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This is VAERS ID 29516

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29516
VAERS Form:
Age:31.6
Sex:Female
Location:Michigan
Vaccinated:1991-03-06
Onset:1991-03-06
Submitted:0000-00-00
Entered:1991-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 606A4A / 2 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: APNEA, DYSPNEA, ASTHMA, ANAPHYL, ANXIETY

Life Threatening? Yes
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: Cystospaz, Cytotec, Elavil, Hismanal
Current Illness: Crohn''s disease
Preexisting Conditions: multiple allergies-yellow dye#4,penicillin,iodine,shellfish,erthromycin,motrin,Previous smoker X 1/2 pkg stopped Oct90,ulcerative colitis/w colectomy;colitis stable
Allergies:
Diagnostic Lab Data: Labs drawn 6Mar91;blood gas /w pH of 7.74,""PCo3""(?PCo2)-13,PO2-108, bicarb-18;Hg-13.1.Xray chest-nl;7Mar91 PE-nl
CDC 'Split Type':

Write-up: Rec''d a series of 3 vax according to 0, 1, 6 mo schedule given 7SEP90, 5OCT90, 6MAR91 about 6 1/2 hrs p/3rd dose pt ex. anaphyl rxn (SOB, wheezing); became semi-conscious; admitted to ER - headache;In ER diffuse wheezes, resp rate-28,

Changed on 12/8/2009

VAERS ID: 29516 Before After
VAERS Form:
Age:31.6
Sex:Female
Location:Michigan
Vaccinated:1991-03-06
Onset:1991-03-06
Submitted:0000-00-00
Entered:1991-04-05 1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 606A4A / 2 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Anxiety, Apnoea, Asthma, Dyspnoea, Headache, Paraesthesia, Somnolence, Stupor, Tremor, APNEA, DYSPNEA, ASTHMA, ANAPHYL, ANXIETY

Life Threatening? Yes
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: Cystospaz, Cytotec, Elavil, Hismanal
Current Illness: Crohn''s disease
Preexisting Conditions: multiple allergies-yellow dye#4,penicillin,iodine,shellfish,erthromycin,motrin,Previous smoker X 1/2 pkg stopped Oct90,ulcerative colitis/w colectomy;colitis stable
Allergies:
Diagnostic Lab Data: Labs drawn 6Mar91;blood gas /w pH of 7.74,""PCo3""(?PCo2)-13,PO2-108, 7.74,"PCo3"(?PCo2)-13,PO2-108, bicarb-18;Hg-13.1.Xray chest-nl;7Mar91 PE-nl
CDC 'Split Type': (blank) EBU910230

Write-up: Rec''d a series of 3 vax according to 0, 1, 6 mo schedule given 7SEP90, 5OCT90, 6MAR91 about 6 1/2 hrs p/3rd dose pt ex. anaphyl rxn (SOB, wheezing); became semi-conscious; admitted to ER - headache;In ER diffuse wheezes, resp rate-28,

Changed on 2/14/2017

VAERS ID: 29516 Before After
VAERS Form:
Age:31.6 31.0
Sex:Female
Location:Michigan
Vaccinated:1991-03-06
Onset:1991-03-06
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 606A4A / 2 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Anxiety, Apnoea, Asthma, Dyspnoea, Headache, Paraesthesia, Somnolence, Stupor, Tremor

Life Threatening? Yes
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: Cystospaz, Cytotec, Elavil, Hismanal
Current Illness: Crohn''s disease
Preexisting Conditions: multiple allergies-yellow dye#4,penicillin,iodine,shellfish,erthromycin,motrin,Previous smoker X 1/2 pkg stopped Oct90,ulcerative colitis/w colectomy;colitis stable
Allergies:
Diagnostic Lab Data: Labs drawn 6Mar91;blood gas /w pH of 7.74,"PCo3"(?PCo2)-13,PO2-108, bicarb-18;Hg-13.1.Xray chest-nl;7Mar91 PE-nl
CDC 'Split Type': EBU910230

