National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 150477

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 150477
VAERS Form:
Age:44.0
Sex:Female
Location:Colorado
Vaccinated:1999-12-15
Onset:2000-01-25
Submitted:2000-03-24
Entered:2000-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA570B6 / 0 - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: ANOREXIA, ALLERG REACT, DEHYDRAT, ANEMIA, DEPRESSION

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Paxil
Current Illness: NONE
Preexisting Conditions: Mild depression. No additional past medically or allergy history.
Allergies:
Diagnostic Lab Data: CBC - mild anemia, AST-8xnml , decreased albumin, skin biopsy, sedimentation rate of 39, Liver function test-10xnml,
CDC 'Split Type':

Write-up: Possible viral infection, possible drug reaction, erythema multiforme. January, 2000 pt developed some posterior cervical adenopathy that was painless. One lymph node from back of neck was subsequently and showed reactive hyperplasia. 01/25 lymphadenopath"y reported became widespread and painful. She experienced anorexia, and developed rash on trunk and arms, a fever of 102. 01/29 pt admitted to hospital due to dehydration, continued fevers, generalized severe painful lymphadenopathy, mildly enlarged and


Changed on 12/8/2009

VAERS ID: 150477 Before After
VAERS Form:
Age:44.0
Sex:Female
Location:Colorado
Vaccinated:1999-12-15
Onset:2000-01-25
Submitted:2000-03-24
Entered:2000-03-30 2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA570B6 570B6 / 0 - / IM

Administered by: Public      Purchased by: Unknown Other
Symptoms: Anaemia, Anorexia, Blood albumin decreased, Dehydration, Enzyme abnormality, Erythema multiforme, Hepatomegaly, Hepatosplenomegaly, Hyperplasia, Lymphadenopathy, Pain, Pyrexia, Rash, Rash macular, Splenomegaly, Thrombocytopenia, Viral infection, Red blood cell sedimentation rate increased, ANOREXIA, ALLERG REACT, DEHYDRAT, ANEMIA, DEPRESSION

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Paxil
Current Illness: NONE
Preexisting Conditions: Mild depression. No additional past medically or allergy history.
Allergies:
Diagnostic Lab Data: CBC - mild anemia, AST-8xnml , decreased albumin, skin biopsy, sedimentation rate of 39, Liver function test-10xnml,
CDC 'Split Type': (blank) 20000044082

Write-up: Possible viral infection, possible drug reaction, erythema multiforme. January, 2000 pt developed some posterior cervical adenopathy that was painless. One lymph node from back of neck was subsequently and showed reactive hyperplasia. 01/25 lymphadenopath"y lymphadenopathy reported became widespread and painful. She experienced anorexia, and developed rash on trunk and arms, a fever of 102. 01/29 pt admitted to hospital due to dehydration, continued fevers, generalized severe painful lymphadenopathy, mildly enlarged and tender liver and spleen, elevated liver enzymes, decreased albumin, and macular rash - confluent over 80% of body, face and feet. Skin biopsy revealed erythema multiforme. Also mild thrombocytopenia. Husband noted that she was improving. She completely recovery around 02/15. Discharge diagnosis was rash, fever, lymphadenopathy, and hepatosplenomegaly of unknown etiology, possibly viral infection although drug reaction is possible. During hospital stay, pt received fluids and medications for pain and itching.


Changed on 9/14/2017

VAERS ID: 150477 Before After
VAERS Form:(blank) 1
Age:44.0
Sex:Female
Location:Colorado
Vaccinated:1999-12-15
Onset:2000-01-25
Submitted:2000-03-24
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 570B6 / 0 1 - / IM

Administered by: Public      Purchased by: Other
Symptoms: Anaemia, Anorexia, Blood albumin decreased, Dehydration, Enzyme abnormality, Erythema multiforme, Hepatomegaly, Hepatosplenomegaly, Hyperplasia, Lymphadenopathy, Pain, Pyrexia, Rash, Rash macular, Splenomegaly, Thrombocytopenia, Viral infection, Red blood cell sedimentation rate increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Paxil
Current Illness: NONE
Preexisting Conditions: Mild depression. No additional past medically or allergy history.
Allergies:
Diagnostic Lab Data: CBC - mild anemia, AST-8xnml , decreased albumin, skin biopsy, sedimentation rate of 39, Liver function test-10xnml,
CDC 'Split Type': 20000044082

