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This is VAERS ID 80186

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 80186
VAERS Form:
Age:11.0
Sex:Male
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-10-12
Entered:1996-01-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: RASH, URTICARIA, PRURITUS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 4 days p/vax rash, whelps-uncontrollable itching, over entire body


Changed on 12/8/2009

VAERS ID: 80186 Before After
VAERS Form:
Age:11.0
Sex:Male
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-10-12
Entered:1996-01-02 1995-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pruritus, Rash, Urticaria, RASH, URTICARIA, PRURITUS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 4 days p/vax rash, whelps-uncontrollable itching, over entire body


Changed on 5/14/2017

VAERS ID: 80186 Before After
VAERS Form:
Age:11.0
Sex:Male
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-10-12
Entered:1995-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pruritus, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 4 days p/vax rash, whelps-uncontrollable itching, over entire body


Changed on 9/14/2017

VAERS ID: 80186 Before After
VAERS Form:(blank) 1
Age:11.0
Sex:Male
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-10-12
Entered:1995-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pruritus, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 4 days p/vax rash, whelps-uncontrollable itching, over entire body


Changed on 2/14/2018

VAERS ID: 80186 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-10-12
Entered:1995-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pruritus, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 4 days p/vax rash, whelps-uncontrollable itching, over entire body


Changed on 6/14/2018

VAERS ID: 80186 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-10-12
Entered:1995-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pruritus, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 4 days p/vax rash, whelps-uncontrollable itching, over entire body


Changed on 8/14/2018

VAERS ID: 80186 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-10-12
Entered:1995-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pruritus, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 4 days p/vax rash, whelps-uncontrollable itching, over entire body


Changed on 9/14/2018

VAERS ID: 80186 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-10-12
Entered:1995-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pruritus, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 4 days p/vax rash, whelps-uncontrollable itching, over entire body


Changed on 10/14/2018

VAERS ID: 80186 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-10-12
Entered:1995-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pruritus, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 4 days p/vax rash, whelps-uncontrollable itching, over entire body


Changed on 12/24/2020

VAERS ID: 80186 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-10-12
Entered:1995-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pruritus, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 4 days p/vax rash, whelps-uncontrollable itching, over entire body


Changed on 12/30/2020

VAERS ID: 80186 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-10-12
Entered:1995-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pruritus, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 4 days p/vax rash, whelps-uncontrollable itching, over entire body


Changed on 5/7/2021

VAERS ID: 80186 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-10-12
Entered:1995-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pruritus, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 4 days p/vax rash, whelps-uncontrollable itching, over entire body


Changed on 5/14/2021

VAERS ID: 80186 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Colorado
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-10-12
Entered:1995-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pruritus, Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 4 days p/vax rash, whelps-uncontrollable itching, over entire body

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=80186&WAYBACKHISTORY=ON


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