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This is VAERS ID 25488

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25488
VAERS Form:
Age:26.0
Sex:Male
Location:Texas
Vaccinated:1990-05-10
Onset:1990-05-10
Submitted:0000-00-00
Entered:1990-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 48049/1884R / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: DIZZINESS, MYALGIA, CONFUS, AMBLYOPIA, EXTRASYSTOLES BIGEM

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? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy to penicillin, hx of PVC''s
Allergies:
Diagnostic Lab Data: Holter moniter- pretreatment, no adv. Dysrhythmias
CDC 'Split Type':

Write-up: Pt vaccinated /w 1st dose of Recombivax, developed dizziness, blurred vision, jitteriness, sweating, myalia, vomiting, nause, vertigo, disorientation & pain in eye. Exam revealed Pt''s fundi & intraocular pressure WNL. Pt hospitalized.


Changed on 12/30/2006

VAERS ID: 25488 Before After
VAERS Form:
Age:26.0
Sex:Male
Location:Texas
Vaccinated:1990-05-10
Onset:1990-05-10
Submitted:0000-00-00
Entered:1990-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 48049/1884R / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: DIZZINESS, MYALGIA, CONFUS, AMBLYOPIA, EXTRASYSTOLES BIGEM

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? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy to penicillin, hx of PVC''s
Allergies:
Diagnostic Lab Data: Holter moniter- pretreatment, no adv. Dysrhythmias
CDC 'Split Type':

Write-up: Pt vaccinated /w 1st dose of Recombivax, developed dizziness, blurred vision, jitteriness, sweating, myalia, vomiting, nause, vertigo, disorientation & pain in eye. Exam revealed Pt''s Pt''''s fundi & intraocular pressure WNL. Pt hospitalized.


Changed on 12/8/2009

VAERS ID: 25488 Before After
VAERS Form:
Age:26.0
Sex:Male
Location:Texas
Vaccinated:1990-05-10
Onset:1990-05-10
Submitted:0000-00-00
Entered:1990-07-18 1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 48049/1884R / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Amblyopia, Confusional state, Dizziness, Extrasystoles, Eye pain, Hyperhidrosis, Myalgia, Nausea, Nervousness, Vertigo, Vomiting, DIZZINESS, MYALGIA, CONFUS, AMBLYOPIA, EXTRASYSTOLES BIGEM

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? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: allergy to penicillin, hx of PVC''s
Allergies:
Diagnostic Lab Data: Holter moniter- pretreatment, no adv. Dysrhythmias
CDC 'Split Type': (blank) WAES90050424

Write-up: Pt vaccinated /w 1st dose of Recombivax, developed dizziness, blurred vision, jitteriness, sweating, myalia, vomiting, nause, vertigo, disorientation & pain in eye. Exam revealed Pt''''s Pt''s fundi & intraocular pressure WNL. Pt hospitalized.


Changed on 5/14/2017

VAERS ID: 25488 Before After
VAERS Form:
Age:26.0
Sex:Male
Location:Texas
Vaccinated:1990-05-10
Onset:1990-05-10
Submitted:0000-00-00
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 48049/1884R / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Amblyopia, Confusional state, Dizziness, Extrasystoles, Eye pain, Hyperhidrosis, Myalgia, Nausea, Nervousness, Vertigo, Vomiting

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergy to penicillin, hx of PVC''s
Allergies:
Diagnostic Lab Data: Holter moniter- pretreatment, no adv. Dysrhythmias
CDC 'Split Type': WAES90050424

Write-up: Pt vaccinated /w 1st dose of Recombivax, developed dizziness, blurred vision, jitteriness, sweating, myalia, vomiting, nause, vertigo, disorientation & pain in eye. Exam revealed Pt''s fundi & intraocular pressure WNL. Pt hospitalized.


Changed on 9/14/2017

VAERS ID: 25488 Before After
VAERS Form:(blank) 1
Age:26.0
Sex:Male
Location:Texas
Vaccinated:1990-05-10
Onset:1990-05-10
Submitted:0000-00-00
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 48049/1884R / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Amblyopia, Confusional state, Dizziness, Extrasystoles, Eye pain, Hyperhidrosis, Myalgia, Nausea, Nervousness, Vertigo, Vomiting

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergy to penicillin, hx of PVC''s
Allergies:
Diagnostic Lab Data: Holter moniter- pretreatment, no adv. Dysrhythmias
CDC 'Split Type': WAES90050424

Write-up: Pt vaccinated /w 1st dose of Recombivax, developed dizziness, blurred vision, jitteriness, sweating, myalia, vomiting, nause, vertigo, disorientation & pain in eye. Exam revealed Pt''s fundi & intraocular pressure WNL. Pt hospitalized.


