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This is VAERS ID 73884

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 73884
VAERS Form:
Age:26.0
Sex:Male
Location:Oregon
Vaccinated:1995-04-24
Onset:1995-04-24
Submitted:1995-04-26
Entered:1995-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA424A6 / 0 LA / IM
RAB: IMOVAX / MERIEUX INST J1155 / 2 RA / -

Administered by: Other      Purchased by: Unknown
Symptoms: FEVER, LYMPHADENO, MYALGIA, INSOMNIA, ASTHENIA

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

Write-up: 1630 on 24APR95 pt c/o sore throat, swollen glands, feeling achy all over, esp in lower back, kidney area; c/o feeling feverish; sx gradually inc from 1630 & c/o restless noc; feeling tired;


Changed on 12/8/2009

VAERS ID: 73884 Before After
VAERS Form:
Age:26.0
Sex:Male
Location:Oregon
Vaccinated:1995-04-24
Onset:1995-04-24
Submitted:1995-04-26
Entered:1995-05-09 1995-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA424A6 / 0 LA / IM
RAB: IMOVAX RABIES (IMOVAX) / MERIEUX INST PASTEUR MERIEUX INST. J1155 / 2 RA / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Asthenia, Back pain, Insomnia, Lymphadenopathy, Myalgia, Pharyngitis, Pyrexia, Renal pain, FEVER, LYMPHADENO, MYALGIA, INSOMNIA, ASTHENIA

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? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: UA WNL
CDC 'Split Type': NA (blank)

Write-up: 1630 on 24APR95 pt c/o sore throat, swollen glands, feeling achy all over, esp in lower back, kidney area; c/o feeling feverish; sx gradually inc from 1630 & c/o restless noc; feeling tired;


Changed on 5/14/2017

VAERS ID: 73884 Before After
VAERS Form:
Age:26.0
Sex:Male
Location:Oregon
Vaccinated:1995-04-24
Onset:1995-04-24
Submitted:1995-04-26
Entered:1995-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 0 LA / IM
RAB: RABIES (IMOVAX) / PASTEUR MERIEUX INST. J1155 / 2 RA / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Back pain, Insomnia, Lymphadenopathy, Myalgia, Pharyngitis, Pyrexia, Renal pain

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? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: UA WNL
CDC 'Split Type':

Write-up: 1630 on 24APR95 pt c/o sore throat, swollen glands, feeling achy all over, esp in lower back, kidney area; c/o feeling feverish; sx gradually inc from 1630 & c/o restless noc; feeling tired;


Changed on 9/14/2017

VAERS ID: 73884 Before After
VAERS Form:(blank) 1
Age:26.0
Sex:Male
Location:Oregon
Vaccinated:1995-04-24
Onset:1995-04-24
Submitted:1995-04-26
Entered:1995-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 0 1 LA / IM
RAB: RABIES (IMOVAX) / PASTEUR MERIEUX INST. J1155 / 2 3 RA / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Back pain, Insomnia, Lymphadenopathy, Myalgia, Pharyngitis, Pyrexia, Renal pain

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: UA WNL
CDC 'Split Type':

Write-up: 1630 on 24APR95 pt c/o sore throat, swollen glands, feeling achy all over, esp in lower back, kidney area; c/o feeling feverish; sx gradually inc from 1630 & c/o restless noc; feeling tired;


Changed on 2/14/2018

VAERS ID: 73884 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Oregon
Vaccinated:1995-04-24
Onset:1995-04-24
Submitted:1995-04-26
Entered:1995-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 LA / IM
RAB: RABIES (IMOVAX) / PASTEUR MERIEUX INST. J1155 / 3 RA / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Back pain, Insomnia, Lymphadenopathy, Myalgia, Pharyngitis, Pyrexia, Renal pain

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: UA WNL
CDC 'Split Type':

Write-up: 1630 on 24APR95 pt c/o sore throat, swollen glands, feeling achy all over, esp in lower back, kidney area; c/o feeling feverish; sx gradually inc from 1630 & c/o restless noc; feeling tired;


Changed on 6/14/2018

VAERS ID: 73884 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Oregon
Vaccinated:1995-04-24
Onset:1995-04-24
Submitted:1995-04-26
Entered:1995-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 LA / IM
RAB: RABIES (IMOVAX) / PASTEUR MERIEUX INST. J1155 / 3 RA / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Back pain, Insomnia, Lymphadenopathy, Myalgia, Pharyngitis, Pyrexia, Renal pain

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: UA WNL
CDC 'Split Type':

Write-up: 1630 on 24APR95 pt c/o sore throat, swollen glands, feeling achy all over, esp in lower back, kidney area; c/o feeling feverish; sx gradually inc from 1630 & c/o restless noc; feeling tired;


