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This is VAERS ID 81038

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 81038
VAERS Form:
Age:75.0
Sex:Female
Location:Pennsylvania
Vaccinated:1995-06-22
Onset:1995-07-01
Submitted:1995-09-12
Entered:1996-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE - / 0 LA / IM
TTOX: UNK. TETANUS TOX / UNCLASSIFIED - / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: SWEAT

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: cortef,spranox, premarin, maxzide,elderpryl, progesterone
Current Illness:
Preexisting Conditions: arthritis, chronic fatigue synd, fibromyalgia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; 9 days later exp sweating; to er;


Changed on 12/8/2009

VAERS ID: 81038 Before After
VAERS Form:
Age:75.0
Sex:Female
Location:Pennsylvania
Vaccinated:1995-06-22
Onset:1995-07-01
Submitted:1995-09-12
Entered:1996-01-24 1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM - / 0 LA / IM
TTOX: UNK. TETANUS TOX TETANUS TOXOID (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / 0 - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Hyperhidrosis, SWEAT

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: cortef,spranox, premarin, maxzide,elderpryl, progesterone
Current Illness:
Preexisting Conditions: arthritis, chronic fatigue synd, fibromyalgia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 950089691

Write-up: pt recvd vax; 9 days later exp sweating; to er;


Changed on 5/14/2017

VAERS ID: 81038 Before After
VAERS Form:
Age:75.0
Sex:Female
Location:Pennsylvania
Vaccinated:1995-06-22
Onset:1995-07-01
Submitted:1995-09-12
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 LA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -

Administered by: Private      Purchased by: Private
Symptoms: Hyperhidrosis

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: cortef,spranox, premarin, maxzide,elderpryl, progesterone
Current Illness:
Preexisting Conditions: arthritis, chronic fatigue synd, fibromyalgia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950089691

Write-up: pt recvd vax; 9 days later exp sweating; to er;


Changed on 9/14/2017

VAERS ID: 81038 Before After
VAERS Form:(blank) 1
Age:75.0
Sex:Female
Location:Pennsylvania
Vaccinated:1995-06-22
Onset:1995-07-01
Submitted:1995-09-12
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 1 LA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Hyperhidrosis

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: cortef,spranox, premarin, maxzide,elderpryl, progesterone
Current Illness:
Preexisting Conditions: arthritis, chronic fatigue synd, fibromyalgia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950089691

Write-up: pt recvd vax; 9 days later exp sweating; to er;


Changed on 2/14/2018

VAERS ID: 81038 Before After
VAERS Form:1
Age:75.0
Sex:Female
Location:Pennsylvania
Vaccinated:1995-06-22
Onset:1995-07-01
Submitted:1995-09-12
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 LA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Hyperhidrosis

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: cortef,spranox, premarin, maxzide,elderpryl, progesterone
Current Illness:
Preexisting Conditions: arthritis, chronic fatigue synd, fibromyalgia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950089691

Write-up: pt recvd vax; 9 days later exp sweating; to er;


Changed on 6/14/2018

VAERS ID: 81038 Before After
VAERS Form:1
Age:75.0
Sex:Female
Location:Pennsylvania
Vaccinated:1995-06-22
Onset:1995-07-01
Submitted:1995-09-12
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 LA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Hyperhidrosis

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: cortef,spranox, premarin, maxzide,elderpryl, progesterone
Current Illness:
Preexisting Conditions: arthritis, chronic fatigue synd, fibromyalgia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950089691

Write-up: pt recvd vax; 9 days later exp sweating; to er;


Changed on 8/14/2018

VAERS ID: 81038 Before After
VAERS Form:1
Age:75.0
Sex:Female
Location:Pennsylvania
Vaccinated:1995-06-22
Onset:1995-07-01
Submitted:1995-09-12
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 LA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Hyperhidrosis

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: cortef,spranox, premarin, maxzide,elderpryl, progesterone
Current Illness:
Preexisting Conditions: arthritis, chronic fatigue synd, fibromyalgia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950089691

Write-up: pt recvd vax; 9 days later exp sweating; to er;


Changed on 9/14/2018

VAERS ID: 81038 Before After
VAERS Form:1
Age:75.0
Sex:Female
Location:Pennsylvania
Vaccinated:1995-06-22
Onset:1995-07-01
Submitted:1995-09-12
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 LA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Hyperhidrosis

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: cortef,spranox, premarin, maxzide,elderpryl, progesterone
Current Illness:
Preexisting Conditions: arthritis, chronic fatigue synd, fibromyalgia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950089691

Write-up: pt recvd vax; 9 days later exp sweating; to er;


Changed on 10/14/2018

VAERS ID: 81038 Before After
VAERS Form:1
Age:75.0
Sex:Female
Location:Pennsylvania
Vaccinated:1995-06-22
Onset:1995-07-01
Submitted:1995-09-12
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 LA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Hyperhidrosis

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: cortef,spranox, premarin, maxzide,elderpryl, progesterone
Current Illness:
Preexisting Conditions: arthritis, chronic fatigue synd, fibromyalgia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950089691

Write-up: pt recvd vax; 9 days later exp sweating; to er;


Changed on 12/24/2020

VAERS ID: 81038 Before After
VAERS Form:1
Age:75.0
Sex:Female
Location:Pennsylvania
Vaccinated:1995-06-22
Onset:1995-07-01
Submitted:1995-09-12
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 LA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Hyperhidrosis

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: cortef,spranox, premarin, maxzide,elderpryl, progesterone
Current Illness:
Preexisting Conditions: arthritis, chronic fatigue synd, fibromyalgia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950089691

Write-up: pt recvd vax; 9 days later exp sweating; to er;


Changed on 12/30/2020

VAERS ID: 81038 Before After
VAERS Form:1
Age:75.0
Sex:Female
Location:Pennsylvania
Vaccinated:1995-06-22
Onset:1995-07-01
Submitted:1995-09-12
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 LA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Hyperhidrosis

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: cortef,spranox, premarin, maxzide,elderpryl, progesterone
Current Illness:
Preexisting Conditions: arthritis, chronic fatigue synd, fibromyalgia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950089691

Write-up: pt recvd vax; 9 days later exp sweating; to er;


Changed on 5/7/2021

VAERS ID: 81038 Before After
VAERS Form:1
Age:75.0
Sex:Female
Location:Pennsylvania
Vaccinated:1995-06-22
Onset:1995-07-01
Submitted:1995-09-12
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 LA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Hyperhidrosis

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: cortef,spranox, premarin, maxzide,elderpryl, progesterone
Current Illness:
Preexisting Conditions: arthritis, chronic fatigue synd, fibromyalgia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950089691

Write-up: pt recvd vax; 9 days later exp sweating; to er;


Changed on 5/14/2021

VAERS ID: 81038 Before After
VAERS Form:1
Age:75.0
Sex:Female
Location:Pennsylvania
Vaccinated:1995-06-22
Onset:1995-07-01
Submitted:1995-09-12
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 LA / IM
TTOX: TETANUS TOXOID (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Hyperhidrosis

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: cortef,spranox, premarin, maxzide,elderpryl, progesterone
Current Illness:
Preexisting Conditions: arthritis, chronic fatigue synd, fibromyalgia
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950089691

Write-up: pt recvd vax; 9 days later exp sweating; to er;

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