies:
Diagnostic Lab Data: 08JAN90 CSF protein 52 mg/dl;
CDC 'Split Type': WAES90020779

Write-up: Pt vaccinated with Recombivax HB developed eye pain, photophobia & loss of vision.


Changed on 9/14/2017

VAERS ID: 27055 Before After
VAERS Form:(blank) 1
Age:45.0
Sex:Female
Location:Pennsylvania
Vaccinated:1989-11-14
Onset:1989-12-25
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0951R / 1 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Eye pain, Optic atrophy, Optic neuritis, Papilloedema, Photophobia, Visual disturbance, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: medical hx: chalazion
Allergies:
Diagnostic Lab Data: 08JAN90 CSF protein 52 mg/dl;
CDC 'Split Type': WAES90020779

Write-up: Pt vaccinated with Recombivax HB developed eye pain, photophobia & loss of vision.


Changed on 2/14/2018

VAERS ID: 27055 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Pennsylvania
Vaccinated:1989-11-14
Onset:1989-12-25
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0951R / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Eye pain, Optic atrophy, Optic neuritis, Papilloedema, Photophobia, Visual disturbance, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: medical hx: chalazion
Allergies:
Diagnostic Lab Data: 08JAN90 CSF protein 52 mg/dl;
CDC 'Split Type': WAES90020779

Write-up: Pt vaccinated with Recombivax HB developed eye pain, photophobia & loss of vision.


Changed on 6/14/2018

VAERS ID: 27055 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Pennsylvania
Vaccinated:1989-11-14
Onset:1989-12-25
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0951R / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Eye pain, Optic atrophy, Optic neuritis, Papilloedema, Photophobia, Visual disturbance, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: medical hx: chalazion
Allergies:
Diagnostic Lab Data: 08JAN90 CSF protein 52 mg/dl;
CDC 'Split Type': WAES90020779

Write-up: Pt vaccinated with Recombivax HB developed eye pain, photophobia & loss of vision.


Changed on 8/14/2018

VAERS ID: 27055 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Pennsylvania
Vaccinated:1989-11-14
Onset:1989-12-25
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0951R / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Eye pain, Optic atrophy, Optic neuritis, Papilloedema, Photophobia, Visual disturbance, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: medical hx: chalazion
Allergies:
Diagnostic Lab Data: 08JAN90 CSF protein 52 mg/dl;
CDC 'Split Type': WAES90020779

Write-up: Pt vaccinated with Recombivax HB developed eye pain, photophobia & loss of vision.


Changed on 9/14/2018

VAERS ID: 27055 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Pennsylvania
Vaccinated:1989-11-14
Onset:1989-12-25
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0951R / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Eye pain, Optic atrophy, Optic neuritis, Papilloedema, Photophobia, Visual disturbance, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: medical hx: chalazion
Allergies:
Diagnostic Lab Data: 08JAN90 CSF protein 52 mg/dl;
CDC 'Split Type': WAES90020779

Write-up: Pt vaccinated with Recombivax HB developed eye pain, photophobia & loss of vision.


Changed on 10/14/2018

VAERS ID: 27055 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Pennsylvania
Vaccinated:1989-11-14
Onset:1989-12-25
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0951R / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Eye pain, Optic atrophy, Optic neuritis, Papilloedema, Photophobia, Visual disturbance, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 6     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: medical hx: chalazion
Allergies:
Diagnostic Lab Data: 08JAN90 CSF protein 52 mg/dl;
CDC 'Split Type': WAES90020779

Write-up: Pt vaccinated with Recombivax HB developed eye pain, photophobia & loss of vision.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27055&WAYBACKHISTORY=ON


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