Changed on 8/14/2018

VAERS ID: 73884 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Oregon
Vaccinated:1995-04-24
Onset:1995-04-24
Submitted:1995-04-26
Entered:1995-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 LA / IM
RAB: RABIES (IMOVAX) / PASTEUR MERIEUX INST. J1155 / 3 RA / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Back pain, Insomnia, Lymphadenopathy, Myalgia, Pharyngitis, Pyrexia, Renal pain

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: UA WNL
CDC 'Split Type':

Write-up: 1630 on 24APR95 pt c/o sore throat, swollen glands, feeling achy all over, esp in lower back, kidney area; c/o feeling feverish; sx gradually inc from 1630 & c/o restless noc; feeling tired;


Changed on 9/14/2018

VAERS ID: 73884 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Oregon
Vaccinated:1995-04-24
Onset:1995-04-24
Submitted:1995-04-26
Entered:1995-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 LA / IM
RAB: RABIES (IMOVAX) / PASTEUR MERIEUX INST. J1155 / 3 RA / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Back pain, Insomnia, Lymphadenopathy, Myalgia, Pharyngitis, Pyrexia, Renal pain

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: UA WNL
CDC 'Split Type':

Write-up: 1630 on 24APR95 pt c/o sore throat, swollen glands, feeling achy all over, esp in lower back, kidney area; c/o feeling feverish; sx gradually inc from 1630 & c/o restless noc; feeling tired;


Changed on 10/14/2018

VAERS ID: 73884 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Oregon
Vaccinated:1995-04-24
Onset:1995-04-24
Submitted:1995-04-26
Entered:1995-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 LA / IM
RAB: RABIES (IMOVAX) / PASTEUR MERIEUX INST. J1155 / 3 RA / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Back pain, Insomnia, Lymphadenopathy, Myalgia, Pharyngitis, Pyrexia, Renal pain

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: UA WNL
CDC 'Split Type':

Write-up: 1630 on 24APR95 pt c/o sore throat, swollen glands, feeling achy all over, esp in lower back, kidney area; c/o feeling feverish; sx gradually inc from 1630 & c/o restless noc; feeling tired;


Changed on 12/24/2020

VAERS ID: 73884 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Oregon
Vaccinated:1995-04-24
Onset:1995-04-24
Submitted:1995-04-26
Entered:1995-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 LA / IM
RAB: RABIES (IMOVAX) / PASTEUR MERIEUX INST. J1155 / 3 RA / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Back pain, Insomnia, Lymphadenopathy, Myalgia, Pharyngitis, Pyrexia, Renal pain

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: UA WNL
CDC 'Split Type':

Write-up: 1630 on 24APR95 pt c/o sore throat, swollen glands, feeling achy all over, esp in lower back, kidney area; c/o feeling feverish; sx gradually inc from 1630 & c/o restless noc; feeling tired;


Changed on 12/30/2020

VAERS ID: 73884 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Oregon
Vaccinated:1995-04-24
Onset:1995-04-24
Submitted:1995-04-26
Entered:1995-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 LA / IM
RAB: RABIES (IMOVAX) / PASTEUR MERIEUX INST. J1155 / 3 RA / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Back pain, Insomnia, Lymphadenopathy, Myalgia, Pharyngitis, Pyrexia, Renal pain

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: UA WNL
CDC 'Split Type':

Write-up: 1630 on 24APR95 pt c/o sore throat, swollen glands, feeling achy all over, esp in lower back, kidney area; c/o feeling feverish; sx gradually inc from 1630 & c/o restless noc; feeling tired;


Changed on 5/7/2021

VAERS ID: 73884 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Oregon
Vaccinated:1995-04-24
Onset:1995-04-24
Submitted:1995-04-26
Entered:1995-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 LA / IM
RAB: RABIES (IMOVAX) / PASTEUR MERIEUX INST. J1155 / 3 RA / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Back pain, Insomnia, Lymphadenopathy, Myalgia, Pharyngitis, Pyrexia, Renal pain

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: UA WNL
CDC 'Split Type':

Write-up: 1630 on 24APR95 pt c/o sore throat, swollen glands, feeling achy all over, esp in lower back, kidney area; c/o feeling feverish; sx gradually inc from 1630 & c/o restless noc; feeling tired;


Changed on 5/14/2021

VAERS ID: 73884 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Oregon
Vaccinated:1995-04-24
Onset:1995-04-24
Submitted:1995-04-26
Entered:1995-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 LA / IM
RAB: RABIES (IMOVAX) / PASTEUR MERIEUX INST. J1155 / 3 RA / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Back pain, Insomnia, Lymphadenopathy, Myalgia, Pharyngitis, Pyrexia, Renal pain

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? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: UA WNL
CDC 'Split Type':

Write-up: 1630 on 24APR95 pt c/o sore throat, swollen glands, feeling achy all over, esp in lower back, kidney area; c/o feeling feverish; sx gradually inc from 1630 & c/o restless noc; feeling tired;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=73884&WAYBACKHISTORY=ON

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