National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 117197

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 117197
VAERS Form:
Age:28.7
Gender:Male
Location:Georgia
Vaccinated:1998-11-15
Onset:1998-11-24
Submitted:1998-12-01
Entered:1998-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX ADSORBED / MICHIGAN DPH FAV034 / 0 - / -
HEPA: UNK. HEPATITIS A / UNCLASSIFIED - / 0 - / -
TD: UNK.TD ADSORBED, ADULTS / UNCLASSIFIED - / - - / -
TYP: UNK. TYPHOID / UNCLASSIFIED - / - - / -

Administered by: Military      Purchased by: Unknown
Symptoms: CHILLS, FEVER, HEADACHE, MENINGITIS, EAR DIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec
Current Illness: NONE
Preexisting Conditions: seasonal allergies, migraines
Allergies:
Diagnostic Lab Data: cerebrospinal fluid cult negative;blood cult negative; hearing test-absent auditory reflexes & nerve damage, hearing normal
CDC 'Split Type':

Write-up: severe h/a, neck pain, meningitis;hosp x 3 days;fever 102.6, sweating & chills;


Changed on 12/8/2009

VAERS ID: 117197 Before After
VAERS Form:
Age:28.7
Gender:Male
Location:Georgia
Vaccinated:1998-11-15
Onset:1998-11-24
Submitted:1998-12-01
Entered:1998-12-10 1998-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX ADSORBED ANTHRAX (NO BRAND NAME) / MICHIGAN DPH MICHIGAN DEPT PUB HLTH FAV034 / 0 - / -
HEPA: UNK. HEPATITIS A HEP A (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / 0 - / -
TD: UNK.TD ADSORBED, ADULTS TD ADSORBED (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -
TYP: UNK. TYPHOID TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -

Administered by: Military      Purchased by: Unknown Military
Symptoms: Chills, Ear disorder, Headache, Hyperhidrosis, Meningitis, Neck pain, Pyrexia, CHILLS, FEVER, HEADACHE, MENINGITIS, EAR DIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec
Current Illness: NONE
Preexisting Conditions: seasonal allergies, migraines
Allergies:
Diagnostic Lab Data: cerebrospinal fluid cult negative;blood cult negative; hearing test-absent auditory reflexes & nerve damage, hearing normal
CDC 'Split Type':

Write-up: severe h/a, neck pain, meningitis;hosp x 3 days;fever 102.6, sweating & chills;


Changed on 2/14/2017

VAERS ID: 117197 Before After
VAERS Form:
Age:28.7 28.0
Gender:Male
Location:Georgia
Vaccinated:1998-11-15
Onset:1998-11-24
Submitted:1998-12-01
Entered:1998-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV034 / 0 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Military      Purchased by: Military
Symptoms: Chills, Ear disorder, Headache, Hyperhidrosis, Meningitis, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Zyrtec
Current Illness: NONE
Preexisting Conditions: seasonal allergies, migraines
Allergies:
Diagnostic Lab Data: cerebrospinal fluid cult negative;blood cult negative; hearing test-absent auditory reflexes & nerve damage, hearing normal
CDC 'Split Type':

Write-up: severe h/a, neck pain, meningitis;hosp x 3 days;fever 102.6, sweating & chills;


Changed on 5/14/2017

VAERS ID: 117197 Before After
VAERS Form:
Age:28.0
Gender:Male
Location:Georgia
Vaccinated:1998-11-15
Onset:1998-11-24
Submitted:1998-12-01
Entered:1998-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV034 / 0 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -

Administered by: Military      Purchased by: Military
Symptoms: Chills, Ear disorder, Headache, Hyperhidrosis, Meningitis, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zyrtec
Current Illness: NONE
Preexisting Conditions: seasonal allergies, migraines
Allergies:
Diagnostic Lab Data: cerebrospinal fluid cult negative;blood cult negative; hearing test-absent auditory reflexes & nerve damage, hearing normal
CDC 'Split Type':

Write-up: severe h/a, neck pain, meningitis;hosp x 3 days;fever 102.6, sweating & chills;


Changed on 9/14/2017

VAERS ID: 117197 Before After
VAERS Form:(blank) 1
Age:28.0
Gender:Male
Location:Georgia
Vaccinated:1998-11-15
Onset:1998-11-24
Submitted:1998-12-01
Entered:1998-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV034 / 0 1 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 1 - / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Chills, Ear disorder, Headache, Hyperhidrosis, Meningitis, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zyrtec
Current Illness: NONE
Preexisting Conditions: seasonal allergies, migraines
Allergies:
Diagnostic Lab Data: cerebrospinal fluid cult negative;blood cult negative; hearing test-absent auditory reflexes & nerve damage, hearing normal
CDC 'Split Type':