Write-up: Possible viral infection, possible drug reaction, erythema multiforme. January, 2000 pt developed some posterior cervical adenopathy that was painless. One lymph node from back of neck was subsequently and showed reactive hyperplasia. 01/25 lymphadenopathy reported became widespread and painful. She experienced anorexia, and developed rash on trunk and arms, a fever of 102. 01/29 pt admitted to hospital due to dehydration, continued fevers, generalized severe painful lymphadenopathy, mildly enlarged and tender liver and spleen, elevated liver enzymes, decreased albumin, and macular rash - confluent over 80% of body, face and feet. Skin biopsy revealed erythema multiforme. Also mild thrombocytopenia. Husband noted that she was improving. She completely recovery around 02/15. Discharge diagnosis was rash, fever, lymphadenopathy, and hepatosplenomegaly of unknown etiology, possibly viral infection although drug reaction is possible. During hospital stay, pt received fluids and medications for pain and itching.


Changed on 2/14/2018

VAERS ID: 150477 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Colorado
Vaccinated:1999-12-15
Onset:2000-01-25
Submitted:2000-03-24
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 570B6 / 1 - / IM

Administered by: Public      Purchased by: Other
Symptoms: Anaemia, Anorexia, Blood albumin decreased, Dehydration, Enzyme abnormality, Erythema multiforme, Hepatomegaly, Hepatosplenomegaly, Hyperplasia, Lymphadenopathy, Pain, Pyrexia, Rash, Rash macular, Splenomegaly, Thrombocytopenia, Viral infection, Red blood cell sedimentation rate increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Paxil
Current Illness: NONE
Preexisting Conditions: Mild depression. No additional past medically or allergy history.
Allergies:
Diagnostic Lab Data: CBC - mild anemia, AST-8xnml , decreased albumin, skin biopsy, sedimentation rate of 39, Liver function test-10xnml,
CDC 'Split Type': 20000044082

Write-up: Possible viral infection, possible drug reaction, erythema multiforme. January, 2000 pt developed some posterior cervical adenopathy that was painless. One lymph node from back of neck was subsequently and showed reactive hyperplasia. 01/25 lymphadenopathy reported became widespread and painful. She experienced anorexia, and developed rash on trunk and arms, a fever of 102. 01/29 pt admitted to hospital due to dehydration, continued fevers, generalized severe painful lymphadenopathy, mildly enlarged and tender liver and spleen, elevated liver enzymes, decreased albumin, and macular rash - confluent over 80% of body, face and feet. Skin biopsy revealed erythema multiforme. Also mild thrombocytopenia. Husband noted that she was improving. She completely recovery around 02/15. Discharge diagnosis was rash, fever, lymphadenopathy, and hepatosplenomegaly of unknown etiology, possibly viral infection although drug reaction is possible. During hospital stay, pt received fluids and medications for pain and itching.


Changed on 6/14/2018

VAERS ID: 150477 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Colorado
Vaccinated:1999-12-15
Onset:2000-01-25
Submitted:2000-03-24
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 570B6 / 1 - / IM

Administered by: Public      Purchased by: Other
Symptoms: Anaemia, Anorexia, Blood albumin decreased, Dehydration, Enzyme abnormality, Erythema multiforme, Hepatomegaly, Hepatosplenomegaly, Hyperplasia, Lymphadenopathy, Pain, Pyrexia, Rash, Rash macular, Splenomegaly, Thrombocytopenia, Viral infection, Red blood cell sedimentation rate increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Paxil
Current Illness: NONE
Preexisting Conditions: Mild depression. No additional past medically or allergy history.
Allergies:
Diagnostic Lab Data: CBC - mild anemia, AST-8xnml , decreased albumin, skin biopsy, sedimentation rate of 39, Liver function test-10xnml,
CDC 'Split Type': 20000044082

Write-up: Possible viral infection, possible drug reaction, erythema multiforme. January, 2000 pt developed some posterior cervical adenopathy that was painless. One lymph node from back of neck was subsequently and showed reactive hyperplasia. 01/25 lymphadenopathy reported became widespread and painful. She experienced anorexia, and developed rash on trunk and arms, a fever of 102. 01/29 pt admitted to hospital due to dehydration, continued fevers, generalized severe painful lymphadenopathy, mildly enlarged and tender liver and spleen, elevated liver enzymes, decreased albumin, and macular rash - confluent over 80% of body, face and feet. Skin biopsy revealed erythema multiforme. Also mild thrombocytopenia. Husband noted that she was improving. She completely recovery around 02/15. Discharge diagnosis was rash, fever, lymphadenopathy, and hepatosplenomegaly of unknown etiology, possibly viral infection although drug reaction is possible. During hospital stay, pt received fluids and medications for pain and itching.