Changed on 2/14/2018

VAERS ID: 25488 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Texas
Vaccinated:1990-05-10
Onset:1990-05-10
Submitted:0000-00-00
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 48049/1884R / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Amblyopia, Confusional state, Dizziness, Extrasystoles, Eye pain, Hyperhidrosis, Myalgia, Nausea, Nervousness, Vertigo, Vomiting

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergy to penicillin, hx of PVC''s
Allergies:
Diagnostic Lab Data: Holter moniter- pretreatment, no adv. Dysrhythmias
CDC 'Split Type': WAES90050424

Write-up: Pt vaccinated /w 1st dose of Recombivax, developed dizziness, blurred vision, jitteriness, sweating, myalia, vomiting, nause, vertigo, disorientation & pain in eye. Exam revealed Pt''s fundi & intraocular pressure WNL. Pt hospitalized.


Changed on 6/14/2018

VAERS ID: 25488 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Texas
Vaccinated:1990-05-10
Onset:1990-05-10
Submitted:0000-00-00
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 48049/1884R / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Amblyopia, Confusional state, Dizziness, Extrasystoles, Eye pain, Hyperhidrosis, Myalgia, Nausea, Nervousness, Vertigo, Vomiting

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergy to penicillin, hx of PVC''s
Allergies:
Diagnostic Lab Data: Holter moniter- pretreatment, no adv. Dysrhythmias
CDC 'Split Type': WAES90050424

Write-up: Pt vaccinated /w 1st dose of Recombivax, developed dizziness, blurred vision, jitteriness, sweating, myalia, vomiting, nause, vertigo, disorientation & pain in eye. Exam revealed Pt''s fundi & intraocular pressure WNL. Pt hospitalized.


Changed on 8/14/2018

VAERS ID: 25488 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Texas
Vaccinated:1990-05-10
Onset:1990-05-10
Submitted:0000-00-00
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 48049/1884R / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Amblyopia, Confusional state, Dizziness, Extrasystoles, Eye pain, Hyperhidrosis, Myalgia, Nausea, Nervousness, Vertigo, Vomiting

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergy to penicillin, hx of PVC''s
Allergies:
Diagnostic Lab Data: Holter moniter- pretreatment, no adv. Dysrhythmias
CDC 'Split Type': WAES90050424

Write-up: Pt vaccinated /w 1st dose of Recombivax, developed dizziness, blurred vision, jitteriness, sweating, myalia, vomiting, nause, vertigo, disorientation & pain in eye. Exam revealed Pt''s fundi & intraocular pressure WNL. Pt hospitalized.


Changed on 9/14/2018

VAERS ID: 25488 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Texas
Vaccinated:1990-05-10
Onset:1990-05-10
Submitted:0000-00-00
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 48049/1884R / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Amblyopia, Confusional state, Dizziness, Extrasystoles, Eye pain, Hyperhidrosis, Myalgia, Nausea, Nervousness, Vertigo, Vomiting

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergy to penicillin, hx of PVC''s
Allergies:
Diagnostic Lab Data: Holter moniter- pretreatment, no adv. Dysrhythmias
CDC 'Split Type': WAES90050424

Write-up: Pt vaccinated /w 1st dose of Recombivax, developed dizziness, blurred vision, jitteriness, sweating, myalia, vomiting, nause, vertigo, disorientation & pain in eye. Exam revealed Pt''s fundi & intraocular pressure WNL. Pt hospitalized.


Changed on 10/14/2018

VAERS ID: 25488 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Texas
Vaccinated:1990-05-10
Onset:1990-05-10
Submitted:0000-00-00
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 48049/1884R / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Amblyopia, Confusional state, Dizziness, Extrasystoles, Eye pain, Hyperhidrosis, Myalgia, Nausea, Nervousness, Vertigo, Vomiting

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? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: allergy to penicillin, hx of PVC''s
Allergies:
Diagnostic Lab Data: Holter moniter- pretreatment, no adv. Dysrhythmias
CDC 'Split Type': WAES90050424

Write-up: Pt vaccinated /w 1st dose of Recombivax, developed dizziness, blurred vision, jitteriness, sweating, myalia, vomiting, nause, vertigo, disorientation & pain in eye. Exam revealed Pt''s fundi & intraocular pressure WNL. Pt hospitalized.

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