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This is VAERS ID 31337

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 31337
VAERS Form:
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-19
Submitted:0000-00-00
Entered:1991-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD - / 0 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: HYPESTHESIA, VISUAL FIELD DEFECT

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: TRIPHASIL
Current Illness: Allergies to Bactrim,Metamucil & soaps.
Preexisting Conditions: Asthma synd.,all. to Macrodantin,Penicillin.
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: pt. recvd 1st dose of hepatitis B vac & exp. loss of peripheral vision,& numbness on the rt side of face & rt arm.


Changed on 12/8/2009

VAERS ID: 31337 Before After
VAERS Form:
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-19
Submitted:0000-00-00
Entered:1991-06-21 1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. - / 0 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Visual field defect, HYPESTHESIA, VISUAL FIELD DEFECT

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: TRIPHASIL
Current Illness: Allergies to Bactrim,Metamucil & soaps.
Preexisting Conditions: Asthma synd.,all. to Macrodantin,Penicillin.
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': (blank) WAES90090847

Write-up: pt. recvd 1st dose of hepatitis B vac & exp. loss of peripheral vision,& numbness on the rt side of face & rt arm.


Changed on 5/14/2017

VAERS ID: 31337 Before After
VAERS Form:
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-19
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Visual field defect

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: TRIPHASIL
Current Illness: Allergies to Bactrim,Metamucil & soaps.
Preexisting Conditions: Asthma synd.,all. to Macrodantin,Penicillin.
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': WAES90090847

Write-up: pt. recvd 1st dose of hepatitis B vac & exp. loss of peripheral vision,& numbness on the rt side of face & rt arm.


Changed on 9/14/2017

VAERS ID: 31337 Before After
VAERS Form:(blank) 1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-19
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Visual field defect

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: TRIPHASIL
Current Illness: Allergies to Bactrim,Metamucil & soaps.
Preexisting Conditions: Asthma synd.,all. to Macrodantin,Penicillin.
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': WAES90090847

Write-up: pt. recvd 1st dose of hepatitis B vac & exp. loss of peripheral vision,& numbness on the rt side of face & rt arm.


Changed on 2/14/2018

VAERS ID: 31337 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-19
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Visual field defect

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: TRIPHASIL
Current Illness: Allergies to Bactrim,Metamucil & soaps.
Preexisting Conditions: Asthma synd.,all. to Macrodantin,Penicillin.
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': WAES90090847

Write-up: pt. recvd 1st dose of hepatitis B vac & exp. loss of peripheral vision,& numbness on the rt side of face & rt arm.


Changed on 6/14/2018

VAERS ID: 31337 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-19
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Visual field defect

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: TRIPHASIL
Current Illness: Allergies to Bactrim,Metamucil & soaps.
Preexisting Conditions: Asthma synd.,all. to Macrodantin,Penicillin.
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': WAES90090847

Write-up: pt. recvd 1st dose of hepatitis B vac & exp. loss of peripheral vision,& numbness on the rt side of face & rt arm.


Changed on 8/14/2018

VAERS ID: 31337 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-19
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Visual field defect

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: TRIPHASIL
Current Illness: Allergies to Bactrim,Metamucil & soaps.
Preexisting Conditions: Asthma synd.,all. to Macrodantin,Penicillin.
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': WAES90090847

Write-up: pt. recvd 1st dose of hepatitis B vac & exp. loss of peripheral vision,& numbness on the rt side of face & rt arm.


Changed on 9/14/2018

VAERS ID: 31337 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-19
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Visual field defect

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: TRIPHASIL
Current Illness: Allergies to Bactrim,Metamucil & soaps.
Preexisting Conditions: Asthma synd.,all. to Macrodantin,Penicillin.
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': WAES90090847

Write-up: pt. recvd 1st dose of hepatitis B vac & exp. loss of peripheral vision,& numbness on the rt side of face & rt arm.


Changed on 10/14/2018

VAERS ID: 31337 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-19
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Visual field defect

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: TRIPHASIL
Current Illness: Allergies to Bactrim,Metamucil & soaps.
Preexisting Conditions: Asthma synd.,all. to Macrodantin,Penicillin.
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': WAES90090847

Write-up: pt. recvd 1st dose of hepatitis B vac & exp. loss of peripheral vision,& numbness on the rt side of face & rt arm.


Changed on 12/24/2020

VAERS ID: 31337 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-19
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Visual field defect

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: TRIPHASIL
Current Illness: Allergies to Bactrim,Metamucil & soaps.
Preexisting Conditions: Asthma synd.,all. to Macrodantin,Penicillin.
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': WAES90090847

Write-up: pt. recvd 1st dose of hepatitis B vac & exp. loss of peripheral vision,& numbness on the rt side of face & rt arm.


Changed on 12/30/2020

VAERS ID: 31337 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:1986-12-18
Onset:1986-12-19
Submitted:0000-00-00
Entered:1991-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypoaesthesia, Visual field defect

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: TRIPHASIL
Current Illness: Allergies to Bactrim,Metamucil & soaps.
Preexisting Conditions: Asthma synd.,all. to Macrodantin,Penicillin.
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': WAES90090847

Write-up: pt. recvd 1st dose of hepatitis B vac & exp. loss of peripheral vision,& numbness on the rt side of face & rt arm.

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