Changed on 8/14/2018

VAERS ID: 150477 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Colorado
Vaccinated:1999-12-15
Onset:2000-01-25
Submitted:2000-03-24
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 570B6 / 1 - / IM

Administered by: Public      Purchased by: Other
Symptoms: Anaemia, Anorexia, Blood albumin decreased, Dehydration, Enzyme abnormality, Erythema multiforme, Hepatomegaly, Hepatosplenomegaly, Hyperplasia, Lymphadenopathy, Pain, Pyrexia, Rash, Rash macular, Splenomegaly, Thrombocytopenia, Viral infection, Red blood cell sedimentation rate increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Paxil
Current Illness: NONE
Preexisting Conditions: Mild depression. No additional past medically or allergy history.
Allergies:
Diagnostic Lab Data: CBC - mild anemia, AST-8xnml , decreased albumin, skin biopsy, sedimentation rate of 39, Liver function test-10xnml,
CDC 'Split Type': 20000044082

Write-up: Possible viral infection, possible drug reaction, erythema multiforme. January, 2000 pt developed some posterior cervical adenopathy that was painless. One lymph node from back of neck was subsequently and showed reactive hyperplasia. 01/25 lymphadenopathy reported became widespread and painful. She experienced anorexia, and developed rash on trunk and arms, a fever of 102. 01/29 pt admitted to hospital due to dehydration, continued fevers, generalized severe painful lymphadenopathy, mildly enlarged and tender liver and spleen, elevated liver enzymes, decreased albumin, and macular rash - confluent over 80% of body, face and feet. Skin biopsy revealed erythema multiforme. Also mild thrombocytopenia. Husband noted that she was improving. She completely recovery around 02/15. Discharge diagnosis was rash, fever, lymphadenopathy, and hepatosplenomegaly of unknown etiology, possibly viral infection although drug reaction is possible. During hospital stay, pt received fluids and medications for pain and itching.


Changed on 9/14/2018

VAERS ID: 150477 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Colorado
Vaccinated:1999-12-15
Onset:2000-01-25
Submitted:2000-03-24
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 570B6 / 1 - / IM

Administered by: Public      Purchased by: Other
Symptoms: Anaemia, Anorexia, Blood albumin decreased, Dehydration, Enzyme abnormality, Erythema multiforme, Hepatomegaly, Hepatosplenomegaly, Hyperplasia, Lymphadenopathy, Pain, Pyrexia, Rash, Rash macular, Splenomegaly, Thrombocytopenia, Viral infection, Red blood cell sedimentation rate increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Paxil
Current Illness: NONE
Preexisting Conditions: Mild depression. No additional past medically or allergy history.
Allergies:
Diagnostic Lab Data: CBC - mild anemia, AST-8xnml , decreased albumin, skin biopsy, sedimentation rate of 39, Liver function test-10xnml,
CDC 'Split Type': 20000044082

Write-up: Possible viral infection, possible drug reaction, erythema multiforme. January, 2000 pt developed some posterior cervical adenopathy that was painless. One lymph node from back of neck was subsequently and showed reactive hyperplasia. 01/25 lymphadenopathy reported became widespread and painful. She experienced anorexia, and developed rash on trunk and arms, a fever of 102. 01/29 pt admitted to hospital due to dehydration, continued fevers, generalized severe painful lymphadenopathy, mildly enlarged and tender liver and spleen, elevated liver enzymes, decreased albumin, and macular rash - confluent over 80% of body, face and feet. Skin biopsy revealed erythema multiforme. Also mild thrombocytopenia. Husband noted that she was improving. She completely recovery around 02/15. Discharge diagnosis was rash, fever, lymphadenopathy, and hepatosplenomegaly of unknown etiology, possibly viral infection although drug reaction is possible. During hospital stay, pt received fluids and medications for pain and itching.