Write-up: Rec''d a series of 3 vax according to 0, 1, 6 mo schedule given 7SEP90, 5OCT90, 6MAR91 about 6 1/2 hrs p/3rd dose pt ex. anaphyl rxn (SOB, wheezing); became semi-conscious; admitted to ER - headache;In ER diffuse wheezes, resp rate-28,

Changed on 5/14/2017

VAERS ID: 29516 Before After
VAERS Form:
Age:31.0
Sex:Female
Location:Michigan
Vaccinated:1991-03-06
Onset:1991-03-06
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 606A4A / 2 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Anxiety, Apnoea, Asthma, Dyspnoea, Headache, Paraesthesia, Somnolence, Stupor, Tremor

Life Threatening? Yes
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: Cystospaz, Cytotec, Elavil, Hismanal
Current Illness: Crohn''s disease
Preexisting Conditions: multiple allergies-yellow dye#4,penicillin,iodine,shellfish,erthromycin,motrin,Previous smoker X 1/2 pkg stopped Oct90,ulcerative colitis/w colectomy;colitis stable
Allergies:
Diagnostic Lab Data: Labs drawn 6Mar91;blood gas /w pH of 7.74,"PCo3"(?PCo2)-13,PO2-108, bicarb-18;Hg-13.1.Xray chest-nl;7Mar91 PE-nl
CDC 'Split Type': EBU910230

Write-up: Rec''d a series of 3 vax according to 0, 1, 6 mo schedule given 7SEP90, 5OCT90, 6MAR91 about 6 1/2 hrs p/3rd dose pt ex. anaphyl rxn (SOB, wheezing); became semi-conscious; admitted to ER - headache;In ER diffuse wheezes, resp rate-28,

Changed on 9/14/2017

VAERS ID: 29516 Before After
VAERS Form:(blank) 1
Age:31.0
Sex:Female
Location:Michigan
Vaccinated:1991-03-06
Onset:1991-03-06
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 606A4A / 2 3 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Anxiety, Apnoea, Asthma, Dyspnoea, Headache, Paraesthesia, Somnolence, Stupor, Tremor

Life Threatening? Yes
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: Cystospaz, Cytotec, Elavil, Hismanal
Current Illness: Crohn''s disease
Preexisting Conditions: multiple allergies-yellow dye#4,penicillin,iodine,shellfish,erthromycin,motrin,Previous smoker X 1/2 pkg stopped Oct90,ulcerative colitis/w colectomy;colitis stable
Allergies:
Diagnostic Lab Data: Labs drawn 6Mar91;blood gas /w pH of 7.74,"PCo3"(?PCo2)-13,PO2-108, bicarb-18;Hg-13.1.Xray chest-nl;7Mar91 PE-nl
CDC 'Split Type': EBU910230

Write-up: Rec''d a series of 3 vax according to 0, 1, 6 mo schedule given 7SEP90, 5OCT90, 6MAR91 about 6 1/2 hrs p/3rd dose pt ex. anaphyl rxn (SOB, wheezing); became semi-conscious; admitted to ER - headache;In ER diffuse wheezes, resp rate-28,

Changed on 2/14/2018

VAERS ID: 29516 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Michigan
Vaccinated:1991-03-06
Onset:1991-03-06
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 606A4A / 3 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Anxiety, Apnoea, Asthma, Dyspnoea, Headache, Paraesthesia, Somnolence, Stupor, Tremor

Life Threatening? Yes
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: Cystospaz, Cytotec, Elavil, Hismanal
Current Illness: Crohn''s disease
Preexisting Conditions: multiple allergies-yellow dye#4,penicillin,iodine,shellfish,erthromycin,motrin,Previous smoker X 1/2 pkg stopped Oct90,ulcerative colitis/w colectomy;colitis stable
Allergies:
Diagnostic Lab Data: Labs drawn 6Mar91;blood gas /w pH of 7.74,"PCo3"(?PCo2)-13,PO2-108, bicarb-18;Hg-13.1.Xray chest-nl;7Mar91 PE-nl
CDC 'Split Type': EBU910230

