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This is VAERS ID 26171

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26171
VAERS Form:
Age:0.1
Sex:Male
Location:New York
Vaccinated:1990-09-17
Onset:1990-09-18
Submitted:1990-09-27
Entered:1990-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 1380R / 1 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, FEVER

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Given Recombivax 16AUG90, route SC, No Lot no. given.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax developed fever of 104F at 4:50Pm irritable no vomitting, given Tylenol, temp at 5:50PM down to 100.4 next day temp 101. Rechecked on 20SEP90.


Changed on 12/8/2009

VAERS ID: 26171 Before After
VAERS Form:
Age:0.1
Sex:Male
Location:New York
Vaccinated:1990-09-17
Onset:1990-09-18
Submitted:1990-09-27
Entered:1990-10-09 1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 1380R / 1 - / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Agitation, Pyrexia, AGITATION, FEVER

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Given Recombivax 16AUG90, route SC, No Lot no. given.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax developed fever of 104F at 4:50Pm irritable no vomitting, given Tylenol, temp at 5:50PM down to 100.4 next day temp 101. Rechecked on 20SEP90.


Changed on 5/14/2017

VAERS ID: 26171 Before After
VAERS Form:
Age:0.1
Sex:Male
Location:New York
Vaccinated:1990-09-17
Onset:1990-09-18
Submitted:1990-09-27
Entered:1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1380R / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Given Recombivax 16AUG90, route SC, No Lot no. given.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax developed fever of 104F at 4:50Pm irritable no vomitting, given Tylenol, temp at 5:50PM down to 100.4 next day temp 101. Rechecked on 20SEP90.


Changed on 9/14/2017

VAERS ID: 26171 Before After
VAERS Form:(blank) 1
Age:0.1
Sex:Male
Location:New York
Vaccinated:1990-09-17
Onset:1990-09-18
Submitted:1990-09-27
Entered:1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1380R / 1 2 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Given Recombivax 16AUG90, route SC, No Lot no. given.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax developed fever of 104F at 4:50Pm irritable no vomitting, given Tylenol, temp at 5:50PM down to 100.4 next day temp 101. Rechecked on 20SEP90.


Changed on 2/14/2018

VAERS ID: 26171 Before After
VAERS Form:1
Age:0.1
Sex:Male
Location:New York
Vaccinated:1990-09-17
Onset:1990-09-18
Submitted:1990-09-27
Entered:1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1380R / 2 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Given Recombivax 16AUG90, route SC, No Lot no. given.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax developed fever of 104F at 4:50Pm irritable no vomitting, given Tylenol, temp at 5:50PM down to 100.4 next day temp 101. Rechecked on 20SEP90.


Changed on 6/14/2018

VAERS ID: 26171 Before After
VAERS Form:1
Age:0.1
Sex:Male
Location:New York
Vaccinated:1990-09-17
Onset:1990-09-18
Submitted:1990-09-27
Entered:1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1380R / 2 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Given Recombivax 16AUG90, route SC, No Lot no. given.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax developed fever of 104F at 4:50Pm irritable no vomitting, given Tylenol, temp at 5:50PM down to 100.4 next day temp 101. Rechecked on 20SEP90.


Changed on 8/14/2018

VAERS ID: 26171 Before After
VAERS Form:1
Age:0.1
Sex:Male
Location:New York
Vaccinated:1990-09-17
Onset:1990-09-18
Submitted:1990-09-27
Entered:1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1380R / 2 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Given Recombivax 16AUG90, route SC, No Lot no. given.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax developed fever of 104F at 4:50Pm irritable no vomitting, given Tylenol, temp at 5:50PM down to 100.4 next day temp 101. Rechecked on 20SEP90.


Changed on 9/14/2018

VAERS ID: 26171 Before After
VAERS Form:1
Age:0.1
Sex:Male
Location:New York
Vaccinated:1990-09-17
Onset:1990-09-18
Submitted:1990-09-27
Entered:1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1380R / 2 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Given Recombivax 16AUG90, route SC, No Lot no. given.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax developed fever of 104F at 4:50Pm irritable no vomitting, given Tylenol, temp at 5:50PM down to 100.4 next day temp 101. Rechecked on 20SEP90.


Changed on 10/14/2018

VAERS ID: 26171 Before After
VAERS Form:1
Age:0.1
Sex:Male
Location:New York
Vaccinated:1990-09-17
Onset:1990-09-18
Submitted:1990-09-27
Entered:1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1380R / 2 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Given Recombivax 16AUG90, route SC, No Lot no. given.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with Recombivax developed fever of 104F at 4:50Pm irritable no vomitting, given Tylenol, temp at 5:50PM down to 100.4 next day temp 101. Rechecked on 20SEP90.

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