Changed on 10/14/2018

VAERS ID: 150477 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Colorado
Vaccinated:1999-12-15
Onset:2000-01-25
Submitted:2000-03-24
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 570B6 / 1 - / IM

Administered by: Public      Purchased by: Other
Symptoms: Anaemia, Anorexia, Blood albumin decreased, Dehydration, Enzyme abnormality, Erythema multiforme, Hepatomegaly, Hepatosplenomegaly, Hyperplasia, Lymphadenopathy, Pain, Pyrexia, Rash, Rash macular, Splenomegaly, Thrombocytopenia, Viral infection, Red blood cell sedimentation rate increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Paxil
Current Illness: NONE
Preexisting Conditions: Mild depression. No additional past medically or allergy history.
Allergies:
Diagnostic Lab Data: CBC - mild anemia, AST-8xnml , decreased albumin, skin biopsy, sedimentation rate of 39, Liver function test-10xnml,
CDC 'Split Type': 20000044082

Write-up: Possible viral infection, possible drug reaction, erythema multiforme. January, 2000 pt developed some posterior cervical adenopathy that was painless. One lymph node from back of neck was subsequently and showed reactive hyperplasia. 01/25 lymphadenopathy reported became widespread and painful. She experienced anorexia, and developed rash on trunk and arms, a fever of 102. 01/29 pt admitted to hospital due to dehydration, continued fevers, generalized severe painful lymphadenopathy, mildly enlarged and tender liver and spleen, elevated liver enzymes, decreased albumin, and macular rash - confluent over 80% of body, face and feet. Skin biopsy revealed erythema multiforme. Also mild thrombocytopenia. Husband noted that she was improving. She completely recovery around 02/15. Discharge diagnosis was rash, fever, lymphadenopathy, and hepatosplenomegaly of unknown etiology, possibly viral infection although drug reaction is possible. During hospital stay, pt received fluids and medications for pain and itching.


Changed on 12/24/2020

VAERS ID: 150477 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Colorado
Vaccinated:1999-12-15
Onset:2000-01-25
Submitted:2000-03-24
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 570B6 / 1 - / IM

Administered by: Public      Purchased by: Other
Symptoms: Anaemia, Anorexia, Blood albumin decreased, Dehydration, Enzyme abnormality, Erythema multiforme, Hepatomegaly, Hepatosplenomegaly, Hyperplasia, Lymphadenopathy, Pain, Pyrexia, Rash, Rash macular, Splenomegaly, Thrombocytopenia, Viral infection, Red blood cell sedimentation rate increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Paxil
Current Illness: NONE
Preexisting Conditions: Mild depression. No additional past medically or allergy history.
Allergies:
Diagnostic Lab Data: CBC - mild anemia, AST-8xnml , decreased albumin, skin biopsy, sedimentation rate of 39, Liver function test-10xnml,
CDC 'Split Type': 20000044082

Write-up: Possible viral infection, possible drug reaction, erythema multiforme. January, 2000 pt developed some posterior cervical adenopathy that was painless. One lymph node from back of neck was subsequently and showed reactive hyperplasia. 01/25 lymphadenopathy reported became widespread and painful. She experienced anorexia, and developed rash on trunk and arms, a fever of 102. 01/29 pt admitted to hospital due to dehydration, continued fevers, generalized severe painful lymphadenopathy, mildly enlarged and tender liver and spleen, elevated liver enzymes, decreased albumin, and macular rash - confluent over 80% of body, face and feet. Skin biopsy revealed erythema multiforme. Also mild thrombocytopenia. Husband noted that she was improving. She completely recovery around 02/15. Discharge diagnosis was rash, fever, lymphadenopathy, and hepatosplenomegaly of unknown etiology, possibly viral infection although drug reaction is possible. During hospital stay, pt received fluids and medications for pain and itching.


Changed on 12/30/2020

VAERS ID: 150477 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Colorado
Vaccinated:1999-12-15
Onset:2000-01-25
Submitted:2000-03-24
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 570B6 / 1 - / IM

Administered by: Public      Purchased by: Other
Symptoms: Anaemia, Anorexia, Blood albumin decreased, Dehydration, Enzyme abnormality, Erythema multiforme, Hepatomegaly, Hepatosplenomegaly, Hyperplasia, Lymphadenopathy, Pain, Pyrexia, Rash, Rash macular, Splenomegaly, Thrombocytopenia, Viral infection, Red blood cell sedimentation rate increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Paxil
Current Illness: NONE
Preexisting Conditions: Mild depression. No additional past medically or allergy history.
Allergies:
Diagnostic Lab Data: CBC - mild anemia, AST-8xnml , decreased albumin, skin biopsy, sedimentation rate of 39, Liver function test-10xnml,
CDC 'Split Type': 20000044082

Write-up: Possible viral infection, possible drug reaction, erythema multiforme. January, 2000 pt developed some posterior cervical adenopathy that was painless. One lymph node from back of neck was subsequently and showed reactive hyperplasia. 01/25 lymphadenopathy reported became widespread and painful. She experienced anorexia, and developed rash on trunk and arms, a fever of 102. 01/29 pt admitted to hospital due to dehydration, continued fevers, generalized severe painful lymphadenopathy, mildly enlarged and tender liver and spleen, elevated liver enzymes, decreased albumin, and macular rash - confluent over 80% of body, face and feet. Skin biopsy revealed erythema multiforme. Also mild thrombocytopenia. Husband noted that she was improving. She completely recovery around 02/15. Discharge diagnosis was rash, fever, lymphadenopathy, and hepatosplenomegaly of unknown etiology, possibly viral infection although drug reaction is possible. During hospital stay, pt received fluids and medications for pain and itching.