Write-up: Rec''d a series of 3 vax according to 0, 1, 6 mo schedule given 7SEP90, 5OCT90, 6MAR91 about 6 1/2 hrs p/3rd dose pt ex. anaphyl rxn (SOB, wheezing); became semi-conscious; admitted to ER - headache;In ER diffuse wheezes, resp rate-28,

Changed on 6/14/2018

VAERS ID: 29516 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Michigan
Vaccinated:1991-03-06
Onset:1991-03-06
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 606A4A / 3 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Anxiety, Apnoea, Asthma, Dyspnoea, Headache, Paraesthesia, Somnolence, Stupor, Tremor

Life Threatening? Yes
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: Cystospaz, Cytotec, Elavil, Hismanal
Current Illness: Crohn''s disease
Preexisting Conditions: multiple allergies-yellow dye#4,penicillin,iodine,shellfish,erthromycin,motrin,Previous smoker X 1/2 pkg stopped Oct90,ulcerative colitis/w colectomy;colitis stable
Allergies:
Diagnostic Lab Data: Labs drawn 6Mar91;blood gas /w pH of 7.74,"PCo3"(?PCo2)-13,PO2-108, bicarb-18;Hg-13.1.Xray chest-nl;7Mar91 PE-nl
CDC 'Split Type': EBU910230

Write-up: Rec''d a series of 3 vax according to 0, 1, 6 mo schedule given 7SEP90, 5OCT90, 6MAR91 about 6 1/2 hrs p/3rd dose pt ex. anaphyl rxn (SOB, wheezing); became semi-conscious; admitted to ER - headache;In ER diffuse wheezes, resp rate-28,

Changed on 8/14/2018

VAERS ID: 29516 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Michigan
Vaccinated:1991-03-06
Onset:1991-03-06
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 606A4A / 3 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Anxiety, Apnoea, Asthma, Dyspnoea, Headache, Paraesthesia, Somnolence, Stupor, Tremor

Life Threatening? Yes
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: Cystospaz, Cytotec, Elavil, Hismanal
Current Illness: Crohn''s disease
Preexisting Conditions: multiple allergies-yellow dye#4,penicillin,iodine,shellfish,erthromycin,motrin,Previous smoker X 1/2 pkg stopped Oct90,ulcerative colitis/w colectomy;colitis stable
Allergies:
Diagnostic Lab Data: Labs drawn 6Mar91;blood gas /w pH of 7.74,"PCo3"(?PCo2)-13,PO2-108, bicarb-18;Hg-13.1.Xray chest-nl;7Mar91 PE-nl
CDC 'Split Type': EBU910230

Write-up: Rec''d a series of 3 vax according to 0, 1, 6 mo schedule given 7SEP90, 5OCT90, 6MAR91 about 6 1/2 hrs p/3rd dose pt ex. anaphyl rxn (SOB, wheezing); became semi-conscious; admitted to ER - headache;In ER diffuse wheezes, resp rate-28,

Changed on 9/14/2018

VAERS ID: 29516 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Michigan
Vaccinated:1991-03-06
Onset:1991-03-06
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 606A4A / 3 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Anxiety, Apnoea, Asthma, Dyspnoea, Headache, Paraesthesia, Somnolence, Stupor, Tremor

Life Threatening? Yes
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: Cystospaz, Cytotec, Elavil, Hismanal
Current Illness: Crohn''s disease
Preexisting Conditions: multiple allergies-yellow dye#4,penicillin,iodine,shellfish,erthromycin,motrin,Previous smoker X 1/2 pkg stopped Oct90,ulcerative colitis/w colectomy;colitis stable
Allergies:
Diagnostic Lab Data: Labs drawn 6Mar91;blood gas /w pH of 7.74,"PCo3"(?PCo2)-13,PO2-108, bicarb-18;Hg-13.1.Xray chest-nl;7Mar91 PE-nl
CDC 'Split Type': EBU910230

Write-up: Rec''d a series of 3 vax according to 0, 1, 6 mo schedule given 7SEP90, 5OCT90, 6MAR91 about 6 1/2 hrs p/3rd dose pt ex. anaphyl rxn (SOB, wheezing); became semi-conscious; admitted to ER - headache;In ER diffuse wheezes, resp rate-28,

