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This is VAERS ID 29822

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29822
VAERS Form:
Age:61.3
Sex:Female
Location:New York
Vaccinated:1990-11-14
Onset:1990-11-16
Submitted:1991-02-06
Entered:1991-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 0097S / 0 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: URTICARIA, PRURITUS, PAIN CHEST, ECZEMA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: Cardiozen, Hydrochlorathiazide, Potassium, ASA, Proventyl, Thyroid, Persantine
Current Illness: NONE
Preexisting Conditions: 2 CVA''s (1986 & 87), asthma, hypertension, Atrial Fibrillation; Boarderline diabetic;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2 CVA''s (1986 & 87), asthma, hypertension, Atrial Fibrillation; Boarderline diabetic;

Write-up: 16NOV90 pt had urticaria x/soles of feet, breasts & face; By 19NOV90 pt report entire body covered w/eczema, pruritus, burning & sensation of needles pricking the skin was described by pt; Admitted to Hosp 19NOV90 w/chest pains;


Changed on 12/8/2009

VAERS ID: 29822 Before After
VAERS Form:
Age:61.3
Sex:Female
Location:New York
Vaccinated:1990-11-14
Onset:1990-11-16
Submitted:1991-02-06
Entered:1991-04-16 1991-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 0097S / 0 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Chest pain, Eczema, Pruritus, Urticaria, URTICARIA, PRURITUS, PAIN CHEST, ECZEMA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: Cardiozen, Hydrochlorathiazide, Potassium, ASA, Proventyl, Thyroid, Persantine
Current Illness: NONE
Preexisting Conditions: 2 CVA''s (1986 & 87), asthma, hypertension, Atrial Fibrillation; Boarderline diabetic;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2 CVA''s (1986 & 87), asthma, hypertension, Atrial Fibrillation; Boarderline diabetic; (blank)

Write-up: 16NOV90 pt had urticaria x/soles of feet, breasts & face; By 19NOV90 pt report entire body covered w/eczema, pruritus, burning & sensation of needles pricking the skin was described by pt; Admitted to Hosp 19NOV90 w/chest pains;


Changed on 2/14/2017

VAERS ID: 29822 Before After
VAERS Form:
Age:61.3 61.0
Sex:Female
Location:New York
Vaccinated:1990-11-14
Onset:1990-11-16
Submitted:1991-02-06
Entered:1991-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / 0 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Chest pain, Eczema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: Cardiozen, Hydrochlorathiazide, Potassium, ASA, Proventyl, Thyroid, Persantine
Current Illness: NONE
Preexisting Conditions: 2 CVA''s (1986 & 87), asthma, hypertension, Atrial Fibrillation; Boarderline diabetic;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 16NOV90 pt had urticaria x/soles of feet, breasts & face; By 19NOV90 pt report entire body covered w/eczema, pruritus, burning & sensation of needles pricking the skin was described by pt; Admitted to Hosp 19NOV90 w/chest pains;


Changed on 5/14/2017

VAERS ID: 29822 Before After
VAERS Form:
Age:61.0
Sex:Female
Location:New York
Vaccinated:1990-11-14
Onset:1990-11-16
Submitted:1991-02-06
Entered:1991-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / 0 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Chest pain, Eczema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: Cardiozen, Hydrochlorathiazide, Potassium, ASA, Proventyl, Thyroid, Persantine
Current Illness: NONE
Preexisting Conditions: 2 CVA''s (1986 & 87), asthma, hypertension, Atrial Fibrillation; Boarderline diabetic;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 16NOV90 pt had urticaria x/soles of feet, breasts & face; By 19NOV90 pt report entire body covered w/eczema, pruritus, burning & sensation of needles pricking the skin was described by pt; Admitted to Hosp 19NOV90 w/chest pains;


Changed on 9/14/2017

VAERS ID: 29822 Before After
VAERS Form:(blank) 1
Age:61.0
Sex:Female
Location:New York
Vaccinated:1990-11-14
Onset:1990-11-16
Submitted:1991-02-06
Entered:1991-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / 0 1 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Chest pain, Eczema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cardiozen, Hydrochlorathiazide, Potassium, ASA, Proventyl, Thyroid, Persantine
Current Illness: NONE
Preexisting Conditions: 2 CVA''s (1986 & 87), asthma, hypertension, Atrial Fibrillation; Boarderline diabetic;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 16NOV90 pt had urticaria x/soles of feet, breasts & face; By 19NOV90 pt report entire body covered w/eczema, pruritus, burning & sensation of needles pricking the skin was described by pt; Admitted to Hosp 19NOV90 w/chest pains;


Changed on 2/14/2018

VAERS ID: 29822 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:New York
Vaccinated:1990-11-14
Onset:1990-11-16
Submitted:1991-02-06
Entered:1991-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / 1 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Chest pain, Eczema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cardiozen, Hydrochlorathiazide, Potassium, ASA, Proventyl, Thyroid, Persantine
Current Illness: NONE
Preexisting Conditions: 2 CVA''s (1986 & 87), asthma, hypertension, Atrial Fibrillation; Boarderline diabetic;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 16NOV90 pt had urticaria x/soles of feet, breasts & face; By 19NOV90 pt report entire body covered w/eczema, pruritus, burning & sensation of needles pricking the skin was described by pt; Admitted to Hosp 19NOV90 w/chest pains;


