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This is VAERS ID 27672

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27672
VAERS Form:
Age:42.3
Sex:Female
Location:North Carolina
Vaccinated:1990-02-27
Onset:1990-07-01
Submitted:0000-00-00
Entered:1991-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 586A4 / 3 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: NO DRUG EFFECT

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: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Cardizem, Depo Provera, Humulin N, Procardia XL
Current Illness:
Preexisting Conditions: Allergic to Aspirin, tetracycline, Indocin, Butazolidin & any mint-flavored product. Insulin-Dependent Diabetes, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt rec''d 3 Engerix-B vax. Jul90 hosp for chest pain. Since then running low grade fever;9NOV90 needle stick & found to be non-immune. Booster vax 15NOV90, still non-immune as of 02JAN91. Chest pain & fever ""simply concurrent events"".


Changed on 12/8/2009

VAERS ID: 27672 Before After
VAERS Form:
Age:42.3
Sex:Female
Location:North Carolina
Vaccinated:1990-02-27
Onset:1990-07-01
Submitted:0000-00-00
Entered:1991-02-05 1991-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 586A4 / 3 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Drug ineffective, NO DRUG EFFECT

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: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Cardizem, Depo Provera, Humulin N, Procardia XL
Current Illness:
Preexisting Conditions: Allergic to Aspirin, tetracycline, Indocin, Butazolidin & any mint-flavored product. Insulin-Dependent Diabetes, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) EBU910033

Write-up: Pt rec''d 3 Engerix-B vax. Jul90 hosp for chest pain. Since then running low grade fever;9NOV90 needle stick & found to be non-immune. Booster vax 15NOV90, still non-immune as of 02JAN91. Chest pain & fever ""simply "simply concurrent events"". events".


Changed on 2/14/2017

VAERS ID: 27672 Before After
VAERS Form:
Age:42.3 42.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-27
Onset:1990-07-01
Submitted:0000-00-00
Entered:1991-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 3 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Drug ineffective

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: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Cardizem, Depo Provera, Humulin N, Procardia XL
Current Illness:
Preexisting Conditions: Allergic to Aspirin, tetracycline, Indocin, Butazolidin & any mint-flavored product. Insulin-Dependent Diabetes, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU910033

Write-up: Pt rec''d 3 Engerix-B vax. Jul90 hosp for chest pain. Since then running low grade fever;9NOV90 needle stick & found to be non-immune. Booster vax 15NOV90, still non-immune as of 02JAN91. Chest pain & fever "simply concurrent events".


Changed on 5/14/2017

VAERS ID: 27672 Before After
VAERS Form:
Age:42.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-27
Onset:1990-07-01
Submitted:0000-00-00
Entered:1991-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 3 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Drug ineffective

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: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Cardizem, Depo Provera, Humulin N, Procardia XL
Current Illness:
Preexisting Conditions: Allergic to Aspirin, tetracycline, Indocin, Butazolidin & any mint-flavored product. Insulin-Dependent Diabetes, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU910033

Write-up: Pt rec''d 3 Engerix-B vax. Jul90 hosp for chest pain. Since then running low grade fever;9NOV90 needle stick & found to be non-immune. Booster vax 15NOV90, still non-immune as of 02JAN91. Chest pain & fever "simply concurrent events".


Changed on 9/14/2017

VAERS ID: 27672 Before After
VAERS Form:(blank) 1
Age:42.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-27
Onset:1990-07-01
Submitted:0000-00-00
Entered:1991-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 3 4 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Drug ineffective

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: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Cardizem, Depo Provera, Humulin N, Procardia XL
Current Illness:
Preexisting Conditions: Allergic to Aspirin, tetracycline, Indocin, Butazolidin & any mint-flavored product. Insulin-Dependent Diabetes, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU910033

Write-up: Pt rec''d 3 Engerix-B vax. Jul90 hosp for chest pain. Since then running low grade fever;9NOV90 needle stick & found to be non-immune. Booster vax 15NOV90, still non-immune as of 02JAN91. Chest pain & fever "simply concurrent events".


