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This is VAERS ID 81015

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 81015
VAERS Form:
Age:40.0
Sex:Unknown
Location:South Carolina
Vaccinated:1995-05-04
Onset:0000-00-00
Submitted:1995-07-27
Entered:1996-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA424A6 / 0 A / IM

Administered by: Private      Purchased by: Unknown
Symptoms: HYPOKINESIA, REACT AGGRAV

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: mult sclerosis;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax;pt MS signs & sxs worsened p/ vax; 1 wk later exp mild inability to ambulate; sxs peaked around 19jun95 & have slowly improved;series of vax discontinued


Changed on 12/8/2009

VAERS ID: 81015 Before After
VAERS Form:
Age:40.0
Sex:Unknown
Location:South Carolina
Vaccinated:1995-05-04
Onset:0000-00-00
Submitted:1995-07-27
Entered:1996-01-24 1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA424A6 / 0 A / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Condition aggravated, Hypokinesia, HYPOKINESIA, REACT AGGRAV

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: mult sclerosis;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 950049161

Write-up: pt recvd vax;pt MS signs & sxs worsened p/ vax; 1 wk later exp mild inability to ambulate; sxs peaked around 19jun95 & have slowly improved;series of vax discontinued


Changed on 5/14/2017

VAERS ID: 81015 Before After
VAERS Form:
Age:40.0
Sex:Unknown
Location:South Carolina
Vaccinated:1995-05-04
Onset:0000-00-00
Submitted:1995-07-27
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 0 A - / IM IM A

Administered by: Private      Purchased by: Private
Symptoms: Condition aggravated, Hypokinesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: mult sclerosis;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950049161

Write-up: pt recvd vax;pt MS signs & sxs worsened p/ vax; 1 wk later exp mild inability to ambulate; sxs peaked around 19jun95 & have slowly improved;series of vax discontinued


Changed on 9/14/2017

VAERS ID: 81015 Before After
VAERS Form:(blank) 1
Age:40.0
Sex:Unknown
Location:South Carolina
Vaccinated:1995-05-04
Onset:0000-00-00
Submitted:1995-07-27
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 0 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Condition aggravated, Hypokinesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: mult sclerosis;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950049161

Write-up: pt recvd vax;pt MS signs & sxs worsened p/ vax; 1 wk later exp mild inability to ambulate; sxs peaked around 19jun95 & have slowly improved;series of vax discontinued


Changed on 2/14/2018

VAERS ID: 81015 Before After
VAERS Form:1
Age:40.0
Sex:Unknown
Location:South Carolina
Vaccinated:1995-05-04
Onset:0000-00-00
Submitted:1995-07-27
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Condition aggravated, Hypokinesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: mult sclerosis;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950049161

Write-up: pt recvd vax;pt MS signs & sxs worsened p/ vax; 1 wk later exp mild inability to ambulate; sxs peaked around 19jun95 & have slowly improved;series of vax discontinued


Changed on 6/14/2018

VAERS ID: 81015 Before After
VAERS Form:1
Age:40.0
Sex:Unknown
Location:South Carolina
Vaccinated:1995-05-04
Onset:0000-00-00
Submitted:1995-07-27
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Condition aggravated, Hypokinesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: mult sclerosis;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950049161

Write-up: pt recvd vax;pt MS signs & sxs worsened p/ vax; 1 wk later exp mild inability to ambulate; sxs peaked around 19jun95 & have slowly improved;series of vax discontinued


Changed on 8/14/2018

VAERS ID: 81015 Before After
VAERS Form:1
Age:40.0
Sex:Unknown
Location:South Carolina
Vaccinated:1995-05-04
Onset:0000-00-00
Submitted:1995-07-27
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Condition aggravated, Hypokinesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: mult sclerosis;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950049161

Write-up: pt recvd vax;pt MS signs & sxs worsened p/ vax; 1 wk later exp mild inability to ambulate; sxs peaked around 19jun95 & have slowly improved;series of vax discontinued


Changed on 9/14/2018

VAERS ID: 81015 Before After
VAERS Form:1
Age:40.0
Sex:Unknown
Location:South Carolina
Vaccinated:1995-05-04
Onset:0000-00-00
Submitted:1995-07-27
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Condition aggravated, Hypokinesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: mult sclerosis;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950049161

Write-up: pt recvd vax;pt MS signs & sxs worsened p/ vax; 1 wk later exp mild inability to ambulate; sxs peaked around 19jun95 & have slowly improved;series of vax discontinued


Changed on 10/14/2018

VAERS ID: 81015 Before After
VAERS Form:1
Age:40.0
Sex:Unknown
Location:South Carolina
Vaccinated:1995-05-04
Onset:0000-00-00
Submitted:1995-07-27
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Condition aggravated, Hypokinesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: mult sclerosis;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950049161

Write-up: pt recvd vax;pt MS signs & sxs worsened p/ vax; 1 wk later exp mild inability to ambulate; sxs peaked around 19jun95 & have slowly improved;series of vax discontinued


Changed on 12/24/2020

VAERS ID: 81015 Before After
VAERS Form:1
Age:40.0
Sex:Unknown
Location:South Carolina
Vaccinated:1995-05-04
Onset:0000-00-00
Submitted:1995-07-27
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Condition aggravated, Hypokinesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: mult sclerosis;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950049161

Write-up: pt recvd vax;pt MS signs & sxs worsened p/ vax; 1 wk later exp mild inability to ambulate; sxs peaked around 19jun95 & have slowly improved;series of vax discontinued


Changed on 12/30/2020

VAERS ID: 81015 Before After
VAERS Form:1
Age:40.0
Sex:Unknown
Location:South Carolina
Vaccinated:1995-05-04
Onset:0000-00-00
Submitted:1995-07-27
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Condition aggravated, Hypokinesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: mult sclerosis;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950049161

Write-up: pt recvd vax;pt MS signs & sxs worsened p/ vax; 1 wk later exp mild inability to ambulate; sxs peaked around 19jun95 & have slowly improved;series of vax discontinued


Changed on 5/7/2021

VAERS ID: 81015 Before After
VAERS Form:1
Age:40.0
Sex:Unknown
Location:South Carolina
Vaccinated:1995-05-04
Onset:0000-00-00
Submitted:1995-07-27
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Condition aggravated, Hypokinesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: mult sclerosis;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950049161

Write-up: pt recvd vax;pt MS signs & sxs worsened p/ vax; 1 wk later exp mild inability to ambulate; sxs peaked around 19jun95 & have slowly improved;series of vax discontinued


Changed on 5/14/2021

VAERS ID: 81015 Before After
VAERS Form:1
Age:40.0
Sex:Unknown
Location:South Carolina
Vaccinated:1995-05-04
Onset:0000-00-00
Submitted:1995-07-27
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA424A6 / 1 - / IM A

Administered by: Private      Purchased by: Private
Symptoms: Condition aggravated, Hypokinesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: mult sclerosis;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950049161

Write-up: pt recvd vax;pt MS signs & sxs worsened p/ vax; 1 wk later exp mild inability to ambulate; sxs peaked around 19jun95 & have slowly improved;series of vax discontinued

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=81015&WAYBACKHISTORY=ON


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