National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 222102

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2004

VAERS ID: 222102
VAERS Form:
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:2004-05-03
Onset:0000-00-00
Submitted:2004-05-21
Entered:2004-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE HAB239A4 / 0 LA / IM
TYP: TYPHOID (TYPHIM VI) / AVENTIS PASTEUR, X0521 / 0 LA / IM
YF: YELLOW FEVER (YF-VAX) / AVENTIS PASTEUR, UE128AA / 0 - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: ILEITIS

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: 6MP/ BCP
Current Illness: Crohn''s
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Yellow fever titer ordered/CBC (patient not done yet).
CDC 'Split Type':

Write-up: Given yellow fever on 6 mp- for Crohn''''s (mercaptopurine). Patient has remained healthy.


Changed on 12/8/2009

VAERS ID: 222102 Before After
VAERS Form:
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:2004-05-03
Onset:0000-00-00
Submitted:2004-05-21
Entered:2004-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE GLAXOSMITHKLINE BIOLOGICALS HAB239A4 / 0 LA / IM
TYP: TYPHOID (TYPHIM VI) TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / AVENTIS PASTEUR, AVENTIS PASTEUR X0521 / 0 LA / IM
YF: YELLOW FEVER (YF-VAX) YELLOW FEVER (YF-VAX) / AVENTIS PASTEUR, AVENTIS PASTEUR UE128AA / 0 - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crohn's disease, ILEITIS

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: 6MP/ BCP
Current Illness: Crohn''s
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Yellow fever titer ordered/CBC (patient not done yet).
CDC 'Split Type':

Write-up: Given yellow fever on 6 mp- for Crohn''''s Crohn''s (mercaptopurine). Patient has remained healthy.


Changed on 5/14/2017

VAERS ID: 222102 Before After
VAERS Form:
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:2004-05-03
Onset:0000-00-00
Submitted:2004-05-21
Entered:2004-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS HAB239A4 / 0 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / AVENTIS PASTEUR SANOFI PASTEUR X0521 / 0 LA / IM
YF: YELLOW FEVER (YF-VAX) / AVENTIS PASTEUR SANOFI PASTEUR UE128AA / 0 - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crohn's disease

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: 6MP/ BCP
Current Illness: Crohn''s
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Yellow fever titer ordered/CBC (patient not done yet).
CDC 'Split Type':

Write-up: Given yellow fever on 6 mp- for Crohn''s (mercaptopurine). Patient has remained healthy.


Changed on 9/14/2017

VAERS ID: 222102 Before After
VAERS Form:(blank) 1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:2004-05-03
Onset:0000-00-00
Submitted:2004-05-21
Entered:2004-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS HAB239A4 / 0 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR X0521 / 0 1 LA / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UE128AA / 0 1 - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crohn's disease

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: 6MP/ BCP
Current Illness: Crohn''s
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Yellow fever titer ordered/CBC (patient not done yet).
CDC 'Split Type':

Write-up: Given yellow fever on 6 mp- for Crohn''s (mercaptopurine). Patient has remained healthy.


Changed on 2/14/2018

VAERS ID: 222102 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:2004-05-03
Onset:0000-00-00
Submitted:2004-05-21
Entered:2004-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS HAB239A4 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR X0521 / 1 LA / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UE128AA / 1 - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crohn's disease

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: 6MP/ BCP
Current Illness: Crohn''s
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Yellow fever titer ordered/CBC (patient not done yet).
CDC 'Split Type':

Write-up: Given yellow fever on 6 mp- for Crohn''s (mercaptopurine). Patient has remained healthy.


Changed on 6/14/2018

VAERS ID: 222102 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:2004-05-03
Onset:0000-00-00
Submitted:2004-05-21
Entered:2004-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS HAB239A4 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR X0521 / 1 LA / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UE128AA / 1 - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crohn's disease

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: 6MP/ BCP
Current Illness: Crohn''s
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Yellow fever titer ordered/CBC (patient not done yet).
CDC 'Split Type':

Write-up: Given yellow fever on 6 mp- for Crohn''s (mercaptopurine). Patient has remained healthy.


