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This is VAERS ID 73622

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 73622
VAERS Form:
Age:36.0
Sex:Female
Location:Virginia
Vaccinated:1995-04-18
Onset:1995-04-18
Submitted:1995-04-25
Entered:1995-05-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA425A6 / 0 - / IM
JEV: JEV / CONNAUGHT LABS EJN095 / 0 L / SC

Administered by: Military      Purchased by: Unknown
Symptoms: EDEMA INJECT SITE, FEVER, NAUSEA, HYSN INJECT SITE, DIARRHEA

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: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;


Changed on 12/8/2009

VAERS ID: 73622 Before After
VAERS Form:
Age:36.0
Sex:Female
Location:Virginia
Vaccinated:1995-04-18
Onset:1995-04-18
Submitted:1995-04-25
Entered:1995-05-04 1995-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA425A6 / 0 - / IM
JEV: JEV JAPANESE ENCEPHALITIS (J-VAX) / CONNAUGHT LABS CONNAUGHT LABORATORIES EJN095 / 0 L / SC

Administered by: Military      Purchased by: Unknown Military
Symptoms: Diarrhoea, Injection site hypersensitivity, Injection site oedema, Nausea, Pyrexia, Vomiting, EDEMA INJECT SITE, FEVER, NAUSEA, HYSN INJECT SITE, DIARRHEA

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: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;


Changed on 5/14/2017

VAERS ID: 73622 Before After
VAERS Form:
Age:36.0
Sex:Female
Location:Virginia
Vaccinated:1995-04-18
Onset:1995-04-18
Submitted:1995-04-25
Entered:1995-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 0 - / IM
JEV: JAPANESE ENCEPHALITIS (J-VAX) / CONNAUGHT LABORATORIES EJN095 / 0 L - / SC SC L

Administered by: Military      Purchased by: Military
Symptoms: Diarrhoea, Injection site hypersensitivity, Injection site oedema, Nausea, Pyrexia, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;


Changed on 9/14/2017

VAERS ID: 73622 Before After
VAERS Form:(blank) 1
Age:36.0
Sex:Female
Location:Virginia
Vaccinated:1995-04-18
Onset:1995-04-18
Submitted:1995-04-25
Entered:1995-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 0 1 - / IM
JEV: JAPANESE ENCEPHALITIS (J-VAX) / CONNAUGHT LABORATORIES EJN095 / 0 1 - / SC L

Administered by: Military      Purchased by: Military
Symptoms: Diarrhoea, Injection site hypersensitivity, Injection site oedema, Nausea, Pyrexia, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;


Changed on 2/14/2018

VAERS ID: 73622 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Virginia
Vaccinated:1995-04-18
Onset:1995-04-18
Submitted:1995-04-25
Entered:1995-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 - / IM
JEV: JAPANESE ENCEPHALITIS (J-VAX) / CONNAUGHT LABORATORIES EJN095 / 1 - / SC L

Administered by: Military      Purchased by: Military
Symptoms: Diarrhoea, Injection site hypersensitivity, Injection site oedema, Nausea, Pyrexia, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;


Changed on 6/14/2018

VAERS ID: 73622 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Virginia
Vaccinated:1995-04-18
Onset:1995-04-18
Submitted:1995-04-25
Entered:1995-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 - / IM
JEV: JAPANESE ENCEPHALITIS (J-VAX) / CONNAUGHT LABORATORIES EJN095 / 1 - / SC L

Administered by: Military      Purchased by: Military
Symptoms: Diarrhoea, Injection site hypersensitivity, Injection site oedema, Nausea, Pyrexia, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;


Changed on 8/14/2018

VAERS ID: 73622 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Virginia
Vaccinated:1995-04-18
Onset:1995-04-18
Submitted:1995-04-25
Entered:1995-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 - / IM
JEV: JAPANESE ENCEPHALITIS (J-VAX) / CONNAUGHT LABORATORIES EJN095 / 1 - / SC L

Administered by: Military      Purchased by: Military
Symptoms: Diarrhoea, Injection site hypersensitivity, Injection site oedema, Nausea, Pyrexia, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;


