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This is VAERS ID 29679

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29679
VAERS Form:
Age:20.0
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 1694R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: ARTHRITIS RHEUMAT, REACT AGGRAV, LE SYND

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE
Current Illness: rheumatoid arthritis
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: Pt vaccinated w/1st dose of vax w/o adverse experience; following 2nd dose rheumatoid arthritis flared up;


Changed on 12/8/2009

VAERS ID: 29679 Before After
VAERS Form:
Age:20.0
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-05-01 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 1694R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Rheumatoid arthritis, Systemic lupus erythematosus, ARTHRITIS RHEUMAT, REACT AGGRAV, LE SYND

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE
Current Illness: rheumatoid arthritis
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': (blank) WAES90030743

Write-up: Pt vaccinated w/1st dose of vax w/o adverse experience; following 2nd dose rheumatoid arthritis flared up;


Changed on 5/14/2017

VAERS ID: 29679 Before After
VAERS Form:
Age:20.0
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1694R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Rheumatoid arthritis, Systemic lupus erythematosus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE
Current Illness: rheumatoid arthritis
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90030743

Write-up: Pt vaccinated w/1st dose of vax w/o adverse experience; following 2nd dose rheumatoid arthritis flared up;


Changed on 9/14/2017

VAERS ID: 29679 Before After
VAERS Form:(blank) 1
Age:20.0
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1694R / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Rheumatoid arthritis, Systemic lupus erythematosus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE
Current Illness: rheumatoid arthritis
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90030743

Write-up: Pt vaccinated w/1st dose of vax w/o adverse experience; following 2nd dose rheumatoid arthritis flared up;


Changed on 2/14/2018

VAERS ID: 29679 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1694R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Rheumatoid arthritis, Systemic lupus erythematosus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE
Current Illness: rheumatoid arthritis
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90030743

Write-up: Pt vaccinated w/1st dose of vax w/o adverse experience; following 2nd dose rheumatoid arthritis flared up;


Changed on 6/14/2018

VAERS ID: 29679 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1694R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Rheumatoid arthritis, Systemic lupus erythematosus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE
Current Illness: rheumatoid arthritis
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90030743

Write-up: Pt vaccinated w/1st dose of vax w/o adverse experience; following 2nd dose rheumatoid arthritis flared up;


Changed on 8/14/2018

VAERS ID: 29679 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1694R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Rheumatoid arthritis, Systemic lupus erythematosus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE
Current Illness: rheumatoid arthritis
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90030743

Write-up: Pt vaccinated w/1st dose of vax w/o adverse experience; following 2nd dose rheumatoid arthritis flared up;


Changed on 9/14/2018

VAERS ID: 29679 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1694R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Rheumatoid arthritis, Systemic lupus erythematosus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE
Current Illness: rheumatoid arthritis
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90030743

Write-up: Pt vaccinated w/1st dose of vax w/o adverse experience; following 2nd dose rheumatoid arthritis flared up;


Changed on 10/14/2018

VAERS ID: 29679 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1694R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Condition aggravated, Rheumatoid arthritis, Systemic lupus erythematosus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: NONE
Current Illness: rheumatoid arthritis
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90030743

Write-up: Pt vaccinated w/1st dose of vax w/o adverse experience; following 2nd dose rheumatoid arthritis flared up;

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