National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 27954

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27954
VAERS Form:
Age:29.6
Sex:Female
Location:Ohio
Vaccinated:1990-08-29
Onset:1990-09-07
Submitted:1990-11-07
Entered:1991-03-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 587A4 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, LYMPHADENO, PAIN, MALAISE, LYMPHOMA LIKE REACT

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: Ceclor, Entex, Ibuprofen
Current Illness:
Preexisting Conditions: NKA, Tonsillectomy & adenoidectomy, splenectomy d/t ITP, chronic sinus, C-sect, TMJ
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt had swelling of lymph gland(under armpit) 1 wk /p 1st vax, SX abated days later, event occurred again 2 days /p 2nd vax, pt recvd 1st dose 28Aug90 & a few days later developed sinusitis,9Sep90 noted lt axilla egg size lymph node,see WORM


Changed on 12/8/2009

VAERS ID: 27954 Before After
VAERS Form:
Age:29.6
Sex:Female
Location:Ohio
Vaccinated:1990-08-29
Onset:1990-09-07
Submitted:1990-11-07
Entered:1991-03-21 1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 587A4 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site pain, Lymphadenopathy, Malaise, Pain, Pseudo lymphoma, Pyrexia, Sinusitis, FEVER, LYMPHADENO, PAIN, MALAISE, LYMPHOMA LIKE REACT

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: Ceclor, Entex, Ibuprofen
Current Illness:
Preexisting Conditions: NKA, Tonsillectomy & adenoidectomy, splenectomy d/t ITP, chronic sinus, C-sect, TMJ
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) EBU900455

Write-up: Pt had swelling of lymph gland(under armpit) 1 wk /p 1st vax, SX abated days later, event occurred again 2 days /p 2nd vax, pt recvd 1st dose 28Aug90 & a few days later developed sinusitis,9Sep90 noted lt axilla egg size lymph node,see WORM


Changed on 2/14/2017

VAERS ID: 27954 Before After
VAERS Form:
Age:29.6 29.0
Sex:Female
Location:Ohio
Vaccinated:1990-08-29
Onset:1990-09-07
Submitted:1990-11-07
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site pain, Lymphadenopathy, Malaise, Pain, Pseudo lymphoma, Pyrexia, Sinusitis

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: Ceclor, Entex, Ibuprofen
Current Illness:
Preexisting Conditions: NKA, Tonsillectomy & adenoidectomy, splenectomy d/t ITP, chronic sinus, C-sect, TMJ
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900455

Write-up: Pt had swelling of lymph gland(under armpit) 1 wk /p 1st vax, SX abated days later, event occurred again 2 days /p 2nd vax, pt recvd 1st dose 28Aug90 & a few days later developed sinusitis,9Sep90 noted lt axilla egg size lymph node,see WORM


Changed on 5/14/2017

VAERS ID: 27954 Before After
VAERS Form:
Age:29.0
Sex:Female
Location:Ohio
Vaccinated:1990-08-29
Onset:1990-09-07
Submitted:1990-11-07
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site pain, Lymphadenopathy, Malaise, Pain, Pseudo lymphoma, Pyrexia, Sinusitis

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: Ceclor, Entex, Ibuprofen
Current Illness:
Preexisting Conditions: NKA, Tonsillectomy & adenoidectomy, splenectomy d/t ITP, chronic sinus, C-sect, TMJ
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900455

Write-up: Pt had swelling of lymph gland(under armpit) 1 wk /p 1st vax, SX abated days later, event occurred again 2 days /p 2nd vax, pt recvd 1st dose 28Aug90 & a few days later developed sinusitis,9Sep90 noted lt axilla egg size lymph node,see WORM


Changed on 9/14/2017

VAERS ID: 27954 Before After
VAERS Form:(blank) 1
Age:29.0
Sex:Female
Location:Ohio
Vaccinated:1990-08-29
Onset:1990-09-07
Submitted:1990-11-07
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site pain, Lymphadenopathy, Malaise, Pain, Pseudo lymphoma, Pyrexia, Sinusitis

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: Ceclor, Entex, Ibuprofen
Current Illness:
Preexisting Conditions: NKA, Tonsillectomy & adenoidectomy, splenectomy d/t ITP, chronic sinus, C-sect, TMJ
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900455

