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This is VAERS ID 40280

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 40280
VAERS Form:
Age:0.3
Sex:Male
Location:Massachusetts
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD - / 0 - / -
HIBV: HIBTITER / LEDERLE(PRAXIS) - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: URTICARIA

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 data;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type':

Write-up: Pt recv 1st dose of Hep B vax/HIBTITER & devel urticaria;


Changed on 12/8/2009

VAERS ID: 40280 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:Massachusetts
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-04-15 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. - / 0 - / -
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria, URTICARIA

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 data;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': (blank) WAES91031289

Write-up: Pt recv 1st dose of Hep B vax/HIBTITER & devel urticaria;


Changed on 5/14/2017

VAERS ID: 40280 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:Massachusetts
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 - / -
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

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 data;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91031289

Write-up: Pt recv 1st dose of Hep B vax/HIBTITER & devel urticaria;


Changed on 9/14/2017

VAERS ID: 40280 Before After
VAERS Form:(blank) 1
Age:0.3
Sex:Male
Location:Massachusetts
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 0 1 - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

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 data;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91031289

Write-up: Pt recv 1st dose of Hep B vax/HIBTITER & devel urticaria;


Changed on 2/14/2018

VAERS ID: 40280 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:Massachusetts
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

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 data;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91031289

Write-up: Pt recv 1st dose of Hep B vax/HIBTITER & devel urticaria;


Changed on 6/14/2018

VAERS ID: 40280 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:Massachusetts
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

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 data;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91031289

Write-up: Pt recv 1st dose of Hep B vax/HIBTITER & devel urticaria;


Changed on 8/14/2018

VAERS ID: 40280 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:Massachusetts
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

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 data;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91031289

Write-up: Pt recv 1st dose of Hep B vax/HIBTITER & devel urticaria;


Changed on 9/14/2018

VAERS ID: 40280 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:Massachusetts
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

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 data;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91031289

Write-up: Pt recv 1st dose of Hep B vax/HIBTITER & devel urticaria;


Changed on 10/14/2018

VAERS ID: 40280 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:Massachusetts
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / 1 - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Urticaria

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 data;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91031289

Write-up: Pt recv 1st dose of Hep B vax/HIBTITER & devel urticaria;

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