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This is VAERS ID 28915

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 28915
VAERS Form:
Age:30.0
Sex:Female
Location:Texas
Vaccinated:1989-02-03
Onset:1989-02-11
Submitted:0000-00-00
Entered:1991-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 1528P / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: PAIN ABDO, LIVER FUNC ABNORM

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: NONE
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type':

Write-up: Developed epigastric & rt upper quad pain. sx worsened & eventually became debilitating. ON 3MAR89 pt rec''d 2nd dose of vax sx recurred. Another gastroenterologist found her liver funct studies to be abnormal.


Changed on 12/8/2009

VAERS ID: 28915 Before After
VAERS Form:
Age:30.0
Sex:Female
Location:Texas
Vaccinated:1989-02-03
Onset:1989-02-11
Submitted:0000-00-00
Entered:1991-03-15 1991-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 1528P / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Hepatic function abnormal, PAIN ABDO, LIVER FUNC ABNORM

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: NONE
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': (blank) WAES91020887

Write-up: Developed epigastric & rt upper quad pain. sx worsened & eventually became debilitating. ON 3MAR89 pt rec''d 2nd dose of vax sx recurred. Another gastroenterologist found her liver funct studies to be abnormal.


Changed on 5/14/2017

VAERS ID: 28915 Before After
VAERS Form:
Age:30.0
Sex:Female
Location:Texas
Vaccinated:1989-02-03
Onset:1989-02-11
Submitted:0000-00-00
Entered:1991-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1528P / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Hepatic function abnormal

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: NONE
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES91020887

Write-up: Developed epigastric & rt upper quad pain. sx worsened & eventually became debilitating. ON 3MAR89 pt rec''d 2nd dose of vax sx recurred. Another gastroenterologist found her liver funct studies to be abnormal.


Changed on 9/14/2017

VAERS ID: 28915 Before After
VAERS Form:(blank) 1
Age:30.0
Sex:Female
Location:Texas
Vaccinated:1989-02-03
Onset:1989-02-11
Submitted:0000-00-00
Entered:1991-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1528P / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Hepatic function abnormal

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: NONE
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES91020887

Write-up: Developed epigastric & rt upper quad pain. sx worsened & eventually became debilitating. ON 3MAR89 pt rec''d 2nd dose of vax sx recurred. Another gastroenterologist found her liver funct studies to be abnormal.


Changed on 2/14/2018

VAERS ID: 28915 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:Texas
Vaccinated:1989-02-03
Onset:1989-02-11
Submitted:0000-00-00
Entered:1991-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1528P / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Hepatic function abnormal

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: NONE
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES91020887

Write-up: Developed epigastric & rt upper quad pain. sx worsened & eventually became debilitating. ON 3MAR89 pt rec''d 2nd dose of vax sx recurred. Another gastroenterologist found her liver funct studies to be abnormal.


Changed on 6/14/2018

VAERS ID: 28915 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:Texas
Vaccinated:1989-02-03
Onset:1989-02-11
Submitted:0000-00-00
Entered:1991-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1528P / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Hepatic function abnormal

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: NONE
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES91020887

Write-up: Developed epigastric & rt upper quad pain. sx worsened & eventually became debilitating. ON 3MAR89 pt rec''d 2nd dose of vax sx recurred. Another gastroenterologist found her liver funct studies to be abnormal.


Changed on 8/14/2018

VAERS ID: 28915 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:Texas
Vaccinated:1989-02-03
Onset:1989-02-11
Submitted:0000-00-00
Entered:1991-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1528P / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Hepatic function abnormal

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: NONE
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES91020887

Write-up: Developed epigastric & rt upper quad pain. sx worsened & eventually became debilitating. ON 3MAR89 pt rec''d 2nd dose of vax sx recurred. Another gastroenterologist found her liver funct studies to be abnormal.


Changed on 9/14/2018

VAERS ID: 28915 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:Texas
Vaccinated:1989-02-03
Onset:1989-02-11
Submitted:0000-00-00
Entered:1991-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1528P / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Hepatic function abnormal

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: NONE
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES91020887

Write-up: Developed epigastric & rt upper quad pain. sx worsened & eventually became debilitating. ON 3MAR89 pt rec''d 2nd dose of vax sx recurred. Another gastroenterologist found her liver funct studies to be abnormal.


Changed on 10/14/2018

VAERS ID: 28915 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:Texas
Vaccinated:1989-02-03
Onset:1989-02-11
Submitted:0000-00-00
Entered:1991-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1528P / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Hepatic function abnormal

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: NONE
Preexisting Conditions: NO relevant history
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES91020887

Write-up: Developed epigastric & rt upper quad pain. sx worsened & eventually became debilitating. ON 3MAR89 pt rec''d 2nd dose of vax sx recurred. Another gastroenterologist found her liver funct studies to be abnormal.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=28915&WAYBACKHISTORY=ON


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