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This is VAERS ID 81056

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 81056
VAERS Form:
Age:
Sex:Female
Location:Arkansas
Vaccinated:1995-10-06
Onset:1995-10-07
Submitted:1995-10-24
Entered:1996-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA436A6 / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: PRURITUS, CONJUNCTIVITIS, PHOTOPHOBIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type':

Write-up: pt recvd vax; w/in 24 hrs exp photophobia, red eye & itching; sxs resolved w/ out tx


Changed on 12/8/2009

VAERS ID: 81056 Before After
VAERS Form:
Age:
Sex:Female
Location:Arkansas
Vaccinated:1995-10-06
Onset:1995-10-07
Submitted:1995-10-24
Entered:1996-01-24 1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA436A6 / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Conjunctivitis, Photophobia, Pruritus, PRURITUS, CONJUNCTIVITIS, PHOTOPHOBIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': (blank) 950110031

Write-up: pt recvd vax; w/in 24 hrs exp photophobia, red eye & itching; sxs resolved w/ out tx


Changed on 5/14/2017

VAERS ID: 81056 Before After
VAERS Form:
Age:
Sex:Female
Location:Arkansas
Vaccinated:1995-10-06
Onset:1995-10-07
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Conjunctivitis, Photophobia, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': 950110031

Write-up: pt recvd vax; w/in 24 hrs exp photophobia, red eye & itching; sxs resolved w/ out tx


Changed on 9/14/2017

VAERS ID: 81056 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Arkansas
Vaccinated:1995-10-06
Onset:1995-10-07
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Conjunctivitis, Photophobia, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': 950110031

Write-up: pt recvd vax; w/in 24 hrs exp photophobia, red eye & itching; sxs resolved w/ out tx


Changed on 2/14/2018

VAERS ID: 81056 Before After
VAERS Form:1
Age:
Sex:Female
Location:Arkansas
Vaccinated:1995-10-06
Onset:1995-10-07
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Conjunctivitis, Photophobia, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': 950110031

Write-up: pt recvd vax; w/in 24 hrs exp photophobia, red eye & itching; sxs resolved w/ out tx


Changed on 6/14/2018

VAERS ID: 81056 Before After
VAERS Form:1
Age:
Sex:Female
Location:Arkansas
Vaccinated:1995-10-06
Onset:1995-10-07
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Conjunctivitis, Photophobia, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': 950110031

Write-up: pt recvd vax; w/in 24 hrs exp photophobia, red eye & itching; sxs resolved w/ out tx


Changed on 8/14/2018

VAERS ID: 81056 Before After
VAERS Form:1
Age:
Sex:Female
Location:Arkansas
Vaccinated:1995-10-06
Onset:1995-10-07
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Conjunctivitis, Photophobia, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': 950110031

Write-up: pt recvd vax; w/in 24 hrs exp photophobia, red eye & itching; sxs resolved w/ out tx


Changed on 9/14/2018

VAERS ID: 81056 Before After
VAERS Form:1
Age:
Sex:Female
Location:Arkansas
Vaccinated:1995-10-06
Onset:1995-10-07
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Conjunctivitis, Photophobia, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': 950110031

Write-up: pt recvd vax; w/in 24 hrs exp photophobia, red eye & itching; sxs resolved w/ out tx


Changed on 10/14/2018

VAERS ID: 81056 Before After
VAERS Form:1
Age:
Sex:Female
Location:Arkansas
Vaccinated:1995-10-06
Onset:1995-10-07
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Conjunctivitis, Photophobia, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': 950110031

Write-up: pt recvd vax; w/in 24 hrs exp photophobia, red eye & itching; sxs resolved w/ out tx


Changed on 12/24/2020

VAERS ID: 81056 Before After
VAERS Form:1
Age:
Sex:Female
Location:Arkansas
Vaccinated:1995-10-06
Onset:1995-10-07
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Conjunctivitis, Photophobia, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': 950110031

Write-up: pt recvd vax; w/in 24 hrs exp photophobia, red eye & itching; sxs resolved w/ out tx


Changed on 12/30/2020

VAERS ID: 81056 Before After
VAERS Form:1
Age:
Sex:Female
Location:Arkansas
Vaccinated:1995-10-06
Onset:1995-10-07
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Conjunctivitis, Photophobia, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': 950110031

Write-up: pt recvd vax; w/in 24 hrs exp photophobia, red eye & itching; sxs resolved w/ out tx


Changed on 5/7/2021

VAERS ID: 81056 Before After
VAERS Form:1
Age:
Sex:Female
Location:Arkansas
Vaccinated:1995-10-06
Onset:1995-10-07
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Conjunctivitis, Photophobia, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': 950110031

Write-up: pt recvd vax; w/in 24 hrs exp photophobia, red eye & itching; sxs resolved w/ out tx


Changed on 5/14/2021

VAERS ID: 81056 Before After
VAERS Form:1
Age:
Sex:Female
Location:Arkansas
Vaccinated:1995-10-06
Onset:1995-10-07
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA436A6 / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Conjunctivitis, Photophobia, Pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
CDC 'Split Type': 950110031

Write-up: pt recvd vax; w/in 24 hrs exp photophobia, red eye & itching; sxs resolved w/ out tx

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=81056&WAYBACKHISTORY=ON


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