Write-up: Pt had swelling of lymph gland(under armpit) 1 wk /p 1st vax, SX abated days later, event occurred again 2 days /p 2nd vax, pt recvd 1st dose 28Aug90 & a few days later developed sinusitis,9Sep90 noted lt axilla egg size lymph node,see WORM


Changed on 2/14/2018

VAERS ID: 27954 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Ohio
Vaccinated:1990-08-29
Onset:1990-09-07
Submitted:1990-11-07
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site pain, Lymphadenopathy, Malaise, Pain, Pseudo lymphoma, Pyrexia, Sinusitis

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: Ceclor, Entex, Ibuprofen
Current Illness:
Preexisting Conditions: NKA, Tonsillectomy & adenoidectomy, splenectomy d/t ITP, chronic sinus, C-sect, TMJ
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900455

Write-up: Pt had swelling of lymph gland(under armpit) 1 wk /p 1st vax, SX abated days later, event occurred again 2 days /p 2nd vax, pt recvd 1st dose 28Aug90 & a few days later developed sinusitis,9Sep90 noted lt axilla egg size lymph node,see WORM


Changed on 6/14/2018

VAERS ID: 27954 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Ohio
Vaccinated:1990-08-29
Onset:1990-09-07
Submitted:1990-11-07
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site pain, Lymphadenopathy, Malaise, Pain, Pseudo lymphoma, Pyrexia, Sinusitis

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: Ceclor, Entex, Ibuprofen
Current Illness:
Preexisting Conditions: NKA, Tonsillectomy & adenoidectomy, splenectomy d/t ITP, chronic sinus, C-sect, TMJ
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900455

Write-up: Pt had swelling of lymph gland(under armpit) 1 wk /p 1st vax, SX abated days later, event occurred again 2 days /p 2nd vax, pt recvd 1st dose 28Aug90 & a few days later developed sinusitis,9Sep90 noted lt axilla egg size lymph node,see WORM


Changed on 8/14/2018

VAERS ID: 27954 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Ohio
Vaccinated:1990-08-29
Onset:1990-09-07
Submitted:1990-11-07
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site pain, Lymphadenopathy, Malaise, Pain, Pseudo lymphoma, Pyrexia, Sinusitis

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: Ceclor, Entex, Ibuprofen
Current Illness:
Preexisting Conditions: NKA, Tonsillectomy & adenoidectomy, splenectomy d/t ITP, chronic sinus, C-sect, TMJ
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900455

Write-up: Pt had swelling of lymph gland(under armpit) 1 wk /p 1st vax, SX abated days later, event occurred again 2 days /p 2nd vax, pt recvd 1st dose 28Aug90 & a few days later developed sinusitis,9Sep90 noted lt axilla egg size lymph node,see WORM


Changed on 9/14/2018

VAERS ID: 27954 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Ohio
Vaccinated:1990-08-29
Onset:1990-09-07
Submitted:1990-11-07
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site pain, Lymphadenopathy, Malaise, Pain, Pseudo lymphoma, Pyrexia, Sinusitis

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: Ceclor, Entex, Ibuprofen
Current Illness:
Preexisting Conditions: NKA, Tonsillectomy & adenoidectomy, splenectomy d/t ITP, chronic sinus, C-sect, TMJ
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900455

Write-up: Pt had swelling of lymph gland(under armpit) 1 wk /p 1st vax, SX abated days later, event occurred again 2 days /p 2nd vax, pt recvd 1st dose 28Aug90 & a few days later developed sinusitis,9Sep90 noted lt axilla egg size lymph node,see WORM


Changed on 10/14/2018

VAERS ID: 27954 Before After
VAERS Form:1
Age:29.0
Sex:Female
Location:Ohio
Vaccinated:1990-08-29
Onset:1990-09-07
Submitted:1990-11-07
Entered:1991-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 587A4 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site pain, Lymphadenopathy, Malaise, Pain, Pseudo lymphoma, Pyrexia, Sinusitis

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: Ceclor, Entex, Ibuprofen
Current Illness:
Preexisting Conditions: NKA, Tonsillectomy & adenoidectomy, splenectomy d/t ITP, chronic sinus, C-sect, TMJ
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': EBU900455

Write-up: Pt had swelling of lymph gland(under armpit) 1 wk /p 1st vax, SX abated days later, event occurred again 2 days /p 2nd vax, pt recvd 1st dose 28Aug90 & a few days later developed sinusitis,9Sep90 noted lt axilla egg size lymph node,see WORM

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=27954&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166