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This is VAERS ID 81037

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 81037
VAERS Form:
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-09-11
Entered:1996-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: INFECT, EDEMA, PHARYNGITIS, LYMPHOCYTOSIS

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: lymph inc;
CDC 'Split Type':

Write-up: pt recvd vax; 5- 7 days later had a pos test for infectious mononucleosis & a swollen neck; sore throat;


Changed on 12/8/2009

VAERS ID: 81037 Before After
VAERS Form:
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-09-11
Entered:1996-01-24 1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Infection, Lymphocytosis, Oedema, Pharyngitis, INFECT, EDEMA, PHARYNGITIS, LYMPHOCYTOSIS

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: lymph inc;
CDC 'Split Type': (blank) 950088821

Write-up: pt recvd vax; 5- 7 days later had a pos test for infectious mononucleosis & a swollen neck; sore throat;


Changed on 5/14/2017

VAERS ID: 81037 Before After
VAERS Form:
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-09-11
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 - / -

Administered by: Other      Purchased by: Other
Symptoms: Infection, Lymphocytosis, Oedema, Pharyngitis

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: lymph inc;
CDC 'Split Type': 950088821

Write-up: pt recvd vax; 5- 7 days later had a pos test for infectious mononucleosis & a swollen neck; sore throat;


Changed on 9/14/2017

VAERS ID: 81037 Before After
VAERS Form:(blank) 1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-09-11
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Infection, Lymphocytosis, Oedema, Pharyngitis

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: lymph inc;
CDC 'Split Type': 950088821

Write-up: pt recvd vax; 5- 7 days later had a pos test for infectious mononucleosis & a swollen neck; sore throat;


Changed on 2/14/2018

VAERS ID: 81037 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-09-11
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Infection, Lymphocytosis, Oedema, Pharyngitis

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: lymph inc;
CDC 'Split Type': 950088821

Write-up: pt recvd vax; 5- 7 days later had a pos test for infectious mononucleosis & a swollen neck; sore throat;


Changed on 6/14/2018

VAERS ID: 81037 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-09-11
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Infection, Lymphocytosis, Oedema, Pharyngitis

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: lymph inc;
CDC 'Split Type': 950088821

Write-up: pt recvd vax; 5- 7 days later had a pos test for infectious mononucleosis & a swollen neck; sore throat;


Changed on 8/14/2018

VAERS ID: 81037 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-09-11
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Infection, Lymphocytosis, Oedema, Pharyngitis

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: lymph inc;
CDC 'Split Type': 950088821

Write-up: pt recvd vax; 5- 7 days later had a pos test for infectious mononucleosis & a swollen neck; sore throat;


Changed on 9/14/2018

VAERS ID: 81037 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-09-11
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Infection, Lymphocytosis, Oedema, Pharyngitis

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: lymph inc;
CDC 'Split Type': 950088821

Write-up: pt recvd vax; 5- 7 days later had a pos test for infectious mononucleosis & a swollen neck; sore throat;


Changed on 10/14/2018

VAERS ID: 81037 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-09-11
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Infection, Lymphocytosis, Oedema, Pharyngitis

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: lymph inc;
CDC 'Split Type': 950088821

Write-up: pt recvd vax; 5- 7 days later had a pos test for infectious mononucleosis & a swollen neck; sore throat;


Changed on 12/24/2020

VAERS ID: 81037 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-09-11
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Infection, Lymphocytosis, Oedema, Pharyngitis

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: lymph inc;
CDC 'Split Type': 950088821

Write-up: pt recvd vax; 5- 7 days later had a pos test for infectious mononucleosis & a swollen neck; sore throat;


Changed on 12/30/2020

VAERS ID: 81037 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-09-11
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Infection, Lymphocytosis, Oedema, Pharyngitis

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: lymph inc;
CDC 'Split Type': 950088821

Write-up: pt recvd vax; 5- 7 days later had a pos test for infectious mononucleosis & a swollen neck; sore throat;


Changed on 5/7/2021

VAERS ID: 81037 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-09-11
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Infection, Lymphocytosis, Oedema, Pharyngitis

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: lymph inc;
CDC 'Split Type': 950088821

Write-up: pt recvd vax; 5- 7 days later had a pos test for infectious mononucleosis & a swollen neck; sore throat;


Changed on 5/14/2021

VAERS ID: 81037 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-09-11
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Infection, Lymphocytosis, Oedema, Pharyngitis

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: lymph inc;
CDC 'Split Type': 950088821

Write-up: pt recvd vax; 5- 7 days later had a pos test for infectious mononucleosis & a swollen neck; sore throat;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=81037&WAYBACKHISTORY=ON


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