Changed on 9/14/2018

VAERS ID: 73622 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Virginia
Vaccinated:1995-04-18
Onset:1995-04-18
Submitted:1995-04-25
Entered:1995-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 - / IM
JEV: JAPANESE ENCEPHALITIS (J-VAX) / CONNAUGHT LABORATORIES EJN095 / 1 - / SC L

Administered by: Military      Purchased by: Military
Symptoms: Diarrhoea, Injection site hypersensitivity, Injection site oedema, Nausea, Pyrexia, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;


Changed on 10/14/2018

VAERS ID: 73622 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Virginia
Vaccinated:1995-04-18
Onset:1995-04-18
Submitted:1995-04-25
Entered:1995-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 - / IM
JEV: JAPANESE ENCEPHALITIS (J-VAX) / CONNAUGHT LABORATORIES EJN095 / 1 - / SC L

Administered by: Military      Purchased by: Military
Symptoms: Diarrhoea, Injection site hypersensitivity, Injection site oedema, Nausea, Pyrexia, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;


Changed on 12/10/2020

VAERS ID: 73622 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Virginia D.C.
Vaccinated:1995-04-18
Onset:1995-04-18
Submitted:1995-04-25
Entered:1995-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 - / IM
JEV: JAPANESE ENCEPHALITIS (J-VAX) / CONNAUGHT LABORATORIES EJN095 / 1 - / SC L

Administered by: Military      Purchased by: Military
Symptoms: Diarrhoea, Injection site hypersensitivity, Injection site oedema, Nausea, Pyrexia, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;


Changed on 12/24/2020

VAERS ID: 73622 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:D.C.
Vaccinated:1995-04-18
Onset:1995-04-18
Submitted:1995-04-25
Entered:1995-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 - / IM
JEV: JAPANESE ENCEPHALITIS (J-VAX) / CONNAUGHT LABORATORIES EJN095 / 1 - / SC L

Administered by: Military      Purchased by: Military
Symptoms: Diarrhoea, Injection site hypersensitivity, Injection site oedema, Nausea, Pyrexia, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;


Changed on 12/30/2020

VAERS ID: 73622 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:D.C.
Vaccinated:1995-04-18
Onset:1995-04-18
Submitted:1995-04-25
Entered:1995-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 - / IM
JEV: JAPANESE ENCEPHALITIS (J-VAX) / CONNAUGHT LABORATORIES EJN095 / 1 - / SC L

Administered by: Military      Purchased by: Military
Symptoms: Diarrhoea, Injection site hypersensitivity, Injection site oedema, Nausea, Pyrexia, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;


Changed on 5/7/2021

VAERS ID: 73622 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:D.C.
Vaccinated:1995-04-18
Onset:1995-04-18
Submitted:1995-04-25
Entered:1995-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 - / IM
JEV: JAPANESE ENCEPHALITIS (J-VAX) / CONNAUGHT LABORATORIES EJN095 / 1 - / SC L

Administered by: Military      Purchased by: Military
Symptoms: Diarrhoea, Injection site hypersensitivity, Injection site oedema, Nausea, Pyrexia, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;


Changed on 5/14/2021

VAERS ID: 73622 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:D.C.
Vaccinated:1995-04-18
Onset:1995-04-18
Submitted:1995-04-25
Entered:1995-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 - / IM
JEV: JAPANESE ENCEPHALITIS (J-VAX) / CONNAUGHT LABORATORIES EJN095 / 1 - / SC L

Administered by: Military      Purchased by: Military
Symptoms: Diarrhoea, Injection site hypersensitivity, Injection site oedema, Nausea, Pyrexia, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: pt recvd Recombivax 2FEB95 & 4MAR95;
Current Illness: NONE
Preexisting Conditions: hayfever
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: pt recv vax 18APR95; sx started 12hr later-edema/redness @ inj of JE site; nausea & vomiting 12 hr later w/diarrhea & low grade temp, lasting 48-72hr;

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