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This is VAERS ID 80025

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 80025
VAERS Form:
Age:20.8
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1995-1996 / WYETH 4958140 / 0 A / IM
HEPA: HAVRIX / SMITHKLINE VHA440A6 / 0 A / IM

Administered by: Other      Purchased by: Unknown
Symptoms: DIZZINESS, HEADACHE

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

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;


Changed on 12/8/2009

VAERS ID: 80025 Before After
VAERS Form:
Age:20.8
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-19 1995-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUSHIELD 1995-1996 INFLUENZA (SEASONAL) (FLUSHIELD 95-96) / WYETH WYETH PHARMACEUTICALS, INC 4958140 / 0 A / IM
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA440A6 / 0 A / IM

Administered by: Other      Purchased by: Unknown Private
Symptoms: Dizziness, Headache, DIZZINESS, HEADACHE

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: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': NONE (blank)

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;


Changed on 8/31/2010

VAERS ID: 80025 Before After
VAERS Form:
Age:20.8
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 95-96) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4958140 / 0 A / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 0 A / IM

Administered by: Other      Purchased by: Private
Symptoms: Dizziness, Headache

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

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;


Changed on 7/7/2013

VAERS ID: 80025 Before After
VAERS Form:
Age:20.8
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958140 / 0 A / IM
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958140 / 0 A / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 0 A / IM

Administered by: Other      Purchased by: Private
Symptoms: Dizziness, Headache

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

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;


Changed on 2/14/2017

VAERS ID: 80025 Before After
VAERS Form:
Age:20.8 20.0
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958140 / 0 A / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 0 A / IM

Administered by: Other      Purchased by: Private
Symptoms: Dizziness, Headache

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

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;


Changed on 5/14/2017

VAERS ID: 80025 Before After
VAERS Form:
Age:20.0
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958140 / 0 A - / IM IM A
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 0 A - / IM IM A

Administered by: Other      Purchased by: Private
Symptoms: Dizziness, Headache

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: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;


Changed on 9/14/2017

VAERS ID: 80025 Before After
VAERS Form:(blank) 1
Age:20.0
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958140 / 0 1 - / IM A
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 0 1 - / IM A

Administered by: Other      Purchased by: Private
Symptoms: Dizziness, Headache

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;


Changed on 2/14/2018

VAERS ID: 80025 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958140 / 1 - / IM A
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 1 - / IM A

Administered by: Other      Purchased by: Private
Symptoms: Dizziness, Headache

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;


Changed on 6/14/2018

VAERS ID: 80025 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958140 / 1 - / IM A
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 1 - / IM A

Administered by: Other      Purchased by: Private
Symptoms: Dizziness, Headache

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;


Changed on 8/14/2018

VAERS ID: 80025 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958140 / 1 - / IM A
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 1 - / IM A

Administered by: Other      Purchased by: Private
Symptoms: Dizziness, Headache

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;


Changed on 9/14/2018

VAERS ID: 80025 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958140 / 1 - / IM A
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 1 - / IM A

Administered by: Other      Purchased by: Private
Symptoms: Dizziness, Headache

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;


Changed on 10/14/2018

VAERS ID: 80025 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958140 / 1 - / IM A
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 1 - / IM A

Administered by: Other      Purchased by: Private
Symptoms: Dizziness, Headache

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;


Changed on 12/24/2020

VAERS ID: 80025 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958140 / 1 - / IM A
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 1 - / IM A

Administered by: Other      Purchased by: Private
Symptoms: Dizziness, Headache

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;


Changed on 12/30/2020

VAERS ID: 80025 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958140 / 1 - / IM A
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 1 - / IM A

Administered by: Other      Purchased by: Private
Symptoms: Dizziness, Headache

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;


Changed on 5/7/2021

VAERS ID: 80025 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958140 / 1 - / IM A
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 1 - / IM A

Administered by: Other      Purchased by: Private
Symptoms: Dizziness, Headache

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;


Changed on 5/14/2021

VAERS ID: 80025 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Virginia
Vaccinated:1995-11-16
Onset:1995-11-17
Submitted:1995-11-30
Entered:1995-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958140 / 1 - / IM A
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA440A6 / 1 - / IM A

Administered by: Other      Purchased by: Private
Symptoms: Dizziness, Headache

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 17NOV95 severe h/a lessening on 18NOV95 & 19NOV95 & 19NOV95-20NOV95 dizziness;sxs gone 20NOV95;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=80025&WAYBACKHISTORY=ON


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