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This is VAERS ID 118584

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 118584
VAERS Form:
Age:50.6
Sex:Female
Location:Washington
Vaccinated:1997-05-19
Onset:1997-08-01
Submitted:1999-02-04
Entered:1999-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 2146A4 / 1 - / -
HEPA: UNK. HEPATITIS A / UNCLASSIFIED 549A6 / 1 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: PARESTHESIA, MYASTHENIA, SCLEROSIS MULT

Life Threatening? Yes
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? No
Previous Vaccinations: UNK
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type': NONE

Write-up: Pt recv vax on 5/19/97; on 8/1/97 pt exp tingling legs then weakness in left leg; dx=multiple sclerosis


Changed on 12/8/2009

VAERS ID: 118584 Before After
VAERS Form:
Age:50.6
Sex:Female
Location:Washington
Vaccinated:1997-05-19
Onset:1997-08-01
Submitted:1999-02-04
Entered:1999-02-09 1999-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 2146A4 / 1 - / -
HEPA: UNK. HEPATITIS A HEP A (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER 549A6 / 1 - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Multiple sclerosis, Myasthenic syndrome, Paraesthesia, PARESTHESIA, MYASTHENIA, SCLEROSIS MULT

Life Threatening? Yes
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? No
Previous Vaccinations: UNK
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type': NONE (blank)

Write-up: Pt recv vax on 5/19/97; on 8/1/97 pt exp tingling legs then weakness in left leg; dx=multiple sclerosis


Changed on 2/14/2017

VAERS ID: 118584 Before After
VAERS Form:
Age:50.6 50.0
Sex:Female
Location:Washington
Vaccinated:1997-05-19
Onset:1997-08-01
Submitted:1999-02-04
Entered:1999-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2146A4 / 1 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 549A6 / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Multiple sclerosis, Myasthenic syndrome, Paraesthesia

Life Threatening? Yes
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? No
Previous Vaccinations: UNK
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Pt recv vax on 5/19/97; on 8/1/97 pt exp tingling legs then weakness in left leg; dx=multiple sclerosis


Changed on 5/14/2017

VAERS ID: 118584 Before After
VAERS Form:
Age:50.0
Sex:Female
Location:Washington
Vaccinated:1997-05-19
Onset:1997-08-01
Submitted:1999-02-04
Entered:1999-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2146A4 / 1 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 549A6 / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Multiple sclerosis, Myasthenic syndrome, Paraesthesia

Life Threatening? Yes
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? No
Previous Vaccinations: UNK UNK~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Pt recv vax on 5/19/97; on 8/1/97 pt exp tingling legs then weakness in left leg; dx=multiple sclerosis


Changed on 9/14/2017

VAERS ID: 118584 Before After
VAERS Form:(blank) 1
Age:50.0
Sex:Female
Location:Washington
Vaccinated:1997-05-19
Onset:1997-08-01
Submitted:1999-02-04
Entered:1999-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2146A4 / 1 2 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 549A6 / 1 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Multiple sclerosis, Myasthenic syndrome, Paraesthesia

Life Threatening? Yes
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? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Pt recv vax on 5/19/97; on 8/1/97 pt exp tingling legs then weakness in left leg; dx=multiple sclerosis


Changed on 2/14/2018

VAERS ID: 118584 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Washington
Vaccinated:1997-05-19
Onset:1997-08-01
Submitted:1999-02-04
Entered:1999-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2146A4 / 2 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 549A6 / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Multiple sclerosis, Myasthenic syndrome, Paraesthesia

Life Threatening? Yes
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? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Pt recv vax on 5/19/97; on 8/1/97 pt exp tingling legs then weakness in left leg; dx=multiple sclerosis


Changed on 6/14/2018

VAERS ID: 118584 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Washington
Vaccinated:1997-05-19
Onset:1997-08-01
Submitted:1999-02-04
Entered:1999-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2146A4 / 2 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 549A6 / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Multiple sclerosis, Myasthenic syndrome, Paraesthesia

Life Threatening? Yes
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? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Pt recv vax on 5/19/97; on 8/1/97 pt exp tingling legs then weakness in left leg; dx=multiple sclerosis


Changed on 8/14/2018

VAERS ID: 118584 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Washington
Vaccinated:1997-05-19
Onset:1997-08-01
Submitted:1999-02-04
Entered:1999-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2146A4 / 2 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 549A6 / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Multiple sclerosis, Myasthenic syndrome, Paraesthesia

Life Threatening? Yes
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? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Pt recv vax on 5/19/97; on 8/1/97 pt exp tingling legs then weakness in left leg; dx=multiple sclerosis


Changed on 9/14/2018

VAERS ID: 118584 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Washington
Vaccinated:1997-05-19
Onset:1997-08-01
Submitted:1999-02-04
Entered:1999-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2146A4 / 2 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 549A6 / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Multiple sclerosis, Myasthenic syndrome, Paraesthesia

Life Threatening? Yes
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? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Pt recv vax on 5/19/97; on 8/1/97 pt exp tingling legs then weakness in left leg; dx=multiple sclerosis


Changed on 10/14/2018

VAERS ID: 118584 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Washington
Vaccinated:1997-05-19
Onset:1997-08-01
Submitted:1999-02-04
Entered:1999-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2146A4 / 2 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 549A6 / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Multiple sclerosis, Myasthenic syndrome, Paraesthesia

Life Threatening? Yes
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? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Pt recv vax on 5/19/97; on 8/1/97 pt exp tingling legs then weakness in left leg; dx=multiple sclerosis


Changed on 12/24/2020

VAERS ID: 118584 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Washington
Vaccinated:1997-05-19
Onset:1997-08-01
Submitted:1999-02-04
Entered:1999-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2146A4 / 2 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 549A6 / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Multiple sclerosis, Myasthenic syndrome, Paraesthesia

Life Threatening? Yes
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? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Pt recv vax on 5/19/97; on 8/1/97 pt exp tingling legs then weakness in left leg; dx=multiple sclerosis


Changed on 12/30/2020

VAERS ID: 118584 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Washington
Vaccinated:1997-05-19
Onset:1997-08-01
Submitted:1999-02-04
Entered:1999-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2146A4 / 2 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 549A6 / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Multiple sclerosis, Myasthenic syndrome, Paraesthesia

Life Threatening? Yes
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? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Pt recv vax on 5/19/97; on 8/1/97 pt exp tingling legs then weakness in left leg; dx=multiple sclerosis


Changed on 5/7/2021

VAERS ID: 118584 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Washington
Vaccinated:1997-05-19
Onset:1997-08-01
Submitted:1999-02-04
Entered:1999-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2146A4 / 2 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 549A6 / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Multiple sclerosis, Myasthenic syndrome, Paraesthesia

Life Threatening? Yes
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? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Pt recv vax on 5/19/97; on 8/1/97 pt exp tingling legs then weakness in left leg; dx=multiple sclerosis


Changed on 5/21/2021

VAERS ID: 118584 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Washington
Vaccinated:1997-05-19
Onset:1997-08-01
Submitted:1999-02-04
Entered:1999-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 2146A4 / 2 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 549A6 / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Multiple sclerosis, Myasthenic syndrome, Paraesthesia

Life Threatening? Yes
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? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI
CDC 'Split Type':

Write-up: Pt recv vax on 5/19/97; on 8/1/97 pt exp tingling legs then weakness in left leg; dx=multiple sclerosis

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=118584&WAYBACKHISTORY=ON


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