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This is VAERS ID 81057

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 81057
VAERS Form:
Age:39.0
Sex:Male
Location:Unknown
Vaccinated:1995-09-23
Onset:1995-10-14
Submitted:1995-10-24
Entered:1996-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: NAUSEA, LIVER FUNC ABNORM, LDH INC, ESR INC, PHOSPHATASE ALK INC

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGPT 1678, SGOT 1044, ALKPH 168, LDH 558, GGT 245, ESR 19 all 16oct95;
CDC 'Split Type':

Write-up: pt recvd vax; on 14oct95 exp n, v; 16oct95 was found to have elev LFTs; to ER;


Changed on 12/8/2009

VAERS ID: 81057 Before After
VAERS Form:
Age:39.0
Sex:Male
Location:Unknown
Vaccinated:1995-09-23
Onset:1995-10-14
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 - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Hepatic function abnormal, Nausea, Vomiting, Red blood cell sedimentation rate increased, Blood alkaline phosphatase increased, NAUSEA, LIVER FUNC ABNORM, LDH INC, ESR INC, PHOSPHATASE ALK INC

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGPT 1678, SGOT 1044, ALKPH 168, LDH 558, GGT 245, ESR 19 all 16oct95;
CDC 'Split Type': (blank) 950110041

Write-up: pt recvd vax; on 14oct95 exp n, v; 16oct95 was found to have elev LFTs; to ER;


Changed on 5/14/2017

VAERS ID: 81057 Before After
VAERS Form:
Age:39.0
Sex:Male
Location:Unknown
Vaccinated:1995-09-23
Onset:1995-10-14
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Hepatic function abnormal, Nausea, Vomiting, Red blood cell sedimentation rate increased, Blood alkaline phosphatase increased

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGPT 1678, SGOT 1044, ALKPH 168, LDH 558, GGT 245, ESR 19 all 16oct95;
CDC 'Split Type': 950110041

Write-up: pt recvd vax; on 14oct95 exp n, v; 16oct95 was found to have elev LFTs; to ER;


Changed on 9/14/2017

VAERS ID: 81057 Before After
VAERS Form:(blank) 1
Age:39.0
Sex:Male
Location:Unknown
Vaccinated:1995-09-23
Onset:1995-10-14
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Hepatic function abnormal, Nausea, Vomiting, Red blood cell sedimentation rate increased, Blood alkaline phosphatase increased

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGPT 1678, SGOT 1044, ALKPH 168, LDH 558, GGT 245, ESR 19 all 16oct95;
CDC 'Split Type': 950110041

Write-up: pt recvd vax; on 14oct95 exp n, v; 16oct95 was found to have elev LFTs; to ER;


Changed on 2/14/2018

VAERS ID: 81057 Before After
VAERS Form:1
Age:39.0
Sex:Male
Location:Unknown
Vaccinated:1995-09-23
Onset:1995-10-14
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Hepatic function abnormal, Nausea, Vomiting, Red blood cell sedimentation rate increased, Blood alkaline phosphatase increased

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGPT 1678, SGOT 1044, ALKPH 168, LDH 558, GGT 245, ESR 19 all 16oct95;
CDC 'Split Type': 950110041

Write-up: pt recvd vax; on 14oct95 exp n, v; 16oct95 was found to have elev LFTs; to ER;


Changed on 6/14/2018

VAERS ID: 81057 Before After
VAERS Form:1
Age:39.0
Sex:Male
Location:Unknown
Vaccinated:1995-09-23
Onset:1995-10-14
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Hepatic function abnormal, Nausea, Vomiting, Red blood cell sedimentation rate increased, Blood alkaline phosphatase increased

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGPT 1678, SGOT 1044, ALKPH 168, LDH 558, GGT 245, ESR 19 all 16oct95;
CDC 'Split Type': 950110041

Write-up: pt recvd vax; on 14oct95 exp n, v; 16oct95 was found to have elev LFTs; to ER;


Changed on 8/14/2018

VAERS ID: 81057 Before After
VAERS Form:1
Age:39.0
Sex:Male
Location:Unknown
Vaccinated:1995-09-23
Onset:1995-10-14
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Hepatic function abnormal, Nausea, Vomiting, Red blood cell sedimentation rate increased, Blood alkaline phosphatase increased

