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This is VAERS ID 81035

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 81035
VAERS Form:
Age:66.0
Sex:Female
Location:Texas
Vaccinated:1995-08-23
Onset:1995-08-26
Submitted:1995-12-06
Entered:1996-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE - / 0 A / IM

Administered by: Other      Purchased by: Unknown
Symptoms: 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:
Current Illness:
Preexisting Conditions: breast cancer surgeries, elev sugar, pacemaker
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax & began to feel achy 3 days p/ vax;


Changed on 12/8/2009

VAERS ID: 81035 Before After
VAERS Form:
Age:66.0
Sex:Female
Location:Texas
Vaccinated:1995-08-23
Onset:1995-08-26
Submitted:1995-12-06
Entered:1996-01-24 1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM - / 0 A / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Pain, 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:
Current Illness:
Preexisting Conditions: breast cancer surgeries, elev sugar, pacemaker
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 950088131

Write-up: pt recvd vax & began to feel achy 3 days p/ vax;


Changed on 5/14/2017

VAERS ID: 81035 Before After
VAERS Form:
Age:66.0
Sex:Female
Location:Texas
Vaccinated:1995-08-23
Onset:1995-08-26
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 A - / IM IM A

Administered by: Other      Purchased by: Other
Symptoms: 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:
Current Illness:
Preexisting Conditions: breast cancer surgeries, elev sugar, pacemaker
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950088131

Write-up: pt recvd vax & began to feel achy 3 days p/ vax;


Changed on 9/14/2017

VAERS ID: 81035 Before After
VAERS Form:(blank) 1
Age:66.0
Sex:Female
Location:Texas
Vaccinated:1995-08-23
Onset:1995-08-26
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: 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:
Current Illness:
Preexisting Conditions: breast cancer surgeries, elev sugar, pacemaker
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950088131

Write-up: pt recvd vax & began to feel achy 3 days p/ vax;


Changed on 2/14/2018

VAERS ID: 81035 Before After
VAERS Form:1
Age:66.0
Sex:Female
Location:Texas
Vaccinated:1995-08-23
Onset:1995-08-26
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: 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:
Current Illness:
Preexisting Conditions: breast cancer surgeries, elev sugar, pacemaker
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950088131

Write-up: pt recvd vax & began to feel achy 3 days p/ vax;


Changed on 6/14/2018

VAERS ID: 81035 Before After
VAERS Form:1
Age:66.0
Sex:Female
Location:Texas
Vaccinated:1995-08-23
Onset:1995-08-26
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: 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:
Current Illness:
Preexisting Conditions: breast cancer surgeries, elev sugar, pacemaker
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950088131

Write-up: pt recvd vax & began to feel achy 3 days p/ vax;


Changed on 8/14/2018

VAERS ID: 81035 Before After
VAERS Form:1
Age:66.0
Sex:Female
Location:Texas
Vaccinated:1995-08-23
Onset:1995-08-26
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: 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:
Current Illness:
Preexisting Conditions: breast cancer surgeries, elev sugar, pacemaker
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950088131

Write-up: pt recvd vax & began to feel achy 3 days p/ vax;


Changed on 9/14/2018

VAERS ID: 81035 Before After
VAERS Form:1
Age:66.0
Sex:Female
Location:Texas
Vaccinated:1995-08-23
Onset:1995-08-26
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: 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:
Current Illness:
Preexisting Conditions: breast cancer surgeries, elev sugar, pacemaker
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950088131

Write-up: pt recvd vax & began to feel achy 3 days p/ vax;


Changed on 10/14/2018

VAERS ID: 81035 Before After
VAERS Form:1
Age:66.0
Sex:Female
Location:Texas
Vaccinated:1995-08-23
Onset:1995-08-26
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: 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:
Current Illness:
Preexisting Conditions: breast cancer surgeries, elev sugar, pacemaker
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950088131

Write-up: pt recvd vax & began to feel achy 3 days p/ vax;


Changed on 12/24/2020

VAERS ID: 81035 Before After
VAERS Form:1
Age:66.0
Sex:Female
Location:Texas
Vaccinated:1995-08-23
Onset:1995-08-26
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: 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:
Current Illness:
Preexisting Conditions: breast cancer surgeries, elev sugar, pacemaker
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950088131

Write-up: pt recvd vax & began to feel achy 3 days p/ vax;


Changed on 12/30/2020

VAERS ID: 81035 Before After
VAERS Form:1
Age:66.0
Sex:Female
Location:Texas
Vaccinated:1995-08-23
Onset:1995-08-26
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: 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:
Current Illness:
Preexisting Conditions: breast cancer surgeries, elev sugar, pacemaker
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950088131

Write-up: pt recvd vax & began to feel achy 3 days p/ vax;


Changed on 5/7/2021

VAERS ID: 81035 Before After
VAERS Form:1
Age:66.0
Sex:Female
Location:Texas
Vaccinated:1995-08-23
Onset:1995-08-26
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: 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:
Current Illness:
Preexisting Conditions: breast cancer surgeries, elev sugar, pacemaker
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950088131

Write-up: pt recvd vax & began to feel achy 3 days p/ vax;


Changed on 5/14/2021

VAERS ID: 81035 Before After
VAERS Form:1
Age:66.0
Sex:Female
Location:Texas
Vaccinated:1995-08-23
Onset:1995-08-26
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Other      Purchased by: Other
Symptoms: 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:
Current Illness:
Preexisting Conditions: breast cancer surgeries, elev sugar, pacemaker
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950088131

Write-up: pt recvd vax & began to feel achy 3 days p/ vax;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=81035&WAYBACKHISTORY=ON


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