National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 31540

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 31540
VAERS Form:
Age:1.3
Sex:Female
Location:Georgia
Vaccinated:1991-01-21
Onset:1991-02-01
Submitted:0000-00-00
Entered:1991-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 0560S / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, RASH, EDEMA FACE

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Haemophilus B vax Lot#-OC21132;given on 21Jun91
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Platelet count - 55100
CDC 'Split Type':

Write-up: 21jan91 pt vax w/ MMR + H. flu vax; 01Feb91 devel erythematous rash over trunk + arms. 02Feb91 devel fever + rash worsened which caused swelling of face. Tx w/ Benadryl + APAP. 04Feb91 fever 103F. Pt hosp + 05Feb rash turned purple.


Changed on 12/8/2009

VAERS ID: 31540 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Georgia
Vaccinated:1991-01-21
Onset:1991-02-01
Submitted:0000-00-00
Entered:1991-07-02 1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 0560S / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Pyrexia, Rash, FEVER, RASH, EDEMA FACE

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Haemophilus B vax Lot#-OC21132;given on 21Jun91
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Platelet count - 55100
CDC 'Split Type': (blank) WAES91020310

Write-up: 21jan91 pt vax w/ MMR + H. flu vax; 01Feb91 devel erythematous rash over trunk + arms. 02Feb91 devel fever + rash worsened which caused swelling of face. Tx w/ Benadryl + APAP. 04Feb91 fever 103F. Pt hosp + 05Feb rash turned purple.


Changed on 5/14/2017

VAERS ID: 31540 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Georgia
Vaccinated:1991-01-21
Onset:1991-02-01
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0560S / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Pyrexia, Rash

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Haemophilus B vax Lot#-OC21132;given on 21Jun91
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Platelet count - 55100
CDC 'Split Type': WAES91020310

Write-up: 21jan91 pt vax w/ MMR + H. flu vax; 01Feb91 devel erythematous rash over trunk + arms. 02Feb91 devel fever + rash worsened which caused swelling of face. Tx w/ Benadryl + APAP. 04Feb91 fever 103F. Pt hosp + 05Feb rash turned purple.


Changed on 9/14/2017

VAERS ID: 31540 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Female
Location:Georgia
Vaccinated:1991-01-21
Onset:1991-02-01
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0560S / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Pyrexia, Rash

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Haemophilus B vax Lot#-OC21132;given on 21Jun91
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Platelet count - 55100
CDC 'Split Type': WAES91020310

Write-up: 21jan91 pt vax w/ MMR + H. flu vax; 01Feb91 devel erythematous rash over trunk + arms. 02Feb91 devel fever + rash worsened which caused swelling of face. Tx w/ Benadryl + APAP. 04Feb91 fever 103F. Pt hosp + 05Feb rash turned purple.


Changed on 2/14/2018

VAERS ID: 31540 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Georgia
Vaccinated:1991-01-21
Onset:1991-02-01
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0560S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Pyrexia, Rash

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Haemophilus B vax Lot#-OC21132;given on 21Jun91
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Platelet count - 55100
CDC 'Split Type': WAES91020310

Write-up: 21jan91 pt vax w/ MMR + H. flu vax; 01Feb91 devel erythematous rash over trunk + arms. 02Feb91 devel fever + rash worsened which caused swelling of face. Tx w/ Benadryl + APAP. 04Feb91 fever 103F. Pt hosp + 05Feb rash turned purple.


Changed on 6/14/2018

VAERS ID: 31540 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Georgia
Vaccinated:1991-01-21
Onset:1991-02-01
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0560S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Pyrexia, Rash

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Haemophilus B vax Lot#-OC21132;given on 21Jun91
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Platelet count - 55100
CDC 'Split Type': WAES91020310

Write-up: 21jan91 pt vax w/ MMR + H. flu vax; 01Feb91 devel erythematous rash over trunk + arms. 02Feb91 devel fever + rash worsened which caused swelling of face. Tx w/ Benadryl + APAP. 04Feb91 fever 103F. Pt hosp + 05Feb rash turned purple.


Changed on 8/14/2018

VAERS ID: 31540 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Georgia
Vaccinated:1991-01-21
Onset:1991-02-01
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0560S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Pyrexia, Rash

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Haemophilus B vax Lot#-OC21132;given on 21Jun91
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Platelet count - 55100
CDC 'Split Type': WAES91020310

Write-up: 21jan91 pt vax w/ MMR + H. flu vax; 01Feb91 devel erythematous rash over trunk + arms. 02Feb91 devel fever + rash worsened which caused swelling of face. Tx w/ Benadryl + APAP. 04Feb91 fever 103F. Pt hosp + 05Feb rash turned purple.


Changed on 9/14/2018

VAERS ID: 31540 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Georgia
Vaccinated:1991-01-21
Onset:1991-02-01
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0560S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Pyrexia, Rash

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Haemophilus B vax Lot#-OC21132;given on 21Jun91
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Platelet count - 55100
CDC 'Split Type': WAES91020310

Write-up: 21jan91 pt vax w/ MMR + H. flu vax; 01Feb91 devel erythematous rash over trunk + arms. 02Feb91 devel fever + rash worsened which caused swelling of face. Tx w/ Benadryl + APAP. 04Feb91 fever 103F. Pt hosp + 05Feb rash turned purple.


Changed on 10/14/2018

VAERS ID: 31540 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Georgia
Vaccinated:1991-01-21
Onset:1991-02-01
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0560S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Face oedema, Pyrexia, Rash

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Haemophilus B vax Lot#-OC21132;given on 21Jun91
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Platelet count - 55100
CDC 'Split Type': WAES91020310

Write-up: 21jan91 pt vax w/ MMR + H. flu vax; 01Feb91 devel erythematous rash over trunk + arms. 02Feb91 devel fever + rash worsened which caused swelling of face. Tx w/ Benadryl + APAP. 04Feb91 fever 103F. Pt hosp + 05Feb rash turned purple.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=31540&WAYBACKHISTORY=ON


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166