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGPT 1678, SGOT 1044, ALKPH 168, LDH 558, GGT 245, ESR 19 all 16oct95;
CDC 'Split Type': 950110041

Write-up: pt recvd vax; on 14oct95 exp n, v; 16oct95 was found to have elev LFTs; to ER;


Changed on 9/14/2018

VAERS ID: 81057 Before After
VAERS Form:1
Age:39.0
Sex:Male
Location:Unknown
Vaccinated:1995-09-23
Onset:1995-10-14
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Hepatic function abnormal, Nausea, Vomiting, Red blood cell sedimentation rate increased, Blood alkaline phosphatase increased

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGPT 1678, SGOT 1044, ALKPH 168, LDH 558, GGT 245, ESR 19 all 16oct95;
CDC 'Split Type': 950110041

Write-up: pt recvd vax; on 14oct95 exp n, v; 16oct95 was found to have elev LFTs; to ER;


Changed on 10/14/2018

VAERS ID: 81057 Before After
VAERS Form:1
Age:39.0
Sex:Male
Location:Unknown
Vaccinated:1995-09-23
Onset:1995-10-14
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Hepatic function abnormal, Nausea, Vomiting, Red blood cell sedimentation rate increased, Blood alkaline phosphatase increased

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGPT 1678, SGOT 1044, ALKPH 168, LDH 558, GGT 245, ESR 19 all 16oct95;
CDC 'Split Type': 950110041

Write-up: pt recvd vax; on 14oct95 exp n, v; 16oct95 was found to have elev LFTs; to ER;


Changed on 12/24/2020

VAERS ID: 81057 Before After
VAERS Form:1
Age:39.0
Sex:Male
Location:Unknown
Vaccinated:1995-09-23
Onset:1995-10-14
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Hepatic function abnormal, Nausea, Vomiting, Red blood cell sedimentation rate increased, Blood alkaline phosphatase increased

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGPT 1678, SGOT 1044, ALKPH 168, LDH 558, GGT 245, ESR 19 all 16oct95;
CDC 'Split Type': 950110041

Write-up: pt recvd vax; on 14oct95 exp n, v; 16oct95 was found to have elev LFTs; to ER;


Changed on 12/30/2020

VAERS ID: 81057 Before After
VAERS Form:1
Age:39.0
Sex:Male
Location:Unknown
Vaccinated:1995-09-23
Onset:1995-10-14
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Hepatic function abnormal, Nausea, Vomiting, Red blood cell sedimentation rate increased, Blood alkaline phosphatase increased

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGPT 1678, SGOT 1044, ALKPH 168, LDH 558, GGT 245, ESR 19 all 16oct95;
CDC 'Split Type': 950110041

Write-up: pt recvd vax; on 14oct95 exp n, v; 16oct95 was found to have elev LFTs; to ER;


Changed on 5/7/2021

VAERS ID: 81057 Before After
VAERS Form:1
Age:39.0
Sex:Male
Location:Unknown
Vaccinated:1995-09-23
Onset:1995-10-14
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Hepatic function abnormal, Nausea, Vomiting, Red blood cell sedimentation rate increased, Blood alkaline phosphatase increased

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGPT 1678, SGOT 1044, ALKPH 168, LDH 558, GGT 245, ESR 19 all 16oct95;
CDC 'Split Type': 950110041

Write-up: pt recvd vax; on 14oct95 exp n, v; 16oct95 was found to have elev LFTs; to ER;


Changed on 5/14/2021

VAERS ID: 81057 Before After
VAERS Form:1
Age:39.0
Sex:Male
Location:Unknown
Vaccinated:1995-09-23
Onset:1995-10-14
Submitted:1995-10-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood lactate dehydrogenase increased, Hepatic function abnormal, Nausea, Vomiting, Red blood cell sedimentation rate increased, Blood alkaline phosphatase increased

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGPT 1678, SGOT 1044, ALKPH 168, LDH 558, GGT 245, ESR 19 all 16oct95;
CDC 'Split Type': 950110041

Write-up: pt recvd vax; on 14oct95 exp n, v; 16oct95 was found to have elev LFTs; to ER;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=81057&WAYBACKHISTORY=ON


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