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This is VAERS ID 31152

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 31152
VAERS Form:
Age:45.0
Sex:Male
Location:Connecticut
Vaccinated:1990-03-01
Onset:1990-06-01
Submitted:0000-00-00
Entered:1991-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEPTAVAX / MSD - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND, MYALGIA

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:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Mar90 pt vax w/ 1st hepta B w/o adverse effect. Apr90 vax w/ 2nd hepta B. Jun90 pt devel muscle weakness which began in arms and went to legs and stomach muscles. pt to hosp and dx w/ Guillain Barre Syndrome.


Changed on 12/8/2009

VAERS ID: 31152 Before After
VAERS Form:
Age:45.0
Sex:Male
Location:Connecticut
Vaccinated:1990-03-01
Onset:1990-06-01
Submitted:0000-00-00
Entered:1991-06-12 1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEPTAVAX HEP B (HEPTAVAX) / MSD MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Myalgia, GUILLAIN BARRE SYND, MYALGIA

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:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES90100464

Write-up: Mar90 pt vax w/ 1st hepta B w/o adverse effect. Apr90 vax w/ 2nd hepta B. Jun90 pt devel muscle weakness which began in arms and went to legs and stomach muscles. pt to hosp and dx w/ Guillain Barre Syndrome.


Changed on 8/31/2010

VAERS ID: 31152 Before After
VAERS Form:
Age:45.0
Sex:Male
Location:Connecticut
Vaccinated:1990-03-01
Onset:1990-06-01
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Myalgia

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:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90100464

Write-up: Mar90 pt vax w/ 1st hepta B w/o adverse effect. Apr90 vax w/ 2nd hepta B. Jun90 pt devel muscle weakness which began in arms and went to legs and stomach muscles. pt to hosp and dx w/ Guillain Barre Syndrome.


Changed on 5/14/2017

VAERS ID: 31152 Before After
VAERS Form:
Age:45.0
Sex:Male
Location:Connecticut
Vaccinated:1990-03-01
Onset:1990-06-01
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Myalgia

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:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90100464

Write-up: Mar90 pt vax w/ 1st hepta B w/o adverse effect. Apr90 vax w/ 2nd hepta B. Jun90 pt devel muscle weakness which began in arms and went to legs and stomach muscles. pt to hosp and dx w/ Guillain Barre Syndrome.


Changed on 9/14/2017

VAERS ID: 31152 Before After
VAERS Form:(blank) 1
Age:45.0
Sex:Male
Location:Connecticut
Vaccinated:1990-03-01
Onset:1990-06-01
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 1 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Myalgia

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:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90100464

Write-up: Mar90 pt vax w/ 1st hepta B w/o adverse effect. Apr90 vax w/ 2nd hepta B. Jun90 pt devel muscle weakness which began in arms and went to legs and stomach muscles. pt to hosp and dx w/ Guillain Barre Syndrome.


Changed on 2/14/2018

VAERS ID: 31152 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Connecticut
Vaccinated:1990-03-01
Onset:1990-06-01
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Myalgia

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:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90100464

Write-up: Mar90 pt vax w/ 1st hepta B w/o adverse effect. Apr90 vax w/ 2nd hepta B. Jun90 pt devel muscle weakness which began in arms and went to legs and stomach muscles. pt to hosp and dx w/ Guillain Barre Syndrome.


Changed on 6/14/2018

VAERS ID: 31152 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Connecticut
Vaccinated:1990-03-01
Onset:1990-06-01
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Myalgia

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:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90100464

Write-up: Mar90 pt vax w/ 1st hepta B w/o adverse effect. Apr90 vax w/ 2nd hepta B. Jun90 pt devel muscle weakness which began in arms and went to legs and stomach muscles. pt to hosp and dx w/ Guillain Barre Syndrome.


Changed on 8/14/2018

VAERS ID: 31152 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Connecticut
Vaccinated:1990-03-01
Onset:1990-06-01
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Myalgia

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:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90100464

Write-up: Mar90 pt vax w/ 1st hepta B w/o adverse effect. Apr90 vax w/ 2nd hepta B. Jun90 pt devel muscle weakness which began in arms and went to legs and stomach muscles. pt to hosp and dx w/ Guillain Barre Syndrome.


Changed on 9/14/2018

VAERS ID: 31152 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Connecticut
Vaccinated:1990-03-01
Onset:1990-06-01
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Myalgia

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:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90100464

Write-up: Mar90 pt vax w/ 1st hepta B w/o adverse effect. Apr90 vax w/ 2nd hepta B. Jun90 pt devel muscle weakness which began in arms and went to legs and stomach muscles. pt to hosp and dx w/ Guillain Barre Syndrome.


Changed on 10/14/2018

VAERS ID: 31152 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Connecticut
Vaccinated:1990-03-01
Onset:1990-06-01
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Myalgia

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:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90100464

Write-up: Mar90 pt vax w/ 1st hepta B w/o adverse effect. Apr90 vax w/ 2nd hepta B. Jun90 pt devel muscle weakness which began in arms and went to legs and stomach muscles. pt to hosp and dx w/ Guillain Barre Syndrome.


Changed on 12/24/2020

VAERS ID: 31152 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Connecticut
Vaccinated:1990-03-01
Onset:1990-06-01
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Myalgia

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:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90100464

Write-up: Mar90 pt vax w/ 1st hepta B w/o adverse effect. Apr90 vax w/ 2nd hepta B. Jun90 pt devel muscle weakness which began in arms and went to legs and stomach muscles. pt to hosp and dx w/ Guillain Barre Syndrome.


Changed on 12/30/2020

VAERS ID: 31152 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Connecticut
Vaccinated:1990-03-01
Onset:1990-06-01
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Guillain-Barre syndrome, Myalgia

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:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90100464

Write-up: Mar90 pt vax w/ 1st hepta B w/o adverse effect. Apr90 vax w/ 2nd hepta B. Jun90 pt devel muscle weakness which began in arms and went to legs and stomach muscles. pt to hosp and dx w/ Guillain Barre Syndrome.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=31152&WAYBACKHISTORY=ON


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