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This is VAERS ID 28394

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 28394
VAERS Form:
Age:32.0
Sex:Male
Location:Ohio
Vaccinated:1990-12-19
Onset:1990-12-19
Submitted:0000-00-00
Entered:1991-02-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 2213R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: DIZZINESS, HEADACHE, DYSPNEA, ASTHMA, DYSPHAGIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: NO relevant data.
CDC 'Split Type':

Write-up: 40min p/vax exp a gradual onset of ""severe"" headache, flushing & dysphagia. Tx unspecified prescription medication. Later recovered. Additional info requested. F/U 1MAR91: BP = 160/90, ALSO HAD THROAT TIGHTNESS, DYSPHAGIA, AUDIBLE BR SOUND


Changed on 12/8/2009

VAERS ID: 28394 Before After
VAERS Form:
Age:32.0
Sex:Male
Location:Ohio
Vaccinated:1990-12-19
Onset:1990-12-19
Submitted:0000-00-00
Entered:1991-02-27 1991-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 2213R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dizziness, Dysphagia, Dyspnoea, Headache, Malaise, Vasodilatation, DIZZINESS, HEADACHE, DYSPNEA, ASTHMA, DYSPHAGIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: NO relevant data.
CDC 'Split Type': (blank) WAES91020458

Write-up: 40min p/vax exp a gradual onset of ""severe"" "severe" headache, flushing & dysphagia. Tx unspecified prescription medication. Later recovered. Additional info requested. F/U 1MAR91: BP = 160/90, ALSO HAD THROAT TIGHTNESS, DYSPHAGIA, AUDIBLE BR SOUND


Changed on 5/14/2017

VAERS ID: 28394 Before After
VAERS Form:
Age:32.0
Sex:Male
Location:Ohio
Vaccinated:1990-12-19
Onset:1990-12-19
Submitted:0000-00-00
Entered:1991-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 2213R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dizziness, Dysphagia, Dyspnoea, Headache, Malaise, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: NO relevant data.
CDC 'Split Type': WAES91020458

Write-up: 40min p/vax exp a gradual onset of "severe" headache, flushing & dysphagia. Tx unspecified prescription medication. Later recovered. Additional info requested. F/U 1MAR91: BP = 160/90, ALSO HAD THROAT TIGHTNESS, DYSPHAGIA, AUDIBLE BR SOUND


Changed on 9/14/2017

VAERS ID: 28394 Before After
VAERS Form:(blank) 1
Age:32.0
Sex:Male
Location:Ohio
Vaccinated:1990-12-19
Onset:1990-12-19
Submitted:0000-00-00
Entered:1991-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 2213R / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dizziness, Dysphagia, Dyspnoea, Headache, Malaise, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: NO relevant data.
CDC 'Split Type': WAES91020458

Write-up: 40min p/vax exp a gradual onset of "severe" headache, flushing & dysphagia. Tx unspecified prescription medication. Later recovered. Additional info requested. F/U 1MAR91: BP = 160/90, ALSO HAD THROAT TIGHTNESS, DYSPHAGIA, AUDIBLE BR SOUND


Changed on 2/14/2018

VAERS ID: 28394 Before After
VAERS Form:1
Age:32.0
Sex:Male
Location:Ohio
Vaccinated:1990-12-19
Onset:1990-12-19
Submitted:0000-00-00
Entered:1991-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 2213R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dizziness, Dysphagia, Dyspnoea, Headache, Malaise, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: NO relevant data.
CDC 'Split Type': WAES91020458

Write-up: 40min p/vax exp a gradual onset of "severe" headache, flushing & dysphagia. Tx unspecified prescription medication. Later recovered. Additional info requested. F/U 1MAR91: BP = 160/90, ALSO HAD THROAT TIGHTNESS, DYSPHAGIA, AUDIBLE BR SOUND


Changed on 6/14/2018

VAERS ID: 28394 Before After
VAERS Form:1
Age:32.0
Sex:Male
Location:Ohio
Vaccinated:1990-12-19
Onset:1990-12-19
Submitted:0000-00-00
Entered:1991-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 2213R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dizziness, Dysphagia, Dyspnoea, Headache, Malaise, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: NO relevant data.
CDC 'Split Type': WAES91020458

Write-up: 40min p/vax exp a gradual onset of "severe" headache, flushing & dysphagia. Tx unspecified prescription medication. Later recovered. Additional info requested. F/U 1MAR91: BP = 160/90, ALSO HAD THROAT TIGHTNESS, DYSPHAGIA, AUDIBLE BR SOUND


Changed on 8/14/2018

VAERS ID: 28394 Before After
VAERS Form:1
Age:32.0
Sex:Male
Location:Ohio
Vaccinated:1990-12-19
Onset:1990-12-19
Submitted:0000-00-00
Entered:1991-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 2213R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dizziness, Dysphagia, Dyspnoea, Headache, Malaise, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: NO relevant data.
CDC 'Split Type': WAES91020458

Write-up: 40min p/vax exp a gradual onset of "severe" headache, flushing & dysphagia. Tx unspecified prescription medication. Later recovered. Additional info requested. F/U 1MAR91: BP = 160/90, ALSO HAD THROAT TIGHTNESS, DYSPHAGIA, AUDIBLE BR SOUND


Changed on 9/14/2018

VAERS ID: 28394 Before After
VAERS Form:1
Age:32.0
Sex:Male
Location:Ohio
Vaccinated:1990-12-19
Onset:1990-12-19
Submitted:0000-00-00
Entered:1991-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 2213R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dizziness, Dysphagia, Dyspnoea, Headache, Malaise, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: NO relevant data.
CDC 'Split Type': WAES91020458

Write-up: 40min p/vax exp a gradual onset of "severe" headache, flushing & dysphagia. Tx unspecified prescription medication. Later recovered. Additional info requested. F/U 1MAR91: BP = 160/90, ALSO HAD THROAT TIGHTNESS, DYSPHAGIA, AUDIBLE BR SOUND


Changed on 10/14/2018

VAERS ID: 28394 Before After
VAERS Form:1
Age:32.0
Sex:Male
Location:Ohio
Vaccinated:1990-12-19
Onset:1990-12-19
Submitted:0000-00-00
Entered:1991-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 2213R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dizziness, Dysphagia, Dyspnoea, Headache, Malaise, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Current Illness:
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: NO relevant data.
CDC 'Split Type': WAES91020458

Write-up: 40min p/vax exp a gradual onset of "severe" headache, flushing & dysphagia. Tx unspecified prescription medication. Later recovered. Additional info requested. F/U 1MAR91: BP = 160/90, ALSO HAD THROAT TIGHTNESS, DYSPHAGIA, AUDIBLE BR SOUND

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