Write-up: severe h/a, neck pain, meningitis;hosp x 3 days;fever 102.6, sweating & chills;


Changed on 2/14/2018

VAERS ID: 117197 Before After
VAERS Form:1
Age:28.0
Gender:Male
Location:Georgia
Vaccinated:1998-11-15
Onset:1998-11-24
Submitted:1998-12-01
Entered:1998-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV034 / 1 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Chills, Ear disorder, Headache, Hyperhidrosis, Meningitis, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zyrtec
Current Illness: NONE
Preexisting Conditions: seasonal allergies, migraines
Allergies:
Diagnostic Lab Data: cerebrospinal fluid cult negative;blood cult negative; hearing test-absent auditory reflexes & nerve damage, hearing normal
CDC 'Split Type':

Write-up: severe h/a, neck pain, meningitis;hosp x 3 days;fever 102.6, sweating & chills;


Changed on 6/14/2018

VAERS ID: 117197 Before After
VAERS Form:1
Age:28.0
Gender:Male
Location:Georgia
Vaccinated:1998-11-15
Onset:1998-11-24
Submitted:1998-12-01
Entered:1998-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV034 / 1 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Chills, Ear disorder, Headache, Hyperhidrosis, Meningitis, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zyrtec
Current Illness: NONE
Preexisting Conditions: seasonal allergies, migraines
Allergies:
Diagnostic Lab Data: cerebrospinal fluid cult negative;blood cult negative; hearing test-absent auditory reflexes & nerve damage, hearing normal
CDC 'Split Type':

Write-up: severe h/a, neck pain, meningitis;hosp x 3 days;fever 102.6, sweating & chills;


Changed on 8/14/2018

VAERS ID: 117197 Before After
VAERS Form:1
Age:28.0
Gender:Male
Location:Georgia
Vaccinated:1998-11-15
Onset:1998-11-24
Submitted:1998-12-01
Entered:1998-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV034 / 1 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Chills, Ear disorder, Headache, Hyperhidrosis, Meningitis, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zyrtec
Current Illness: NONE
Preexisting Conditions: seasonal allergies, migraines
Allergies:
Diagnostic Lab Data: cerebrospinal fluid cult negative;blood cult negative; hearing test-absent auditory reflexes & nerve damage, hearing normal
CDC 'Split Type':

Write-up: severe h/a, neck pain, meningitis;hosp x 3 days;fever 102.6, sweating & chills;


Changed on 9/14/2018

VAERS ID: 117197 Before After
VAERS Form:1
Age:28.0
Gender:Male
Location:Georgia
Vaccinated:1998-11-15
Onset:1998-11-24
Submitted:1998-12-01
Entered:1998-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV034 / 1 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Chills, Ear disorder, Headache, Hyperhidrosis, Meningitis, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zyrtec
Current Illness: NONE
Preexisting Conditions: seasonal allergies, migraines
Allergies:
Diagnostic Lab Data: cerebrospinal fluid cult negative;blood cult negative; hearing test-absent auditory reflexes & nerve damage, hearing normal
CDC 'Split Type':

Write-up: severe h/a, neck pain, meningitis;hosp x 3 days;fever 102.6, sweating & chills;


Changed on 10/14/2018

VAERS ID: 117197 Before After
VAERS Form:1
Age:28.0
Gender:Male
Location:Georgia
Vaccinated:1998-11-15
Onset:1998-11-24
Submitted:1998-12-01
Entered:1998-12-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (NO BRAND NAME) / MICHIGAN DEPT PUB HLTH FAV034 / 1 - / -
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
TD: TD ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Military      Purchased by: Military
Symptoms: Chills, Ear disorder, Headache, Hyperhidrosis, Meningitis, Neck pain, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Zyrtec
Current Illness: NONE
Preexisting Conditions: seasonal allergies, migraines
Allergies:
Diagnostic Lab Data: cerebrospinal fluid cult negative;blood cult negative; hearing test-absent auditory reflexes & nerve damage, hearing normal
CDC 'Split Type':

Write-up: severe h/a, neck pain, meningitis;hosp x 3 days;fever 102.6, sweating & chills;

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=117197&WAYBACKHISTORY=ON


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