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This is VAERS ID 27129

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27129
VAERS Form:
Age:25.0
Sex:Female
Location:Kansas
Vaccinated:1990-11-09
Onset:1990-11-16
Submitted:0000-00-00
Entered:1990-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 587A4 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: ANEMIA HEMOL

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 hemolytic anemia. Treated w/seven pints of blood.


Changed on 12/8/2009

VAERS ID: 27129 Before After
VAERS Form:
Age:25.0
Sex:Female
Location:Kansas
Vaccinated:1990-11-09
Onset:1990-11-16
Submitted:0000-00-00
Entered:1990-12-21 1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 587A4 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Haemolytic anaemia, ANEMIA HEMOL

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) EBU900596

Write-up: Pt vaccinated with Engerix-B developed hemolytic anemia. Treated w/seven pints of blood.


Changed on 5/14/2017

VAERS ID: 27129 Before After
VAERS Form:
Age:25.0
Sex:Female
Location:Kansas
Vaccinated:1990-11-09
Onset:1990-11-16
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Haemolytic anaemia

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': EBU900596

Write-up: Pt vaccinated with Engerix-B developed hemolytic anemia. Treated w/seven pints of blood.


Changed on 9/14/2017

VAERS ID: 27129 Before After
VAERS Form:(blank) 1
Age:25.0
Sex:Female
Location:Kansas
Vaccinated:1990-11-09
Onset:1990-11-16
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Haemolytic anaemia

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': EBU900596

Write-up: Pt vaccinated with Engerix-B developed hemolytic anemia. Treated w/seven pints of blood.


Changed on 2/14/2018

VAERS ID: 27129 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Kansas
Vaccinated:1990-11-09
Onset:1990-11-16
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Haemolytic anaemia

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': EBU900596

Write-up: Pt vaccinated with Engerix-B developed hemolytic anemia. Treated w/seven pints of blood.


Changed on 6/14/2018

VAERS ID: 27129 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Kansas
Vaccinated:1990-11-09
Onset:1990-11-16
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Haemolytic anaemia

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': EBU900596

Write-up: Pt vaccinated with Engerix-B developed hemolytic anemia. Treated w/seven pints of blood.


Changed on 8/14/2018

VAERS ID: 27129 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Kansas
Vaccinated:1990-11-09
Onset:1990-11-16
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Haemolytic anaemia

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': EBU900596

Write-up: Pt vaccinated with Engerix-B developed hemolytic anemia. Treated w/seven pints of blood.


Changed on 9/14/2018

VAERS ID: 27129 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Kansas
Vaccinated:1990-11-09
Onset:1990-11-16
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Haemolytic anaemia

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': EBU900596

Write-up: Pt vaccinated with Engerix-B developed hemolytic anemia. Treated w/seven pints of blood.


Changed on 10/14/2018

VAERS ID: 27129 Before After
VAERS Form:1
Age:25.0
Sex:Female
Location:Kansas
Vaccinated:1990-11-09
Onset:1990-11-16
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Haemolytic anaemia

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': EBU900596

Write-up: Pt vaccinated with Engerix-B developed hemolytic anemia. Treated w/seven pints of blood.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27129&WAYBACKHISTORY=ON


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