Changed on 5/7/2021

VAERS ID: 150477 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Colorado
Vaccinated:1999-12-15
Onset:2000-01-25
Submitted:2000-03-24
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 570B6 / 1 - / IM

Administered by: Public      Purchased by: Other
Symptoms: Anaemia, Anorexia, Blood albumin decreased, Dehydration, Enzyme abnormality, Erythema multiforme, Hepatomegaly, Hepatosplenomegaly, Hyperplasia, Lymphadenopathy, Pain, Pyrexia, Rash, Rash macular, Splenomegaly, Thrombocytopenia, Viral infection, Red blood cell sedimentation rate increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Paxil
Current Illness: NONE
Preexisting Conditions: Mild depression. No additional past medically or allergy history.
Allergies:
Diagnostic Lab Data: CBC - mild anemia, AST-8xnml , decreased albumin, skin biopsy, sedimentation rate of 39, Liver function test-10xnml,
CDC 'Split Type': 20000044082

Write-up: Possible viral infection, possible drug reaction, erythema multiforme. January, 2000 pt developed some posterior cervical adenopathy that was painless. One lymph node from back of neck was subsequently and showed reactive hyperplasia. 01/25 lymphadenopathy reported became widespread and painful. She experienced anorexia, and developed rash on trunk and arms, a fever of 102. 01/29 pt admitted to hospital due to dehydration, continued fevers, generalized severe painful lymphadenopathy, mildly enlarged and tender liver and spleen, elevated liver enzymes, decreased albumin, and macular rash - confluent over 80% of body, face and feet. Skin biopsy revealed erythema multiforme. Also mild thrombocytopenia. Husband noted that she was improving. She completely recovery around 02/15. Discharge diagnosis was rash, fever, lymphadenopathy, and hepatosplenomegaly of unknown etiology, possibly viral infection although drug reaction is possible. During hospital stay, pt received fluids and medications for pain and itching.


Changed on 5/21/2021

VAERS ID: 150477 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:Colorado
Vaccinated:1999-12-15
Onset:2000-01-25
Submitted:2000-03-24
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 570B6 / 1 - / IM

Administered by: Public      Purchased by: Other
Symptoms: Anaemia, Anorexia, Blood albumin decreased, Dehydration, Enzyme abnormality, Erythema multiforme, Hepatomegaly, Hepatosplenomegaly, Hyperplasia, Lymphadenopathy, Pain, Pyrexia, Rash, Rash macular, Splenomegaly, Thrombocytopenia, Viral infection, Red blood cell sedimentation rate increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Paxil
Current Illness: NONE
Preexisting Conditions: Mild depression. No additional past medically or allergy history.
Allergies:
Diagnostic Lab Data: CBC - mild anemia, AST-8xnml , decreased albumin, skin biopsy, sedimentation rate of 39, Liver function test-10xnml,
CDC 'Split Type': 20000044082

Write-up: Possible viral infection, possible drug reaction, erythema multiforme. January, 2000 pt developed some posterior cervical adenopathy that was painless. One lymph node from back of neck was subsequently and showed reactive hyperplasia. 01/25 lymphadenopathy reported became widespread and painful. She experienced anorexia, and developed rash on trunk and arms, a fever of 102. 01/29 pt admitted to hospital due to dehydration, continued fevers, generalized severe painful lymphadenopathy, mildly enlarged and tender liver and spleen, elevated liver enzymes, decreased albumin, and macular rash - confluent over 80% of body, face and feet. Skin biopsy revealed erythema multiforme. Also mild thrombocytopenia. Husband noted that she was improving. She completely recovery around 02/15. Discharge diagnosis was rash, fever, lymphadenopathy, and hepatosplenomegaly of unknown etiology, possibly viral infection although drug reaction is possible. During hospital stay, pt received fluids and medications for pain and itching.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=150477&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166