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This is VAERS ID 27134

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27134
VAERS Form:
Age:37.7
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-23
Onset:1990-10-30
Submitted:0000-00-00
Entered:1990-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 0097S / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: REACT UNEVAL

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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 vax w/ Recombivax HB reported that a pt rec''d 4th dose was dx a week later w/ diabetes mellitus. It was felt that DM is not related to hep vax. Pt was hosp for DM.


Changed on 12/30/2006

VAERS ID: 27134 Before After
VAERS Form:
Age:37.7
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-23
Onset:1990-10-30
Submitted:0000-00-00
Entered:1990-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 0097S / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: REACT UNEVAL

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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 vax w/ Recombivax HB reported that a pt rec''d rec''''d 4th dose was dx a week later w/ diabetes mellitus. It was felt that DM is not related to hep vax. Pt was hosp for DM.


Changed on 12/8/2009

VAERS ID: 27134 Before After
VAERS Form:
Age:37.7
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-23
Onset:1990-10-30
Submitted:0000-00-00
Entered:1990-12-21 1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 0097S / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Unevaluable event, REACT UNEVAL

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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) WAES90110366

Write-up: Pt vax w/ Recombivax HB reported that a pt rec''''d rec''d 4th dose was dx a week later w/ diabetes mellitus. It was felt that DM is not related to hep vax. Pt was hosp for DM.


Changed on 2/14/2017

VAERS ID: 27134 Before After
VAERS Form:
Age:37.7 37.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-23
Onset:1990-10-30
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': WAES90110366

Write-up: Pt vax w/ Recombivax HB reported that a pt rec''d 4th dose was dx a week later w/ diabetes mellitus. It was felt that DM is not related to hep vax. Pt was hosp for DM.


Changed on 5/14/2017

VAERS ID: 27134 Before After
VAERS Form:
Age:37.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-23
Onset:1990-10-30
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': WAES90110366

Write-up: Pt vax w/ Recombivax HB reported that a pt rec''d 4th dose was dx a week later w/ diabetes mellitus. It was felt that DM is not related to hep vax. Pt was hosp for DM.


Changed on 9/14/2017

VAERS ID: 27134 Before After
VAERS Form:(blank) 1
Age:37.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-23
Onset:1990-10-30
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': WAES90110366

Write-up: Pt vax w/ Recombivax HB reported that a pt rec''d 4th dose was dx a week later w/ diabetes mellitus. It was felt that DM is not related to hep vax. Pt was hosp for DM.


Changed on 2/14/2018

VAERS ID: 27134 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-23
Onset:1990-10-30
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': WAES90110366

Write-up: Pt vax w/ Recombivax HB reported that a pt rec''d 4th dose was dx a week later w/ diabetes mellitus. It was felt that DM is not related to hep vax. Pt was hosp for DM.


Changed on 6/14/2018

VAERS ID: 27134 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-23
Onset:1990-10-30
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': WAES90110366

Write-up: Pt vax w/ Recombivax HB reported that a pt rec''d 4th dose was dx a week later w/ diabetes mellitus. It was felt that DM is not related to hep vax. Pt was hosp for DM.


Changed on 8/14/2018

VAERS ID: 27134 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-23
Onset:1990-10-30
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': WAES90110366

Write-up: Pt vax w/ Recombivax HB reported that a pt rec''d 4th dose was dx a week later w/ diabetes mellitus. It was felt that DM is not related to hep vax. Pt was hosp for DM.


Changed on 9/14/2018

VAERS ID: 27134 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-23
Onset:1990-10-30
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': WAES90110366

Write-up: Pt vax w/ Recombivax HB reported that a pt rec''d 4th dose was dx a week later w/ diabetes mellitus. It was felt that DM is not related to hep vax. Pt was hosp for DM.


Changed on 10/14/2018

VAERS ID: 27134 Before After
VAERS Form:1
Age:37.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-10-23
Onset:1990-10-30
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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': WAES90110366

Write-up: Pt vax w/ Recombivax HB reported that a pt rec''d 4th dose was dx a week later w/ diabetes mellitus. It was felt that DM is not related to hep vax. Pt was hosp for DM.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27134&WAYBACKHISTORY=ON


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