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This is VAERS ID 29620

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29620
VAERS Form:
Age:
Sex:Female
Location:Georgia
Vaccinated:1990-02-08
Onset:1990-02-08
Submitted:0000-00-00
Entered:1991-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 0341R / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: CONVULS, SYNCOPE, DYSPNEA, EDEMA TONGUE, HOSTILITY

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: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: pt has diabetes mellitus and a history of CVA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: 08feb90 pt vax hepta B. approx. 3hrs after vax pt devel. swollen tongue. flushing and shortness of breath. pt was combative, lost consciousness and had seizure. pt hospitalized for 6 days treated w/ benadryl. pt recovered.


Changed on 12/8/2009

VAERS ID: 29620 Before After
VAERS Form:
Age:
Sex:Female
Location:Georgia
Vaccinated:1990-02-08
Onset:1990-02-08
Submitted:0000-00-00
Entered:1991-04-26 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 0341R / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Dyspnoea, Hostility, Syncope, Tongue oedema, Vasodilatation, CONVULS, SYNCOPE, DYSPNEA, EDEMA TONGUE, HOSTILITY

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: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: pt has diabetes mellitus and a history of CVA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': (blank) WAES90020557

Write-up: 08feb90 pt vax hepta B. approx. 3hrs after vax pt devel. swollen tongue. flushing and shortness of breath. pt was combative, lost consciousness and had seizure. pt hospitalized for 6 days treated w/ benadryl. pt recovered.


Changed on 5/14/2017

VAERS ID: 29620 Before After
VAERS Form:
Age:
Sex:Female
Location:Georgia
Vaccinated:1990-02-08
Onset:1990-02-08
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0341R / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Dyspnoea, Hostility, Syncope, Tongue oedema, 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: 6     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: pt has diabetes mellitus and a history of CVA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90020557

Write-up: 08feb90 pt vax hepta B. approx. 3hrs after vax pt devel. swollen tongue. flushing and shortness of breath. pt was combative, lost consciousness and had seizure. pt hospitalized for 6 days treated w/ benadryl. pt recovered.


Changed on 9/14/2017

VAERS ID: 29620 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Georgia
Vaccinated:1990-02-08
Onset:1990-02-08
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0341R / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Dyspnoea, Hostility, Syncope, Tongue oedema, 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: 6     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: pt has diabetes mellitus and a history of CVA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90020557

Write-up: 08feb90 pt vax hepta B. approx. 3hrs after vax pt devel. swollen tongue. flushing and shortness of breath. pt was combative, lost consciousness and had seizure. pt hospitalized for 6 days treated w/ benadryl. pt recovered.


Changed on 2/14/2018

VAERS ID: 29620 Before After
VAERS Form:1
Age:
Sex:Female
Location:Georgia
Vaccinated:1990-02-08
Onset:1990-02-08
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0341R / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Dyspnoea, Hostility, Syncope, Tongue oedema, 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: 6     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: pt has diabetes mellitus and a history of CVA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90020557

Write-up: 08feb90 pt vax hepta B. approx. 3hrs after vax pt devel. swollen tongue. flushing and shortness of breath. pt was combative, lost consciousness and had seizure. pt hospitalized for 6 days treated w/ benadryl. pt recovered.


Changed on 6/14/2018

VAERS ID: 29620 Before After
VAERS Form:1
Age:
Sex:Female
Location:Georgia
Vaccinated:1990-02-08
Onset:1990-02-08
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0341R / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Dyspnoea, Hostility, Syncope, Tongue oedema, 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: 6     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: pt has diabetes mellitus and a history of CVA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90020557

Write-up: 08feb90 pt vax hepta B. approx. 3hrs after vax pt devel. swollen tongue. flushing and shortness of breath. pt was combative, lost consciousness and had seizure. pt hospitalized for 6 days treated w/ benadryl. pt recovered.


Changed on 8/14/2018

VAERS ID: 29620 Before After
VAERS Form:1
Age:
Sex:Female
Location:Georgia
Vaccinated:1990-02-08
Onset:1990-02-08
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0341R / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Dyspnoea, Hostility, Syncope, Tongue oedema, 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: 6     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: pt has diabetes mellitus and a history of CVA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90020557

Write-up: 08feb90 pt vax hepta B. approx. 3hrs after vax pt devel. swollen tongue. flushing and shortness of breath. pt was combative, lost consciousness and had seizure. pt hospitalized for 6 days treated w/ benadryl. pt recovered.


Changed on 9/14/2018

VAERS ID: 29620 Before After
VAERS Form:1
Age:
Sex:Female
Location:Georgia
Vaccinated:1990-02-08
Onset:1990-02-08
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0341R / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Dyspnoea, Hostility, Syncope, Tongue oedema, 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: 6     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: pt has diabetes mellitus and a history of CVA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90020557

Write-up: 08feb90 pt vax hepta B. approx. 3hrs after vax pt devel. swollen tongue. flushing and shortness of breath. pt was combative, lost consciousness and had seizure. pt hospitalized for 6 days treated w/ benadryl. pt recovered.


Changed on 10/14/2018

VAERS ID: 29620 Before After
VAERS Form:1
Age:
Sex:Female
Location:Georgia
Vaccinated:1990-02-08
Onset:1990-02-08
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0341R / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Dyspnoea, Hostility, Syncope, Tongue oedema, 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: 6     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: pt has diabetes mellitus and a history of CVA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90020557

Write-up: 08feb90 pt vax hepta B. approx. 3hrs after vax pt devel. swollen tongue. flushing and shortness of breath. pt was combative, lost consciousness and had seizure. pt hospitalized for 6 days treated w/ benadryl. pt recovered.

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