Changed on 2/14/2018

VAERS ID: 27672 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-27
Onset:1990-07-01
Submitted:0000-00-00
Entered:1991-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 4 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Drug ineffective

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: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Cardizem, Depo Provera, Humulin N, Procardia XL
Current Illness:
Preexisting Conditions: Allergic to Aspirin, tetracycline, Indocin, Butazolidin & any mint-flavored product. Insulin-Dependent Diabetes, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU910033

Write-up: Pt rec''d 3 Engerix-B vax. Jul90 hosp for chest pain. Since then running low grade fever;9NOV90 needle stick & found to be non-immune. Booster vax 15NOV90, still non-immune as of 02JAN91. Chest pain & fever "simply concurrent events".


Changed on 6/14/2018

VAERS ID: 27672 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-27
Onset:1990-07-01
Submitted:0000-00-00
Entered:1991-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 4 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Drug ineffective

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: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Cardizem, Depo Provera, Humulin N, Procardia XL
Current Illness:
Preexisting Conditions: Allergic to Aspirin, tetracycline, Indocin, Butazolidin & any mint-flavored product. Insulin-Dependent Diabetes, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU910033

Write-up: Pt rec''d 3 Engerix-B vax. Jul90 hosp for chest pain. Since then running low grade fever;9NOV90 needle stick & found to be non-immune. Booster vax 15NOV90, still non-immune as of 02JAN91. Chest pain & fever "simply concurrent events".


Changed on 8/14/2018

VAERS ID: 27672 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-27
Onset:1990-07-01
Submitted:0000-00-00
Entered:1991-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 4 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Drug ineffective

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: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Cardizem, Depo Provera, Humulin N, Procardia XL
Current Illness:
Preexisting Conditions: Allergic to Aspirin, tetracycline, Indocin, Butazolidin & any mint-flavored product. Insulin-Dependent Diabetes, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU910033

Write-up: Pt rec''d 3 Engerix-B vax. Jul90 hosp for chest pain. Since then running low grade fever;9NOV90 needle stick & found to be non-immune. Booster vax 15NOV90, still non-immune as of 02JAN91. Chest pain & fever "simply concurrent events".


Changed on 9/14/2018

VAERS ID: 27672 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-27
Onset:1990-07-01
Submitted:0000-00-00
Entered:1991-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 4 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Drug ineffective

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: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Cardizem, Depo Provera, Humulin N, Procardia XL
Current Illness:
Preexisting Conditions: Allergic to Aspirin, tetracycline, Indocin, Butazolidin & any mint-flavored product. Insulin-Dependent Diabetes, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU910033

Write-up: Pt rec''d 3 Engerix-B vax. Jul90 hosp for chest pain. Since then running low grade fever;9NOV90 needle stick & found to be non-immune. Booster vax 15NOV90, still non-immune as of 02JAN91. Chest pain & fever "simply concurrent events".


Changed on 10/14/2018

VAERS ID: 27672 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:North Carolina
Vaccinated:1990-02-27
Onset:1990-07-01
Submitted:0000-00-00
Entered:1991-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 586A4 / 4 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Drug ineffective

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: 7     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Cardizem, Depo Provera, Humulin N, Procardia XL
Current Illness:
Preexisting Conditions: Allergic to Aspirin, tetracycline, Indocin, Butazolidin & any mint-flavored product. Insulin-Dependent Diabetes, Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU910033

Write-up: Pt rec''d 3 Engerix-B vax. Jul90 hosp for chest pain. Since then running low grade fever;9NOV90 needle stick & found to be non-immune. Booster vax 15NOV90, still non-immune as of 02JAN91. Chest pain & fever "simply concurrent events".

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27672&WAYBACKHISTORY=ON


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