Changed on 6/14/2018

VAERS ID: 29822 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:New York
Vaccinated:1990-11-14
Onset:1990-11-16
Submitted:1991-02-06
Entered:1991-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / 1 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Chest pain, Eczema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cardiozen, Hydrochlorathiazide, Potassium, ASA, Proventyl, Thyroid, Persantine
Current Illness: NONE
Preexisting Conditions: 2 CVA''s (1986 & 87), asthma, hypertension, Atrial Fibrillation; Boarderline diabetic;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 16NOV90 pt had urticaria x/soles of feet, breasts & face; By 19NOV90 pt report entire body covered w/eczema, pruritus, burning & sensation of needles pricking the skin was described by pt; Admitted to Hosp 19NOV90 w/chest pains;


Changed on 8/14/2018

VAERS ID: 29822 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:New York
Vaccinated:1990-11-14
Onset:1990-11-16
Submitted:1991-02-06
Entered:1991-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / 1 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Chest pain, Eczema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cardiozen, Hydrochlorathiazide, Potassium, ASA, Proventyl, Thyroid, Persantine
Current Illness: NONE
Preexisting Conditions: 2 CVA''s (1986 & 87), asthma, hypertension, Atrial Fibrillation; Boarderline diabetic;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 16NOV90 pt had urticaria x/soles of feet, breasts & face; By 19NOV90 pt report entire body covered w/eczema, pruritus, burning & sensation of needles pricking the skin was described by pt; Admitted to Hosp 19NOV90 w/chest pains;


Changed on 9/14/2018

VAERS ID: 29822 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:New York
Vaccinated:1990-11-14
Onset:1990-11-16
Submitted:1991-02-06
Entered:1991-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / 1 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Chest pain, Eczema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cardiozen, Hydrochlorathiazide, Potassium, ASA, Proventyl, Thyroid, Persantine
Current Illness: NONE
Preexisting Conditions: 2 CVA''s (1986 & 87), asthma, hypertension, Atrial Fibrillation; Boarderline diabetic;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 16NOV90 pt had urticaria x/soles of feet, breasts & face; By 19NOV90 pt report entire body covered w/eczema, pruritus, burning & sensation of needles pricking the skin was described by pt; Admitted to Hosp 19NOV90 w/chest pains;


Changed on 10/14/2018

VAERS ID: 29822 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:New York
Vaccinated:1990-11-14
Onset:1990-11-16
Submitted:1991-02-06
Entered:1991-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / 1 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Chest pain, Eczema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cardiozen, Hydrochlorathiazide, Potassium, ASA, Proventyl, Thyroid, Persantine
Current Illness: NONE
Preexisting Conditions: 2 CVA''s (1986 & 87), asthma, hypertension, Atrial Fibrillation; Boarderline diabetic;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 16NOV90 pt had urticaria x/soles of feet, breasts & face; By 19NOV90 pt report entire body covered w/eczema, pruritus, burning & sensation of needles pricking the skin was described by pt; Admitted to Hosp 19NOV90 w/chest pains;


Changed on 12/24/2020

VAERS ID: 29822 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:New York
Vaccinated:1990-11-14
Onset:1990-11-16
Submitted:1991-02-06
Entered:1991-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / 1 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Chest pain, Eczema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cardiozen, Hydrochlorathiazide, Potassium, ASA, Proventyl, Thyroid, Persantine
Current Illness: NONE
Preexisting Conditions: 2 CVA''s (1986 & 87), asthma, hypertension, Atrial Fibrillation; Boarderline diabetic;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 16NOV90 pt had urticaria x/soles of feet, breasts & face; By 19NOV90 pt report entire body covered w/eczema, pruritus, burning & sensation of needles pricking the skin was described by pt; Admitted to Hosp 19NOV90 w/chest pains;


Changed on 12/30/2020

VAERS ID: 29822 Before After
VAERS Form:1
Age:61.0
Sex:Female
Location:New York
Vaccinated:1990-11-14
Onset:1990-11-16
Submitted:1991-02-06
Entered:1991-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0097S / 1 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Chest pain, Eczema, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: Cardiozen, Hydrochlorathiazide, Potassium, ASA, Proventyl, Thyroid, Persantine
Current Illness: NONE
Preexisting Conditions: 2 CVA''s (1986 & 87), asthma, hypertension, Atrial Fibrillation; Boarderline diabetic;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 16NOV90 pt had urticaria x/soles of feet, breasts & face; By 19NOV90 pt report entire body covered w/eczema, pruritus, burning & sensation of needles pricking the skin was described by pt; Admitted to Hosp 19NOV90 w/chest pains;

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