National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 73464

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 73464
VAERS Form:
Age:48.3
Sex:Female
Location:Illinois
Vaccinated:1995-04-13
Onset:1995-04-13
Submitted:1995-04-18
Entered:1995-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA424A6 / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: DIZZINESS, HEADACHE, PALLOR, DIARRHEA, HYPERTENS

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN & shellfish
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recvd vax 13APR95 1115AM & 15-20mins later could taste it describing it as a bitter taste;asked if has any tightness in throat or SOB; stated felt lightheaded & looked pale; observed 10 mins; BP 174/90; exp diarrhea & h/a


Changed on 12/8/2009

VAERS ID: 73464 Before After
VAERS Form:
Age:48.3 48.0
Sex:Female
Location:Illinois
Vaccinated:1995-04-13
Onset:1995-04-13
Submitted:1995-04-18
Entered:1995-04-28 1995-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA424A6 424A6 / - LA / IM

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Diarrhoea, Dizziness, Dysgeusia, Headache, Hypertension, Pallor, DIZZINESS, HEADACHE, PALLOR, DIARRHEA, HYPERTENS

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN & shellfish
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recvd vax 13APR95 1115AM & 15-20mins later could taste it describing it as a bitter taste;asked if has any tightness in throat or SOB; stated felt lightheaded & looked pale; observed 10 mins; BP 174/90; exp diarrhea & h/a


Changed on 5/14/2017

VAERS ID: 73464 Before After
VAERS Form:
Age:48.0
Sex:Female
Location:Illinois
Vaccinated:1995-04-13
Onset:1995-04-13
Submitted:1995-04-18
Entered:1995-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 424A6 / - LA / IM

Administered by: Unknown Private      Purchased by: Unknown Private
Symptoms: Diarrhoea, Dizziness, Dysgeusia, Headache, Hypertension, Pallor

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN & shellfish
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recvd vax 13APR95 1115AM & 15-20mins later could taste it describing it as a bitter taste;asked if has any tightness in throat or SOB; stated felt lightheaded & looked pale; observed 10 mins; BP 174/90; exp diarrhea & h/a


Changed on 9/14/2017

VAERS ID: 73464 Before After
VAERS Form:(blank) 1
Age:48.0
Sex:Female
Location:Illinois
Vaccinated:1995-04-13
Onset:1995-04-13
Submitted:1995-04-18
Entered:1995-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 424A6 / - UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dysgeusia, Headache, Hypertension, Pallor

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN & shellfish
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recvd vax 13APR95 1115AM & 15-20mins later could taste it describing it as a bitter taste;asked if has any tightness in throat or SOB; stated felt lightheaded & looked pale; observed 10 mins; BP 174/90; exp diarrhea & h/a


Changed on 2/14/2018

VAERS ID: 73464 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Illinois
Vaccinated:1995-04-13
Onset:1995-04-13
Submitted:1995-04-18
Entered:1995-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 424A6 / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dysgeusia, Headache, Hypertension, Pallor

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN & shellfish
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recvd vax 13APR95 1115AM & 15-20mins later could taste it describing it as a bitter taste;asked if has any tightness in throat or SOB; stated felt lightheaded & looked pale; observed 10 mins; BP 174/90; exp diarrhea & h/a


Changed on 6/14/2018

VAERS ID: 73464 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Illinois
Vaccinated:1995-04-13
Onset:1995-04-13
Submitted:1995-04-18
Entered:1995-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 424A6 / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dysgeusia, Headache, Hypertension, Pallor

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN & shellfish
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recvd vax 13APR95 1115AM & 15-20mins later could taste it describing it as a bitter taste;asked if has any tightness in throat or SOB; stated felt lightheaded & looked pale; observed 10 mins; BP 174/90; exp diarrhea & h/a


Changed on 8/14/2018

VAERS ID: 73464 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Illinois
Vaccinated:1995-04-13
Onset:1995-04-13
Submitted:1995-04-18
Entered:1995-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 424A6 / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dysgeusia, Headache, Hypertension, Pallor

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN & shellfish
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recvd vax 13APR95 1115AM & 15-20mins later could taste it describing it as a bitter taste;asked if has any tightness in throat or SOB; stated felt lightheaded & looked pale; observed 10 mins; BP 174/90; exp diarrhea & h/a


Changed on 9/14/2018

VAERS ID: 73464 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Illinois
Vaccinated:1995-04-13
Onset:1995-04-13
Submitted:1995-04-18
Entered:1995-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 424A6 / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dysgeusia, Headache, Hypertension, Pallor

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN & shellfish
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recvd vax 13APR95 1115AM & 15-20mins later could taste it describing it as a bitter taste;asked if has any tightness in throat or SOB; stated felt lightheaded & looked pale; observed 10 mins; BP 174/90; exp diarrhea & h/a


Changed on 10/14/2018

VAERS ID: 73464 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Illinois
Vaccinated:1995-04-13
Onset:1995-04-13
Submitted:1995-04-18
Entered:1995-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 424A6 / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dysgeusia, Headache, Hypertension, Pallor

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN & shellfish
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recvd vax 13APR95 1115AM & 15-20mins later could taste it describing it as a bitter taste;asked if has any tightness in throat or SOB; stated felt lightheaded & looked pale; observed 10 mins; BP 174/90; exp diarrhea & h/a


Changed on 12/24/2020

VAERS ID: 73464 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Illinois
Vaccinated:1995-04-13
Onset:1995-04-13
Submitted:1995-04-18
Entered:1995-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 424A6 / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dysgeusia, Headache, Hypertension, Pallor

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN & shellfish
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recvd vax 13APR95 1115AM & 15-20mins later could taste it describing it as a bitter taste;asked if has any tightness in throat or SOB; stated felt lightheaded & looked pale; observed 10 mins; BP 174/90; exp diarrhea & h/a


Changed on 12/30/2020

VAERS ID: 73464 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Illinois
Vaccinated:1995-04-13
Onset:1995-04-13
Submitted:1995-04-18
Entered:1995-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 424A6 / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dysgeusia, Headache, Hypertension, Pallor

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN & shellfish
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recvd vax 13APR95 1115AM & 15-20mins later could taste it describing it as a bitter taste;asked if has any tightness in throat or SOB; stated felt lightheaded & looked pale; observed 10 mins; BP 174/90; exp diarrhea & h/a


Changed on 5/7/2021

VAERS ID: 73464 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Illinois
Vaccinated:1995-04-13
Onset:1995-04-13
Submitted:1995-04-18
Entered:1995-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 424A6 / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dysgeusia, Headache, Hypertension, Pallor

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN & shellfish
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recvd vax 13APR95 1115AM & 15-20mins later could taste it describing it as a bitter taste;asked if has any tightness in throat or SOB; stated felt lightheaded & looked pale; observed 10 mins; BP 174/90; exp diarrhea & h/a


Changed on 5/14/2021

VAERS ID: 73464 Before After
VAERS Form:1
Age:48.0
Sex:Female
Location:Illinois
Vaccinated:1995-04-13
Onset:1995-04-13
Submitted:1995-04-18
Entered:1995-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 424A6 / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Diarrhoea, Dizziness, Dysgeusia, Headache, Hypertension, Pallor

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: PCN & shellfish
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recvd vax 13APR95 1115AM & 15-20mins later could taste it describing it as a bitter taste;asked if has any tightness in throat or SOB; stated felt lightheaded & looked pale; observed 10 mins; BP 174/90; exp diarrhea & h/a

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=73464&WAYBACKHISTORY=ON

Government Disclaimer on use of this data


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