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This is VAERS ID 80693

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 80693
VAERS Form:
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:1995-11-04
Onset:1995-11-04
Submitted:1995-12-18
Entered:1996-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1995-1996 PASTEUR MERIEUX CONNAUGHT / CONNAUGHT LABS 5J61010 / 0 - / IM
HEPA: HAVRIX / SMITHKLINE VHA436A6 / 0 - / IM

Administered by: Military      Purchased by: Unknown
Symptoms: VOMIT, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: lichen planus-pulse dose pred
Allergies:
Diagnostic Lab Data: finished pulse dose pred 1 day prior for lichen planus
CDC 'Split Type':

Write-up: emesis x 1 10 mins p/vax start of h/a mins later;h/a described as rt sided sinus h/a not sharp or dull, constant w/some throbbing; neg assoc photophobia;started to resolve p/30 mins


Changed on 12/8/2009

VAERS ID: 80693 Before After
VAERS Form:
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:1995-11-04
Onset:1995-11-04
Submitted:1995-12-18
Entered:1996-01-05 1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: FLUZONE 1995-1996 PASTEUR MERIEUX CONNAUGHT INFLUENZA (SEASONAL) (FLUZONE 95-96) / CONNAUGHT LABS CONNAUGHT LABORATORIES 5J61010 / 0 - / IM
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA436A6 / 0 - / IM

Administered by: Military      Purchased by: Unknown Military
Symptoms: Headache, Vomiting, VOMIT, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: lichen planus-pulse dose pred
Allergies:
Diagnostic Lab Data: finished pulse dose pred 1 day prior for lichen planus
CDC 'Split Type':

Write-up: emesis x 1 10 mins p/vax start of h/a mins later;h/a described as rt sided sinus h/a not sharp or dull, constant w/some throbbing; neg assoc photophobia;started to resolve p/30 mins


Changed on 8/31/2010

VAERS ID: 80693 Before After
VAERS Form:
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:1995-11-04
Onset:1995-11-04
Submitted:1995-12-18
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE 95-96) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5J61010 / 0 - / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 0 - / IM

Administered by: Military      Purchased by: Military
Symptoms: Headache, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: lichen planus-pulse dose pred
Allergies:
Diagnostic Lab Data: finished pulse dose pred 1 day prior for lichen planus
CDC 'Split Type':

Write-up: emesis x 1 10 mins p/vax start of h/a mins later;h/a described as rt sided sinus h/a not sharp or dull, constant w/some throbbing; neg assoc photophobia;started to resolve p/30 mins


Changed on 7/7/2013

VAERS ID: 80693 Before After
VAERS Form:
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:1995-11-04
Onset:1995-11-04
Submitted:1995-12-18
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5J61010 / 0 - / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5J61010 / 0 - / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 0 - / IM

Administered by: Military      Purchased by: Military
Symptoms: Headache, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: lichen planus-pulse dose pred
Allergies:
Diagnostic Lab Data: finished pulse dose pred 1 day prior for lichen planus
CDC 'Split Type':

Write-up: emesis x 1 10 mins p/vax start of h/a mins later;h/a described as rt sided sinus h/a not sharp or dull, constant w/some throbbing; neg assoc photophobia;started to resolve p/30 mins


Changed on 9/14/2017

VAERS ID: 80693 Before After
VAERS Form:(blank) 1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:1995-11-04
Onset:1995-11-04
Submitted:1995-12-18
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5J61010 / 0 1 - / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 0 1 - / IM

Administered by: Military      Purchased by: Military
Symptoms: Headache, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: lichen planus-pulse dose pred
Allergies:
Diagnostic Lab Data: finished pulse dose pred 1 day prior for lichen planus
CDC 'Split Type':

Write-up: emesis x 1 10 mins p/vax start of h/a mins later;h/a described as rt sided sinus h/a not sharp or dull, constant w/some throbbing; neg assoc photophobia;started to resolve p/30 mins


Changed on 2/14/2018

VAERS ID: 80693 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:1995-11-04
Onset:1995-11-04
Submitted:1995-12-18
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5J61010 / 1 - / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Military      Purchased by: Military
Symptoms: Headache, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: lichen planus-pulse dose pred
Allergies:
Diagnostic Lab Data: finished pulse dose pred 1 day prior for lichen planus
CDC 'Split Type':

Write-up: emesis x 1 10 mins p/vax start of h/a mins later;h/a described as rt sided sinus h/a not sharp or dull, constant w/some throbbing; neg assoc photophobia;started to resolve p/30 mins


Changed on 6/14/2018

VAERS ID: 80693 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:1995-11-04
Onset:1995-11-04
Submitted:1995-12-18
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5J61010 / 1 - / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Military      Purchased by: Military
Symptoms: Headache, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: lichen planus-pulse dose pred
Allergies:
Diagnostic Lab Data: finished pulse dose pred 1 day prior for lichen planus
CDC 'Split Type':

