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This is VAERS ID 30570

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 30570
VAERS Form:
Age:22.0
Sex:Male
Location:New Jersey
Vaccinated:1990-06-08
Onset:1990-06-08
Submitted:0000-00-00
Entered:1991-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: ASTHMA, URTICARIA, VOICE ALTERAT

Life Threatening? No
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:
Current Illness:
Preexisting Conditions: asthma allergy to food and drugs
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: 08jun9 pt vax 2nd hepta B. 10min after pt devel urticaria, wheezing, and hoarseness. pt adm to er tx w/ steroids and recovered. after discharge wheezing more severe. readm to er.


Changed on 12/8/2009

VAERS ID: 30570 Before After
VAERS Form:
Age:22.0
Sex:Male
Location:New Jersey
Vaccinated:1990-06-08
Onset:1990-06-08
Submitted:0000-00-00
Entered:1991-05-23 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dysphonia, Urticaria, ASTHMA, URTICARIA, VOICE ALTERAT

Life Threatening? No
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:
Current Illness:
Preexisting Conditions: asthma allergy to food and drugs
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': (blank) WAES90060437

Write-up: 08jun9 pt vax 2nd hepta B. 10min after pt devel urticaria, wheezing, and hoarseness. pt adm to er tx w/ steroids and recovered. after discharge wheezing more severe. readm to er.


Changed on 5/14/2017

VAERS ID: 30570 Before After
VAERS Form:
Age:22.0
Sex:Male
Location:New Jersey
Vaccinated:1990-06-08
Onset:1990-06-08
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dysphonia, Urticaria

Life Threatening? No
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:
Current Illness:
Preexisting Conditions: asthma allergy to food and drugs
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90060437

Write-up: 08jun9 pt vax 2nd hepta B. 10min after pt devel urticaria, wheezing, and hoarseness. pt adm to er tx w/ steroids and recovered. after discharge wheezing more severe. readm to er.


Changed on 9/14/2017

VAERS ID: 30570 Before After
VAERS Form:(blank) 1
Age:22.0
Sex:Male
Location:New Jersey
Vaccinated:1990-06-08
Onset:1990-06-08
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dysphonia, Urticaria

Life Threatening? No
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:
Current Illness:
Preexisting Conditions: asthma allergy to food and drugs
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90060437

Write-up: 08jun9 pt vax 2nd hepta B. 10min after pt devel urticaria, wheezing, and hoarseness. pt adm to er tx w/ steroids and recovered. after discharge wheezing more severe. readm to er.


Changed on 2/14/2018

VAERS ID: 30570 Before After
VAERS Form:1
Age:22.0
Sex:Male
Location:New Jersey
Vaccinated:1990-06-08
Onset:1990-06-08
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dysphonia, Urticaria

Life Threatening? No
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:
Current Illness:
Preexisting Conditions: asthma allergy to food and drugs
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90060437

Write-up: 08jun9 pt vax 2nd hepta B. 10min after pt devel urticaria, wheezing, and hoarseness. pt adm to er tx w/ steroids and recovered. after discharge wheezing more severe. readm to er.


Changed on 6/14/2018

VAERS ID: 30570 Before After
VAERS Form:1
Age:22.0
Sex:Male
Location:New Jersey
Vaccinated:1990-06-08
Onset:1990-06-08
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dysphonia, Urticaria

Life Threatening? No
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:
Current Illness:
Preexisting Conditions: asthma allergy to food and drugs
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90060437

Write-up: 08jun9 pt vax 2nd hepta B. 10min after pt devel urticaria, wheezing, and hoarseness. pt adm to er tx w/ steroids and recovered. after discharge wheezing more severe. readm to er.


Changed on 8/14/2018

VAERS ID: 30570 Before After
VAERS Form:1
Age:22.0
Sex:Male
Location:New Jersey
Vaccinated:1990-06-08
Onset:1990-06-08
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dysphonia, Urticaria

Life Threatening? No
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:
Current Illness:
Preexisting Conditions: asthma allergy to food and drugs
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90060437

Write-up: 08jun9 pt vax 2nd hepta B. 10min after pt devel urticaria, wheezing, and hoarseness. pt adm to er tx w/ steroids and recovered. after discharge wheezing more severe. readm to er.


Changed on 9/14/2018

VAERS ID: 30570 Before After
VAERS Form:1
Age:22.0
Sex:Male
Location:New Jersey
Vaccinated:1990-06-08
Onset:1990-06-08
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dysphonia, Urticaria

Life Threatening? No
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:
Current Illness:
Preexisting Conditions: asthma allergy to food and drugs
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90060437

Write-up: 08jun9 pt vax 2nd hepta B. 10min after pt devel urticaria, wheezing, and hoarseness. pt adm to er tx w/ steroids and recovered. after discharge wheezing more severe. readm to er.


Changed on 10/14/2018

VAERS ID: 30570 Before After
VAERS Form:1
Age:22.0
Sex:Male
Location:New Jersey
Vaccinated:1990-06-08
Onset:1990-06-08
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Dysphonia, Urticaria

Life Threatening? No
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:
Current Illness:
Preexisting Conditions: asthma allergy to food and drugs
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': WAES90060437

Write-up: 08jun9 pt vax 2nd hepta B. 10min after pt devel urticaria, wheezing, and hoarseness. pt adm to er tx w/ steroids and recovered. after discharge wheezing more severe. readm to er.

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