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This is VAERS ID 81019

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 81019
VAERS Form:
Age:65.0
Sex:Female
Location:New York
Vaccinated:1995-06-16
Onset:1995-06-18
Submitted:1995-06-23
Entered:1996-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA424A6 / 0 A / IM

Administered by: Private      Purchased by: Unknown
Symptoms: ARTHRALGIA, INSOMNIA, PAIN

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: premarin, synthroid
Current Illness:
Preexisting Conditions: hypothyroidism, thyroid nodule
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; 18jun95 began to exp aches in both knees; pain caused insomnia;no swelling or limitation walking; the knee pain was relieved by asa;


Changed on 12/8/2009

VAERS ID: 81019 Before After
VAERS Form:
Age:65.0
Sex:Female
Location:New York
Vaccinated:1995-06-16
Onset:1995-06-18
Submitted:1995-06-23
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: Arthralgia, Insomnia, Pain, ARTHRALGIA, INSOMNIA, PAIN

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: premarin, synthroid
Current Illness:
Preexisting Conditions: hypothyroidism, thyroid nodule
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 950057351

Write-up: pt recvd vax; 18jun95 began to exp aches in both knees; pain caused insomnia;no swelling or limitation walking; the knee pain was relieved by asa;


Changed on 5/14/2017

VAERS ID: 81019 Before After
VAERS Form:
Age:65.0
Sex:Female
Location:New York
Vaccinated:1995-06-16
Onset:1995-06-18
Submitted:1995-06-23
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: Arthralgia, Insomnia, Pain

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: premarin, synthroid
Current Illness:
Preexisting Conditions: hypothyroidism, thyroid nodule
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950057351

Write-up: pt recvd vax; 18jun95 began to exp aches in both knees; pain caused insomnia;no swelling or limitation walking; the knee pain was relieved by asa;


Changed on 9/14/2017

VAERS ID: 81019 Before After
VAERS Form:(blank) 1
Age:65.0
Sex:Female
Location:New York
Vaccinated:1995-06-16
Onset:1995-06-18
Submitted:1995-06-23
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: Arthralgia, Insomnia, Pain

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: premarin, synthroid
Current Illness:
Preexisting Conditions: hypothyroidism, thyroid nodule
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950057351

Write-up: pt recvd vax; 18jun95 began to exp aches in both knees; pain caused insomnia;no swelling or limitation walking; the knee pain was relieved by asa;


Changed on 2/14/2018

VAERS ID: 81019 Before After
VAERS Form:1
Age:65.0
Sex:Female
Location:New York
Vaccinated:1995-06-16
Onset:1995-06-18
Submitted:1995-06-23
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: Arthralgia, Insomnia, Pain

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: premarin, synthroid
Current Illness:
Preexisting Conditions: hypothyroidism, thyroid nodule
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950057351

Write-up: pt recvd vax; 18jun95 began to exp aches in both knees; pain caused insomnia;no swelling or limitation walking; the knee pain was relieved by asa;


Changed on 6/14/2018

VAERS ID: 81019 Before After
VAERS Form:1
Age:65.0
Sex:Female
Location:New York
Vaccinated:1995-06-16
Onset:1995-06-18
Submitted:1995-06-23
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: Arthralgia, Insomnia, Pain

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: premarin, synthroid
Current Illness:
Preexisting Conditions: hypothyroidism, thyroid nodule
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950057351

Write-up: pt recvd vax; 18jun95 began to exp aches in both knees; pain caused insomnia;no swelling or limitation walking; the knee pain was relieved by asa;


Changed on 8/14/2018

VAERS ID: 81019 Before After
VAERS Form:1
Age:65.0
Sex:Female
Location:New York
Vaccinated:1995-06-16
Onset:1995-06-18
Submitted:1995-06-23
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: Arthralgia, Insomnia, Pain

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: premarin, synthroid
Current Illness:
Preexisting Conditions: hypothyroidism, thyroid nodule
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950057351

Write-up: pt recvd vax; 18jun95 began to exp aches in both knees; pain caused insomnia;no swelling or limitation walking; the knee pain was relieved by asa;


Changed on 9/14/2018

VAERS ID: 81019 Before After
VAERS Form:1
Age:65.0
Sex:Female
Location:New York
Vaccinated:1995-06-16
Onset:1995-06-18
Submitted:1995-06-23
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: Arthralgia, Insomnia, Pain

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: premarin, synthroid
Current Illness:
Preexisting Conditions: hypothyroidism, thyroid nodule
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950057351

Write-up: pt recvd vax; 18jun95 began to exp aches in both knees; pain caused insomnia;no swelling or limitation walking; the knee pain was relieved by asa;


Changed on 10/14/2018

VAERS ID: 81019 Before After
VAERS Form:1
Age:65.0
Sex:Female
Location:New York
Vaccinated:1995-06-16
Onset:1995-06-18
Submitted:1995-06-23
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: Arthralgia, Insomnia, Pain

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: premarin, synthroid
Current Illness:
Preexisting Conditions: hypothyroidism, thyroid nodule
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950057351

Write-up: pt recvd vax; 18jun95 began to exp aches in both knees; pain caused insomnia;no swelling or limitation walking; the knee pain was relieved by asa;


Changed on 12/24/2020

VAERS ID: 81019 Before After
VAERS Form:1
Age:65.0
Sex:Female
Location:New York
Vaccinated:1995-06-16
Onset:1995-06-18
Submitted:1995-06-23
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: Arthralgia, Insomnia, Pain

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: premarin, synthroid
Current Illness:
Preexisting Conditions: hypothyroidism, thyroid nodule
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950057351

Write-up: pt recvd vax; 18jun95 began to exp aches in both knees; pain caused insomnia;no swelling or limitation walking; the knee pain was relieved by asa;


Changed on 12/30/2020

VAERS ID: 81019 Before After
VAERS Form:1
Age:65.0
Sex:Female
Location:New York
Vaccinated:1995-06-16
Onset:1995-06-18
Submitted:1995-06-23
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: Arthralgia, Insomnia, Pain

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: premarin, synthroid
Current Illness:
Preexisting Conditions: hypothyroidism, thyroid nodule
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950057351

Write-up: pt recvd vax; 18jun95 began to exp aches in both knees; pain caused insomnia;no swelling or limitation walking; the knee pain was relieved by asa;


Changed on 5/7/2021

VAERS ID: 81019 Before After
VAERS Form:1
Age:65.0
Sex:Female
Location:New York
Vaccinated:1995-06-16
Onset:1995-06-18
Submitted:1995-06-23
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: Arthralgia, Insomnia, Pain

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: premarin, synthroid
Current Illness:
Preexisting Conditions: hypothyroidism, thyroid nodule
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950057351

Write-up: pt recvd vax; 18jun95 began to exp aches in both knees; pain caused insomnia;no swelling or limitation walking; the knee pain was relieved by asa;


Changed on 5/14/2021

VAERS ID: 81019 Before After
VAERS Form:1
Age:65.0
Sex:Female
Location:New York
Vaccinated:1995-06-16
Onset:1995-06-18
Submitted:1995-06-23
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: Arthralgia, Insomnia, Pain

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: premarin, synthroid
Current Illness:
Preexisting Conditions: hypothyroidism, thyroid nodule
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950057351

Write-up: pt recvd vax; 18jun95 began to exp aches in both knees; pain caused insomnia;no swelling or limitation walking; the knee pain was relieved by asa;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=81019&WAYBACKHISTORY=ON


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