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This is VAERS ID 27896

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27896
VAERS Form:
Age:44.0
Sex:Female
Location:New Jersey
Vaccinated:1990-06-01
Onset:1990-06-03
Submitted:0000-00-00
Entered:1991-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: PRURITUS, PAIN

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vaccinee experienced pruritus 2 days post 2nd Engerix-B inject (1st inject was rec''d 1 month prior to 2nd dose & was uneventful). Tx: Antipsychotics & a referral to a psychiatrist. MD has described event as permanently disabling.


Changed on 12/8/2009

VAERS ID: 27896 Before After
VAERS Form:
Age:44.0
Sex:Female
Location:New Jersey
Vaccinated:1990-06-01
Onset:1990-06-03
Submitted:0000-00-00
Entered:1991-03-19 1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pain, Pruritus, PRURITUS, PAIN

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) EBU900537

Write-up: Vaccinee experienced pruritus 2 days post 2nd Engerix-B inject (1st inject was rec''d 1 month prior to 2nd dose & was uneventful). Tx: Antipsychotics & a referral to a psychiatrist. MD has described event as permanently disabling.


Changed on 5/14/2017

VAERS ID: 27896 Before After
VAERS Form:
Age:44.0
Sex:Female
Location:New Jersey
Vaccinated:1990-06-01
Onset:1990-06-03
Submitted:0000-00-00
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pain, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900537

Write-up: Vaccinee experienced pruritus 2 days post 2nd Engerix-B inject (1st inject was rec''d 1 month prior to 2nd dose & was uneventful). Tx: Antipsychotics & a referral to a psychiatrist. MD has described event as permanently disabling.


Changed on 9/14/2017

VAERS ID: 27896 Before After
VAERS Form:(blank) 1
Age:44.0
Sex:Female
Location:New Jersey
Vaccinated:1990-06-01
Onset:1990-06-03
Submitted:0000-00-00
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pain, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900537

Write-up: Vaccinee experienced pruritus 2 days post 2nd Engerix-B inject (1st inject was rec''d 1 month prior to 2nd dose & was uneventful). Tx: Antipsychotics & a referral to a psychiatrist. MD has described event as permanently disabling.


Changed on 2/14/2018

VAERS ID: 27896 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New Jersey
Vaccinated:1990-06-01
Onset:1990-06-03
Submitted:0000-00-00
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pain, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900537

Write-up: Vaccinee experienced pruritus 2 days post 2nd Engerix-B inject (1st inject was rec''d 1 month prior to 2nd dose & was uneventful). Tx: Antipsychotics & a referral to a psychiatrist. MD has described event as permanently disabling.


Changed on 6/14/2018

VAERS ID: 27896 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New Jersey
Vaccinated:1990-06-01
Onset:1990-06-03
Submitted:0000-00-00
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pain, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900537

Write-up: Vaccinee experienced pruritus 2 days post 2nd Engerix-B inject (1st inject was rec''d 1 month prior to 2nd dose & was uneventful). Tx: Antipsychotics & a referral to a psychiatrist. MD has described event as permanently disabling.


Changed on 8/14/2018

VAERS ID: 27896 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New Jersey
Vaccinated:1990-06-01
Onset:1990-06-03
Submitted:0000-00-00
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pain, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900537

Write-up: Vaccinee experienced pruritus 2 days post 2nd Engerix-B inject (1st inject was rec''d 1 month prior to 2nd dose & was uneventful). Tx: Antipsychotics & a referral to a psychiatrist. MD has described event as permanently disabling.


Changed on 9/14/2018

VAERS ID: 27896 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New Jersey
Vaccinated:1990-06-01
Onset:1990-06-03
Submitted:0000-00-00
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pain, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900537

Write-up: Vaccinee experienced pruritus 2 days post 2nd Engerix-B inject (1st inject was rec''d 1 month prior to 2nd dose & was uneventful). Tx: Antipsychotics & a referral to a psychiatrist. MD has described event as permanently disabling.


Changed on 10/14/2018

VAERS ID: 27896 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New Jersey
Vaccinated:1990-06-01
Onset:1990-06-03
Submitted:0000-00-00
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pain, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900537

Write-up: Vaccinee experienced pruritus 2 days post 2nd Engerix-B inject (1st inject was rec''d 1 month prior to 2nd dose & was uneventful). Tx: Antipsychotics & a referral to a psychiatrist. MD has described event as permanently disabling.

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