Changed on 10/14/2018

VAERS ID: 29516 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Michigan
Vaccinated:1991-03-06
Onset:1991-03-06
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 606A4A / 3 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Anxiety, Apnoea, Asthma, Dyspnoea, Headache, Paraesthesia, Somnolence, Stupor, Tremor

Life Threatening? Yes
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: Cystospaz, Cytotec, Elavil, Hismanal
Current Illness: Crohn''s disease
Preexisting Conditions: multiple allergies-yellow dye#4,penicillin,iodine,shellfish,erthromycin,motrin,Previous smoker X 1/2 pkg stopped Oct90,ulcerative colitis/w colectomy;colitis stable
Allergies:
Diagnostic Lab Data: Labs drawn 6Mar91;blood gas /w pH of 7.74,"PCo3"(?PCo2)-13,PO2-108, bicarb-18;Hg-13.1.Xray chest-nl;7Mar91 PE-nl
CDC 'Split Type': EBU910230

Write-up: Rec''d a series of 3 vax according to 0, 1, 6 mo schedule given 7SEP90, 5OCT90, 6MAR91 about 6 1/2 hrs p/3rd dose pt ex. anaphyl rxn (SOB, wheezing); became semi-conscious; admitted to ER - headache;In ER diffuse wheezes, resp rate-28,

Changed on 12/24/2020

VAERS ID: 29516 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Michigan
Vaccinated:1991-03-06
Onset:1991-03-06
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 606A4A / 3 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Anxiety, Apnoea, Asthma, Dyspnoea, Headache, Paraesthesia, Somnolence, Stupor, Tremor

Life Threatening? Yes
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: Cystospaz, Cytotec, Elavil, Hismanal
Current Illness: Crohn''s disease
Preexisting Conditions: multiple allergies-yellow dye#4,penicillin,iodine,shellfish,erthromycin,motrin,Previous smoker X 1/2 pkg stopped Oct90,ulcerative colitis/w colectomy;colitis stable
Allergies:
Diagnostic Lab Data: Labs drawn 6Mar91;blood gas /w pH of 7.74,"PCo3"(?PCo2)-13,PO2-108, bicarb-18;Hg-13.1.Xray chest-nl;7Mar91 PE-nl
CDC 'Split Type': EBU910230

Write-up: Rec''d a series of 3 vax according to 0, 1, 6 mo schedule given 7SEP90, 5OCT90, 6MAR91 about 6 1/2 hrs p/3rd dose pt ex. anaphyl rxn (SOB, wheezing); became semi-conscious; admitted to ER - headache;In ER diffuse wheezes, resp rate-28,

Changed on 12/30/2020

VAERS ID: 29516 Before After
VAERS Form:1
Age:31.0
Sex:Female
Location:Michigan
Vaccinated:1991-03-06
Onset:1991-03-06
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 606A4A / 3 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Anxiety, Apnoea, Asthma, Dyspnoea, Headache, Paraesthesia, Somnolence, Stupor, Tremor

Life Threatening? Yes
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: Cystospaz, Cytotec, Elavil, Hismanal
Current Illness: Crohn''s disease
Preexisting Conditions: multiple allergies-yellow dye#4,penicillin,iodine,shellfish,erthromycin,motrin,Previous smoker X 1/2 pkg stopped Oct90,ulcerative colitis/w colectomy;colitis stable
Allergies:
Diagnostic Lab Data: Labs drawn 6Mar91;blood gas /w pH of 7.74,"PCo3"(?PCo2)-13,PO2-108, bicarb-18;Hg-13.1.Xray chest-nl;7Mar91 PE-nl
CDC 'Split Type': EBU910230

Write-up: Rec''d a series of 3 vax according to 0, 1, 6 mo schedule given 7SEP90, 5OCT90, 6MAR91 about 6 1/2 hrs p/3rd dose pt ex. anaphyl rxn (SOB, wheezing); became semi-conscious; admitted to ER - headache;In ER diffuse wheezes, resp rate-28,

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