Changed on 8/14/2018

VAERS ID: 222102 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:2004-05-03
Onset:0000-00-00
Submitted:2004-05-21
Entered:2004-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS HAB239A4 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR X0521 / 1 LA / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UE128AA / 1 - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crohn's disease

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: 6MP/ BCP
Current Illness: Crohn''s
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Yellow fever titer ordered/CBC (patient not done yet).
CDC 'Split Type':

Write-up: Given yellow fever on 6 mp- for Crohn''s (mercaptopurine). Patient has remained healthy.


Changed on 9/14/2018

VAERS ID: 222102 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:2004-05-03
Onset:0000-00-00
Submitted:2004-05-21
Entered:2004-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS HAB239A4 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR X0521 / 1 LA / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UE128AA / 1 - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crohn's disease

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: 6MP/ BCP
Current Illness: Crohn''s
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Yellow fever titer ordered/CBC (patient not done yet).
CDC 'Split Type':

Write-up: Given yellow fever on 6 mp- for Crohn''s (mercaptopurine). Patient has remained healthy.


Changed on 10/14/2018

VAERS ID: 222102 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:2004-05-03
Onset:0000-00-00
Submitted:2004-05-21
Entered:2004-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS HAB239A4 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR X0521 / 1 LA / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UE128AA / 1 - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crohn's disease

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: 6MP/ BCP
Current Illness: Crohn''s
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Yellow fever titer ordered/CBC (patient not done yet).
CDC 'Split Type':

Write-up: Given yellow fever on 6 mp- for Crohn''s (mercaptopurine). Patient has remained healthy.


Changed on 12/24/2020

VAERS ID: 222102 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:2004-05-03
Onset:0000-00-00
Submitted:2004-05-21
Entered:2004-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS HAB239A4 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR X0521 / 1 LA / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UE128AA / 1 - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crohn's disease

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: 6MP/ BCP
Current Illness: Crohn''s
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Yellow fever titer ordered/CBC (patient not done yet).
CDC 'Split Type':

Write-up: Given yellow fever on 6 mp- for Crohn''s (mercaptopurine). Patient has remained healthy.


Changed on 12/30/2020

VAERS ID: 222102 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:2004-05-03
Onset:0000-00-00
Submitted:2004-05-21
Entered:2004-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS HAB239A4 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR X0521 / 1 LA / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UE128AA / 1 - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crohn's disease

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: 6MP/ BCP
Current Illness: Crohn''s
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Yellow fever titer ordered/CBC (patient not done yet).
CDC 'Split Type':

Write-up: Given yellow fever on 6 mp- for Crohn''s (mercaptopurine). Patient has remained healthy.


Changed on 5/7/2021

VAERS ID: 222102 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:2004-05-03
Onset:0000-00-00
Submitted:2004-05-21
Entered:2004-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS HAB239A4 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR X0521 / 1 LA / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UE128AA / 1 - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crohn's disease

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: 6MP/ BCP
Current Illness: Crohn''s
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Yellow fever titer ordered/CBC (patient not done yet).
CDC 'Split Type':

Write-up: Given yellow fever on 6 mp- for Crohn''s (mercaptopurine). Patient has remained healthy.


Changed on 5/14/2021

VAERS ID: 222102 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Illinois
Vaccinated:2004-05-03
Onset:0000-00-00
Submitted:2004-05-21
Entered:2004-05-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPAB: HEP A + HEP B (TWINRIX) / GLAXOSMITHKLINE BIOLOGICALS HAB239A4 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR X0521 / 1 LA / IM
YF: YELLOW FEVER (YF-VAX) / SANOFI PASTEUR UE128AA / 1 - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Crohn's disease

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: 6MP/ BCP
Current Illness: Crohn''s
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Yellow fever titer ordered/CBC (patient not done yet).
CDC 'Split Type':

Write-up: Given yellow fever on 6 mp- for Crohn''s (mercaptopurine). Patient has remained healthy.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=222102&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166