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This is VAERS ID 30640

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 30640
VAERS Form:
Age:47.0
Sex:Female
Location:California
Vaccinated:1990-04-19
Onset:1990-04-26
Submitted:0000-00-00
Entered:1991-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 1647R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: ARTHRALGIA, URTICARIA, SERUM SICK, ESR INC, GASTROENTERITIS

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: esr - 58
CDC 'Split Type':

Write-up: 19apr90 pt vax hepta B. 26apr90 pt devel gastroenteritis followed by serum sickness on 28apr90. pt ex intermittent urticaria and arthralgia. pt treated w/ steroids.


Changed on 12/8/2009

VAERS ID: 30640 Before After
VAERS Form:
Age:47.0
Sex:Female
Location:California
Vaccinated:1990-04-19
Onset:1990-04-26
Submitted:0000-00-00
Entered:1991-05-21 1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 1647R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Gastroenteritis, Serum sickness, Urticaria, Red blood cell sedimentation rate increased, ARTHRALGIA, URTICARIA, SERUM SICK, ESR INC, GASTROENTERITIS

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: esr - 58
CDC 'Split Type': (blank) WAES90061124

Write-up: 19apr90 pt vax hepta B. 26apr90 pt devel gastroenteritis followed by serum sickness on 28apr90. pt ex intermittent urticaria and arthralgia. pt treated w/ steroids.


Changed on 5/14/2017

VAERS ID: 30640 Before After
VAERS Form:
Age:47.0
Sex:Female
Location:California
Vaccinated:1990-04-19
Onset:1990-04-26
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1647R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Gastroenteritis, Serum sickness, Urticaria, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: esr - 58
CDC 'Split Type': WAES90061124

Write-up: 19apr90 pt vax hepta B. 26apr90 pt devel gastroenteritis followed by serum sickness on 28apr90. pt ex intermittent urticaria and arthralgia. pt treated w/ steroids.


Changed on 9/14/2017

VAERS ID: 30640 Before After
VAERS Form:(blank) 1
Age:47.0
Sex:Female
Location:California
Vaccinated:1990-04-19
Onset:1990-04-26
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1647R / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Gastroenteritis, Serum sickness, Urticaria, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: esr - 58
CDC 'Split Type': WAES90061124

Write-up: 19apr90 pt vax hepta B. 26apr90 pt devel gastroenteritis followed by serum sickness on 28apr90. pt ex intermittent urticaria and arthralgia. pt treated w/ steroids.


Changed on 2/14/2018

VAERS ID: 30640 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:California
Vaccinated:1990-04-19
Onset:1990-04-26
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1647R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Gastroenteritis, Serum sickness, Urticaria, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: esr - 58
CDC 'Split Type': WAES90061124

Write-up: 19apr90 pt vax hepta B. 26apr90 pt devel gastroenteritis followed by serum sickness on 28apr90. pt ex intermittent urticaria and arthralgia. pt treated w/ steroids.


Changed on 6/14/2018

VAERS ID: 30640 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:California
Vaccinated:1990-04-19
Onset:1990-04-26
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1647R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Gastroenteritis, Serum sickness, Urticaria, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: esr - 58
CDC 'Split Type': WAES90061124

Write-up: 19apr90 pt vax hepta B. 26apr90 pt devel gastroenteritis followed by serum sickness on 28apr90. pt ex intermittent urticaria and arthralgia. pt treated w/ steroids.


Changed on 8/14/2018

VAERS ID: 30640 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:California
Vaccinated:1990-04-19
Onset:1990-04-26
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1647R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Gastroenteritis, Serum sickness, Urticaria, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: esr - 58
CDC 'Split Type': WAES90061124

Write-up: 19apr90 pt vax hepta B. 26apr90 pt devel gastroenteritis followed by serum sickness on 28apr90. pt ex intermittent urticaria and arthralgia. pt treated w/ steroids.


Changed on 9/14/2018

VAERS ID: 30640 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:California
Vaccinated:1990-04-19
Onset:1990-04-26
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1647R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Gastroenteritis, Serum sickness, Urticaria, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: esr - 58
CDC 'Split Type': WAES90061124

Write-up: 19apr90 pt vax hepta B. 26apr90 pt devel gastroenteritis followed by serum sickness on 28apr90. pt ex intermittent urticaria and arthralgia. pt treated w/ steroids.


Changed on 10/14/2018

VAERS ID: 30640 Before After
VAERS Form:1
Age:47.0
Sex:Female
Location:California
Vaccinated:1990-04-19
Onset:1990-04-26
Submitted:0000-00-00
Entered:1991-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1647R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Gastroenteritis, Serum sickness, Urticaria, Red blood cell sedimentation rate increased

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: esr - 58
CDC 'Split Type': WAES90061124

Write-up: 19apr90 pt vax hepta B. 26apr90 pt devel gastroenteritis followed by serum sickness on 28apr90. pt ex intermittent urticaria and arthralgia. pt treated w/ steroids.

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