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This is VAERS ID 31164

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 31164
VAERS Form:
Age:0.1
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEPTAVAX / MSD - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: RASH, ERYTHEMA MULT

Life Threatening? No
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:
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type':

Write-up: Two wks following 2nd vax pt developed rash w/target lesions; Dx of erythema multiforme was made; @ time of report the lesions had largly resolved;


Changed on 12/8/2009

VAERS ID: 31164 Before After
VAERS Form:
Age:0.1
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1991-06-14 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: Erythema multiforme, Rash, RASH, ERYTHEMA MULT

Life Threatening? No
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:
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': (blank) WAES90041041

Write-up: Two wks following 2nd vax pt developed rash w/target lesions; Dx of erythema multiforme was made; @ time of report the lesions had largly resolved;


Changed on 8/31/2010

VAERS ID: 31164 Before After
VAERS Form:
Age:0.1
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
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: Erythema multiforme, Rash

Life Threatening? No
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:
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90041041

Write-up: Two wks following 2nd vax pt developed rash w/target lesions; Dx of erythema multiforme was made; @ time of report the lesions had largly resolved;


Changed on 5/14/2017

VAERS ID: 31164 Before After
VAERS Form:
Age:0.1
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
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: Erythema multiforme, Rash

Life Threatening? No
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: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90041041

Write-up: Two wks following 2nd vax pt developed rash w/target lesions; Dx of erythema multiforme was made; @ time of report the lesions had largly resolved;


Changed on 9/14/2017

VAERS ID: 31164 Before After
VAERS Form:(blank) 1
Age:0.1
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
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: Erythema multiforme, Rash

Life Threatening? No
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: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90041041

Write-up: Two wks following 2nd vax pt developed rash w/target lesions; Dx of erythema multiforme was made; @ time of report the lesions had largly resolved;


Changed on 2/14/2018

VAERS ID: 31164 Before After
VAERS Form:1
Age:0.1
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
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: Erythema multiforme, Rash

Life Threatening? No
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: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90041041

Write-up: Two wks following 2nd vax pt developed rash w/target lesions; Dx of erythema multiforme was made; @ time of report the lesions had largly resolved;


Changed on 6/14/2018

VAERS ID: 31164 Before After
VAERS Form:1
Age:0.1
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
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: Erythema multiforme, Rash

Life Threatening? No
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: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90041041

Write-up: Two wks following 2nd vax pt developed rash w/target lesions; Dx of erythema multiforme was made; @ time of report the lesions had largly resolved;


Changed on 8/14/2018

VAERS ID: 31164 Before After
VAERS Form:1
Age:0.1
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
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: Erythema multiforme, Rash

Life Threatening? No
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: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90041041

Write-up: Two wks following 2nd vax pt developed rash w/target lesions; Dx of erythema multiforme was made; @ time of report the lesions had largly resolved;


Changed on 9/14/2018

VAERS ID: 31164 Before After
VAERS Form:1
Age:0.1
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
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: Erythema multiforme, Rash

Life Threatening? No
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: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90041041

Write-up: Two wks following 2nd vax pt developed rash w/target lesions; Dx of erythema multiforme was made; @ time of report the lesions had largly resolved;


Changed on 10/14/2018

VAERS ID: 31164 Before After
VAERS Form:1
Age:0.1
Sex:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
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: Erythema multiforme, Rash

Life Threatening? No
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: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90041041

Write-up: Two wks following 2nd vax pt developed rash w/target lesions; Dx of erythema multiforme was made; @ time of report the lesions had largly resolved;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=31164&WAYBACKHISTORY=ON


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