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This is VAERS ID 29697

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29697
VAERS Form:
Age:41.0
Sex:Male
Location:Illinois
Vaccinated:1990-01-17
Onset:1990-01-17
Submitted:0000-00-00
Entered:1991-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 1380R / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: HEADACHE, PARALYSIS FACIAL, NECK RIGID

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': NONE

Write-up: Pt developed stiff neck, h/a & lt-sided Bell''s Palsy; Rec''d 2nd dose on 23MAR90 experienced same sx;


Changed on 12/8/2009

VAERS ID: 29697 Before After
VAERS Form:
Age:41.0
Sex:Male
Location:Illinois
Vaccinated:1990-01-17
Onset:1990-01-17
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. 1380R / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Nuchal rigidity, HEADACHE, PARALYSIS FACIAL, NECK RIGID

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': NONE WAES90031138

Write-up: Pt developed stiff neck, h/a & lt-sided Bell''s Palsy; Rec''d 2nd dose on 23MAR90 experienced same sx;


Changed on 5/14/2017

VAERS ID: 29697 Before After
VAERS Form:
Age:41.0
Sex:Male
Location:Illinois
Vaccinated:1990-01-17
Onset:1990-01-17
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1380R / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90031138

Write-up: Pt developed stiff neck, h/a & lt-sided Bell''s Palsy; Rec''d 2nd dose on 23MAR90 experienced same sx;


Changed on 9/14/2017

VAERS ID: 29697 Before After
VAERS Form:(blank) 1
Age:41.0
Sex:Male
Location:Illinois
Vaccinated:1990-01-17
Onset:1990-01-17
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1380R / 1 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90031138

Write-up: Pt developed stiff neck, h/a & lt-sided Bell''s Palsy; Rec''d 2nd dose on 23MAR90 experienced same sx;


Changed on 2/14/2018

VAERS ID: 29697 Before After
VAERS Form:1
Age:41.0
Sex:Male
Location:Illinois
Vaccinated:1990-01-17
Onset:1990-01-17
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1380R / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90031138

Write-up: Pt developed stiff neck, h/a & lt-sided Bell''s Palsy; Rec''d 2nd dose on 23MAR90 experienced same sx;


Changed on 6/14/2018

VAERS ID: 29697 Before After
VAERS Form:1
Age:41.0
Sex:Male
Location:Illinois
Vaccinated:1990-01-17
Onset:1990-01-17
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1380R / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90031138

Write-up: Pt developed stiff neck, h/a & lt-sided Bell''s Palsy; Rec''d 2nd dose on 23MAR90 experienced same sx;


Changed on 8/14/2018

VAERS ID: 29697 Before After
VAERS Form:1
Age:41.0
Sex:Male
Location:Illinois
Vaccinated:1990-01-17
Onset:1990-01-17
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1380R / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90031138

Write-up: Pt developed stiff neck, h/a & lt-sided Bell''s Palsy; Rec''d 2nd dose on 23MAR90 experienced same sx;


Changed on 9/14/2018

VAERS ID: 29697 Before After
VAERS Form:1
Age:41.0
Sex:Male
Location:Illinois
Vaccinated:1990-01-17
Onset:1990-01-17
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1380R / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90031138

Write-up: Pt developed stiff neck, h/a & lt-sided Bell''s Palsy; Rec''d 2nd dose on 23MAR90 experienced same sx;


Changed on 10/14/2018

VAERS ID: 29697 Before After
VAERS Form:1
Age:41.0
Sex:Male
Location:Illinois
Vaccinated:1990-01-17
Onset:1990-01-17
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1380R / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Facial palsy, Headache, Nuchal rigidity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90031138

Write-up: Pt developed stiff neck, h/a & lt-sided Bell''s Palsy; Rec''d 2nd dose on 23MAR90 experienced same sx;

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