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This is VAERS ID 77441

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 77441
VAERS Form:
Age:74.0
Sex:Female
Location:Idaho
Vaccinated:1995-07-20
Onset:1995-07-29
Submitted:1995-08-02
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA425A6 / 0 LA / IM
OPV: ORIMUNE / LEDERLE 0712H / 2 - / PO

Administered by: Public      Purchased by: Unknown
Symptoms: HEADACHE, PAIN, ASTHENIA, NECK RIGID

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: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 29JUL95 felt very tired; 30JUL95 stiff neck, pain behind lt ear that worked around the head causing severe h/a-tolerated if laid in bed very still; 31JUL95 had sensation of wearing tight hat


Changed on 12/8/2009

VAERS ID: 77441 Before After
VAERS Form:
Age:74.0
Sex:Female
Location:Idaho
Vaccinated:1995-07-20
Onset:1995-07-29
Submitted:1995-08-02
Entered:1995-09-22 1995-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA425A6 / 0 LA / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 0712H / 2 - / PO

Administered by: Public      Purchased by: Unknown Public
Symptoms: Asthenia, Headache, Pain, Nuchal rigidity, HEADACHE, PAIN, ASTHENIA, NECK RIGID

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: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) ID95047

Write-up: 29JUL95 felt very tired; 30JUL95 stiff neck, pain behind lt ear that worked around the head causing severe h/a-tolerated if laid in bed very still; 31JUL95 had sensation of wearing tight hat


Changed on 5/14/2017

VAERS ID: 77441 Before After
VAERS Form:
Age:74.0
Sex:Female
Location:Idaho
Vaccinated:1995-07-20
Onset:1995-07-29
Submitted:1995-08-02
Entered:1995-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 0 LA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 0712H / 2 - / PO

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Headache, Pain, Nuchal rigidity

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID95047

Write-up: 29JUL95 felt very tired; 30JUL95 stiff neck, pain behind lt ear that worked around the head causing severe h/a-tolerated if laid in bed very still; 31JUL95 had sensation of wearing tight hat


Changed on 9/14/2017

VAERS ID: 77441 Before After
VAERS Form:(blank) 1
Age:74.0
Sex:Female
Location:Idaho
Vaccinated:1995-07-20
Onset:1995-07-29
Submitted:1995-08-02
Entered:1995-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 0 1 LA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0712H / 2 3 - MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Headache, Pain, Nuchal rigidity

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID95047

Write-up: 29JUL95 felt very tired; 30JUL95 stiff neck, pain behind lt ear that worked around the head causing severe h/a-tolerated if laid in bed very still; 31JUL95 had sensation of wearing tight hat


Changed on 2/14/2018

VAERS ID: 77441 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Idaho
Vaccinated:1995-07-20
Onset:1995-07-29
Submitted:1995-08-02
Entered:1995-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 LA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0712H / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Headache, Pain, Nuchal rigidity

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID95047

Write-up: 29JUL95 felt very tired; 30JUL95 stiff neck, pain behind lt ear that worked around the head causing severe h/a-tolerated if laid in bed very still; 31JUL95 had sensation of wearing tight hat


Changed on 6/14/2018

VAERS ID: 77441 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Idaho
Vaccinated:1995-07-20
Onset:1995-07-29
Submitted:1995-08-02
Entered:1995-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 LA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0712H / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Headache, Pain, Nuchal rigidity

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID95047

Write-up: 29JUL95 felt very tired; 30JUL95 stiff neck, pain behind lt ear that worked around the head causing severe h/a-tolerated if laid in bed very still; 31JUL95 had sensation of wearing tight hat


Changed on 8/14/2018

VAERS ID: 77441 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Idaho
Vaccinated:1995-07-20
Onset:1995-07-29
Submitted:1995-08-02
Entered:1995-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 LA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0712H / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Headache, Pain, Nuchal rigidity

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID95047

Write-up: 29JUL95 felt very tired; 30JUL95 stiff neck, pain behind lt ear that worked around the head causing severe h/a-tolerated if laid in bed very still; 31JUL95 had sensation of wearing tight hat


Changed on 9/14/2018

VAERS ID: 77441 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Idaho
Vaccinated:1995-07-20
Onset:1995-07-29
Submitted:1995-08-02
Entered:1995-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 LA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0712H / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Headache, Pain, Nuchal rigidity

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID95047

Write-up: 29JUL95 felt very tired; 30JUL95 stiff neck, pain behind lt ear that worked around the head causing severe h/a-tolerated if laid in bed very still; 31JUL95 had sensation of wearing tight hat


Changed on 10/14/2018

VAERS ID: 77441 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Idaho
Vaccinated:1995-07-20
Onset:1995-07-29
Submitted:1995-08-02
Entered:1995-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 LA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0712H / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Headache, Pain, Nuchal rigidity

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID95047

Write-up: 29JUL95 felt very tired; 30JUL95 stiff neck, pain behind lt ear that worked around the head causing severe h/a-tolerated if laid in bed very still; 31JUL95 had sensation of wearing tight hat


Changed on 12/24/2020

VAERS ID: 77441 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Idaho
Vaccinated:1995-07-20
Onset:1995-07-29
Submitted:1995-08-02
Entered:1995-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 LA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0712H / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Headache, Pain, Nuchal rigidity

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID95047

Write-up: 29JUL95 felt very tired; 30JUL95 stiff neck, pain behind lt ear that worked around the head causing severe h/a-tolerated if laid in bed very still; 31JUL95 had sensation of wearing tight hat


Changed on 12/30/2020

VAERS ID: 77441 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Idaho
Vaccinated:1995-07-20
Onset:1995-07-29
Submitted:1995-08-02
Entered:1995-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 LA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0712H / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Headache, Pain, Nuchal rigidity

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID95047

Write-up: 29JUL95 felt very tired; 30JUL95 stiff neck, pain behind lt ear that worked around the head causing severe h/a-tolerated if laid in bed very still; 31JUL95 had sensation of wearing tight hat


Changed on 5/7/2021

VAERS ID: 77441 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Idaho
Vaccinated:1995-07-20
Onset:1995-07-29
Submitted:1995-08-02
Entered:1995-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 LA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0712H / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Headache, Pain, Nuchal rigidity

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID95047

Write-up: 29JUL95 felt very tired; 30JUL95 stiff neck, pain behind lt ear that worked around the head causing severe h/a-tolerated if laid in bed very still; 31JUL95 had sensation of wearing tight hat


Changed on 5/21/2021

VAERS ID: 77441 Before After
VAERS Form:1
Age:74.0
Sex:Female
Location:Idaho
Vaccinated:1995-07-20
Onset:1995-07-29
Submitted:1995-08-02
Entered:1995-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA425A6 / 1 LA / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0712H / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Asthenia, Headache, Pain, Nuchal rigidity

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID95047

Write-up: 29JUL95 felt very tired; 30JUL95 stiff neck, pain behind lt ear that worked around the head causing severe h/a-tolerated if laid in bed very still; 31JUL95 had sensation of wearing tight hat

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=77441&WAYBACKHISTORY=ON


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