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This is VAERS ID 40448

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 40448
VAERS Form:
Age:0.8
Sex:Female
Location:Massachusetts
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD - / - - / -
HIBV: HIBTITER / LEDERLE(PRAXIS) - / - - / -

Administered by: Other      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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Skin test-HIBTITER pos; Skin test-Hep B vax neg;
CDC 'Split Type':

Write-up: Pt recvd 3 doses of Hep B vax & 24 hrs p/vax pt devel urticaria; skin testing was neg for Hep B vax & pos for HIBTITER;

Changed on 12/8/2009

VAERS ID: 40448 Before After
VAERS Form:
Age:0.8
Sex:Female
Location:Massachusetts
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1992-04-21 1992-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. - / - - / -
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS - / - - / -

Administered by: Other      Purchased by: Unknown Other
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Skin test-HIBTITER pos; Skin test-Hep B vax neg;
CDC 'Split Type': (blank) WAES91061146

Write-up: Pt recvd 3 doses of Hep B vax & 24 hrs p/vax pt devel urticaria; skin testing was neg for Hep B vax & pos for HIBTITER;

Changed on 5/14/2017

VAERS ID: 40448 Before After
VAERS Form:
Age:0.8
Sex:Female
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. - / - - / -
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH - / - - / -

Administered by: Other      Purchased by: Other
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Skin test-HIBTITER pos; Skin test-Hep B vax neg;
CDC 'Split Type': WAES91061146

Write-up: Pt recvd 3 doses of Hep B vax & 24 hrs p/vax pt devel urticaria; skin testing was neg for Hep B vax & pos for HIBTITER;

Changed on 9/14/2017

VAERS ID: 40448 Before After
VAERS Form:(blank) 1
Age:0.8
Sex:Female
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. - / - UNK - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / - UNK - / -

Administered by: Other      Purchased by: Other
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Skin test-HIBTITER pos; Skin test-Hep B vax neg;
CDC 'Split Type': WAES91061146

Write-up: Pt recvd 3 doses of Hep B vax & 24 hrs p/vax pt devel urticaria; skin testing was neg for Hep B vax & pos for HIBTITER;

Changed on 2/14/2018

VAERS ID: 40448 Before After
VAERS Form:1
Age:0.8
Sex:Female
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. - / UNK - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Skin test-HIBTITER pos; Skin test-Hep B vax neg;
CDC 'Split Type': WAES91061146

Write-up: Pt recvd 3 doses of Hep B vax & 24 hrs p/vax pt devel urticaria; skin testing was neg for Hep B vax & pos for HIBTITER;

Changed on 6/14/2018

VAERS ID: 40448 Before After
VAERS Form:1
Age:0.8
Sex:Female
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. - / UNK - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Skin test-HIBTITER pos; Skin test-Hep B vax neg;
CDC 'Split Type': WAES91061146

Write-up: Pt recvd 3 doses of Hep B vax & 24 hrs p/vax pt devel urticaria; skin testing was neg for Hep B vax & pos for HIBTITER;

Changed on 8/14/2018

VAERS ID: 40448 Before After
VAERS Form:1
Age:0.8
Sex:Female
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. - / UNK - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Skin test-HIBTITER pos; Skin test-Hep B vax neg;
CDC 'Split Type': WAES91061146

Write-up: Pt recvd 3 doses of Hep B vax & 24 hrs p/vax pt devel urticaria; skin testing was neg for Hep B vax & pos for HIBTITER;

Changed on 9/14/2018

VAERS ID: 40448 Before After
VAERS Form:1
Age:0.8
Sex:Female
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. - / UNK - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Skin test-HIBTITER pos; Skin test-Hep B vax neg;
CDC 'Split Type': WAES91061146

Write-up: Pt recvd 3 doses of Hep B vax & 24 hrs p/vax pt devel urticaria; skin testing was neg for Hep B vax & pos for HIBTITER;

Changed on 10/14/2018

VAERS ID: 40448 Before After
VAERS Form:1
Age:0.8
Sex:Female
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. - / UNK - / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH - / UNK - / -

Administered by: Other      Purchased by: Other
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Skin test-HIBTITER pos; Skin test-Hep B vax neg;
CDC 'Split Type': WAES91061146

Write-up: Pt recvd 3 doses of Hep B vax & 24 hrs p/vax pt devel urticaria; skin testing was neg for Hep B vax & pos for HIBTITER;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=40448&WAYBACKHISTORY=ON


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