Write-up: emesis x 1 10 mins p/vax start of h/a mins later;h/a described as rt sided sinus h/a not sharp or dull, constant w/some throbbing; neg assoc photophobia;started to resolve p/30 mins


Changed on 8/14/2018

VAERS ID: 80693 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:1995-11-04
Onset:1995-11-04
Submitted:1995-12-18
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5J61010 / 1 - / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Military      Purchased by: Military
Symptoms: Headache, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: lichen planus-pulse dose pred
Allergies:
Diagnostic Lab Data: finished pulse dose pred 1 day prior for lichen planus
CDC 'Split Type':

Write-up: emesis x 1 10 mins p/vax start of h/a mins later;h/a described as rt sided sinus h/a not sharp or dull, constant w/some throbbing; neg assoc photophobia;started to resolve p/30 mins


Changed on 9/14/2018

VAERS ID: 80693 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:1995-11-04
Onset:1995-11-04
Submitted:1995-12-18
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5J61010 / 1 - / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Military      Purchased by: Military
Symptoms: Headache, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: lichen planus-pulse dose pred
Allergies:
Diagnostic Lab Data: finished pulse dose pred 1 day prior for lichen planus
CDC 'Split Type':

Write-up: emesis x 1 10 mins p/vax start of h/a mins later;h/a described as rt sided sinus h/a not sharp or dull, constant w/some throbbing; neg assoc photophobia;started to resolve p/30 mins


Changed on 10/14/2018

VAERS ID: 80693 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:1995-11-04
Onset:1995-11-04
Submitted:1995-12-18
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5J61010 / 1 - / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Military      Purchased by: Military
Symptoms: Headache, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: lichen planus-pulse dose pred
Allergies:
Diagnostic Lab Data: finished pulse dose pred 1 day prior for lichen planus
CDC 'Split Type':

Write-up: emesis x 1 10 mins p/vax start of h/a mins later;h/a described as rt sided sinus h/a not sharp or dull, constant w/some throbbing; neg assoc photophobia;started to resolve p/30 mins


Changed on 12/24/2020

VAERS ID: 80693 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:1995-11-04
Onset:1995-11-04
Submitted:1995-12-18
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5J61010 / 1 - / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Military      Purchased by: Military
Symptoms: Headache, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: lichen planus-pulse dose pred
Allergies:
Diagnostic Lab Data: finished pulse dose pred 1 day prior for lichen planus
CDC 'Split Type':

Write-up: emesis x 1 10 mins p/vax start of h/a mins later;h/a described as rt sided sinus h/a not sharp or dull, constant w/some throbbing; neg assoc photophobia;started to resolve p/30 mins


Changed on 12/30/2020

VAERS ID: 80693 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:1995-11-04
Onset:1995-11-04
Submitted:1995-12-18
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5J61010 / 1 - / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Military      Purchased by: Military
Symptoms: Headache, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: lichen planus-pulse dose pred
Allergies:
Diagnostic Lab Data: finished pulse dose pred 1 day prior for lichen planus
CDC 'Split Type':

Write-up: emesis x 1 10 mins p/vax start of h/a mins later;h/a described as rt sided sinus h/a not sharp or dull, constant w/some throbbing; neg assoc photophobia;started to resolve p/30 mins


Changed on 5/7/2021

VAERS ID: 80693 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:1995-11-04
Onset:1995-11-04
Submitted:1995-12-18
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5J61010 / 1 - / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Military      Purchased by: Military
Symptoms: Headache, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: lichen planus-pulse dose pred
Allergies:
Diagnostic Lab Data: finished pulse dose pred 1 day prior for lichen planus
CDC 'Split Type':

Write-up: emesis x 1 10 mins p/vax start of h/a mins later;h/a described as rt sided sinus h/a not sharp or dull, constant w/some throbbing; neg assoc photophobia;started to resolve p/30 mins


Changed on 5/14/2021

VAERS ID: 80693 Before After
VAERS Form:1
Age:26.0
Sex:Male
Location:Unknown
Vaccinated:1995-11-04
Onset:1995-11-04
Submitted:1995-12-18
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 5J61010 / 1 - / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Military      Purchased by: Military
Symptoms: Headache, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: lichen planus-pulse dose pred
Allergies:
Diagnostic Lab Data: finished pulse dose pred 1 day prior for lichen planus
CDC 'Split Type':

Write-up: emesis x 1 10 mins p/vax start of h/a mins later;h/a described as rt sided sinus h/a not sharp or dull, constant w/some throbbing; neg assoc photophobia;started to resolve p/30 mins

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