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This is VAERS ID 27931

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27931
VAERS Form:
Age:26.6
Sex:Female
Location:Michigan
Vaccinated:1990-10-06
Onset:1990-10-18
Submitted:0000-00-00
Entered:1991-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: HEADACHE, AMBLYOPIA, NECK RIGID, MYASTHENIA, DIPLOPIA

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: Vaccinee rec''d Engerix-B "early OCT90" & experienced "numbness of tongue; lightheadness/dizziness & tiredness" two or three wks later. Tx vaccinee is seeing a neurologist.


Changed on 12/8/2009

VAERS ID: 27931 Before After
VAERS Form:
Age:26.6
Sex:Female
Location:Michigan
Vaccinated:1990-10-06
Onset:1990-10-18
Submitted:0000-00-00
Entered:1991-03-20 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: Amblyopia, Back pain, Diplopia, Headache, Multiple sclerosis, Myasthenic syndrome, Paraesthesia, Nuchal rigidity, HEADACHE, AMBLYOPIA, NECK RIGID, MYASTHENIA, DIPLOPIA

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) EBU900488

Write-up: Vaccinee rec''d Engerix-B "early OCT90" & experienced "numbness of tongue; lightheadness/dizziness & tiredness" two or three wks later. Tx vaccinee is seeing a neurologist.


Changed on 2/14/2017

VAERS ID: 27931 Before After
VAERS Form:
Age:26.6 26.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-06
Onset:1990-10-18
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: Amblyopia, Back pain, Diplopia, Headache, Multiple sclerosis, Myasthenic syndrome, Paraesthesia, Nuchal rigidity

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': EBU900488

Write-up: Vaccinee rec''d Engerix-B "early OCT90" & experienced "numbness of tongue; lightheadness/dizziness & tiredness" two or three wks later. Tx vaccinee is seeing a neurologist.


Changed on 5/14/2017

VAERS ID: 27931 Before After
VAERS Form:
Age:26.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-06
Onset:1990-10-18
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: Amblyopia, Back pain, Diplopia, Headache, Multiple sclerosis, Myasthenic syndrome, Paraesthesia, Nuchal rigidity

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': EBU900488

Write-up: Vaccinee rec''d Engerix-B "early OCT90" & experienced "numbness of tongue; lightheadness/dizziness & tiredness" two or three wks later. Tx vaccinee is seeing a neurologist.


Changed on 9/14/2017

VAERS ID: 27931 Before After
VAERS Form:(blank) 1
Age:26.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-06
Onset:1990-10-18
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: Amblyopia, Back pain, Diplopia, Headache, Multiple sclerosis, Myasthenic syndrome, Paraesthesia, Nuchal rigidity

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': EBU900488

Write-up: Vaccinee rec''d Engerix-B "early OCT90" & experienced "numbness of tongue; lightheadness/dizziness & tiredness" two or three wks later. Tx vaccinee is seeing a neurologist.


Changed on 2/14/2018

VAERS ID: 27931 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-06
Onset:1990-10-18
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: Amblyopia, Back pain, Diplopia, Headache, Multiple sclerosis, Myasthenic syndrome, Paraesthesia, Nuchal rigidity

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': EBU900488

Write-up: Vaccinee rec''d Engerix-B "early OCT90" & experienced "numbness of tongue; lightheadness/dizziness & tiredness" two or three wks later. Tx vaccinee is seeing a neurologist.


Changed on 6/14/2018

VAERS ID: 27931 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-06
Onset:1990-10-18
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: Amblyopia, Back pain, Diplopia, Headache, Multiple sclerosis, Myasthenic syndrome, Paraesthesia, Nuchal rigidity

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': EBU900488

Write-up: Vaccinee rec''d Engerix-B "early OCT90" & experienced "numbness of tongue; lightheadness/dizziness & tiredness" two or three wks later. Tx vaccinee is seeing a neurologist.


Changed on 8/14/2018

VAERS ID: 27931 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-06
Onset:1990-10-18
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: Amblyopia, Back pain, Diplopia, Headache, Multiple sclerosis, Myasthenic syndrome, Paraesthesia, Nuchal rigidity

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': EBU900488

Write-up: Vaccinee rec''d Engerix-B "early OCT90" & experienced "numbness of tongue; lightheadness/dizziness & tiredness" two or three wks later. Tx vaccinee is seeing a neurologist.


Changed on 9/14/2018

VAERS ID: 27931 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-06
Onset:1990-10-18
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: Amblyopia, Back pain, Diplopia, Headache, Multiple sclerosis, Myasthenic syndrome, Paraesthesia, Nuchal rigidity

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': EBU900488

Write-up: Vaccinee rec''d Engerix-B "early OCT90" & experienced "numbness of tongue; lightheadness/dizziness & tiredness" two or three wks later. Tx vaccinee is seeing a neurologist.


Changed on 10/14/2018

VAERS ID: 27931 Before After
VAERS Form:1
Age:26.0
Sex:Female
Location:Michigan
Vaccinated:1990-10-06
Onset:1990-10-18
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: Amblyopia, Back pain, Diplopia, Headache, Multiple sclerosis, Myasthenic syndrome, Paraesthesia, Nuchal rigidity

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': EBU900488

Write-up: Vaccinee rec''d Engerix-B "early OCT90" & experienced "numbness of tongue; lightheadness/dizziness & tiredness" two or three wks later. Tx vaccinee is seeing a neurologist.

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