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This is VAERS ID 81058

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 81058
VAERS Form:
Age:35.0
Sex:Male
Location:D.C.
Vaccinated:1995-08-01
Onset:1995-09-09
Submitted:1995-12-06
Entered:1996-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE - / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: LIVER FUNC ABNORM, SGPT INC, SGOT INC, BILIRUBINEM, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: hiv pos
Allergies:
Diagnostic Lab Data: SGPT 862 9sep95, SGPT 86 11oct95;SGOT 448 9sep95; SGOT 45 on 11oct95; ALKPH 263 9sep95;ALKPH 118 on 11oct95; Bilirubin .6mg/dl on 9sep95; bil .8 mg/dl on 11oct95
CDC 'Split Type':

Write-up: pt recvd vax; exp elev liver enzymes w/in 1 mon of vax;


Changed on 12/8/2009

VAERS ID: 81058 Before After
VAERS Form:
Age:35.0
Sex:Male
Location:D.C.
Vaccinated:1995-08-01
Onset:1995-09-09
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 - / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Hyperbilirubinaemia, Blood alkaline phosphatase increased, LIVER FUNC ABNORM, SGPT INC, SGOT INC, BILIRUBINEM, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: hiv pos
Allergies:
Diagnostic Lab Data: SGPT 862 9sep95, SGPT 86 11oct95;SGOT 448 9sep95; SGOT 45 on 11oct95; ALKPH 263 9sep95;ALKPH 118 on 11oct95; Bilirubin .6mg/dl on 9sep95; bil .8 mg/dl on 11oct95
CDC 'Split Type': (blank) 950113911

Write-up: pt recvd vax; exp elev liver enzymes w/in 1 mon of vax;


Changed on 5/14/2017

VAERS ID: 81058 Before After
VAERS Form:
Age:35.0
Sex:Male
Location:D.C.
Vaccinated:1995-08-01
Onset:1995-09-09
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Hyperbilirubinaemia, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hiv pos
Allergies:
Diagnostic Lab Data: SGPT 862 9sep95, SGPT 86 11oct95;SGOT 448 9sep95; SGOT 45 on 11oct95; ALKPH 263 9sep95;ALKPH 118 on 11oct95; Bilirubin .6mg/dl on 9sep95; bil .8 mg/dl on 11oct95
CDC 'Split Type': 950113911

Write-up: pt recvd vax; exp elev liver enzymes w/in 1 mon of vax;


Changed on 9/14/2017

VAERS ID: 81058 Before After
VAERS Form:(blank) 1
Age:35.0
Sex:Male
Location:D.C.
Vaccinated:1995-08-01
Onset:1995-09-09
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Hyperbilirubinaemia, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hiv pos
Allergies:
Diagnostic Lab Data: SGPT 862 9sep95, SGPT 86 11oct95;SGOT 448 9sep95; SGOT 45 on 11oct95; ALKPH 263 9sep95;ALKPH 118 on 11oct95; Bilirubin .6mg/dl on 9sep95; bil .8 mg/dl on 11oct95
CDC 'Split Type': 950113911

Write-up: pt recvd vax; exp elev liver enzymes w/in 1 mon of vax;


Changed on 2/14/2018

VAERS ID: 81058 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:D.C.
Vaccinated:1995-08-01
Onset:1995-09-09
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Hyperbilirubinaemia, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hiv pos
Allergies:
Diagnostic Lab Data: SGPT 862 9sep95, SGPT 86 11oct95;SGOT 448 9sep95; SGOT 45 on 11oct95; ALKPH 263 9sep95;ALKPH 118 on 11oct95; Bilirubin .6mg/dl on 9sep95; bil .8 mg/dl on 11oct95
CDC 'Split Type': 950113911

Write-up: pt recvd vax; exp elev liver enzymes w/in 1 mon of vax;


Changed on 6/14/2018

VAERS ID: 81058 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:D.C.
Vaccinated:1995-08-01
Onset:1995-09-09
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Hyperbilirubinaemia, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hiv pos
Allergies:
Diagnostic Lab Data: SGPT 862 9sep95, SGPT 86 11oct95;SGOT 448 9sep95; SGOT 45 on 11oct95; ALKPH 263 9sep95;ALKPH 118 on 11oct95; Bilirubin .6mg/dl on 9sep95; bil .8 mg/dl on 11oct95
CDC 'Split Type': 950113911

Write-up: pt recvd vax; exp elev liver enzymes w/in 1 mon of vax;


Changed on 8/14/2018

VAERS ID: 81058 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:D.C.
Vaccinated:1995-08-01
Onset:1995-09-09
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Hyperbilirubinaemia, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hiv pos
Allergies:
Diagnostic Lab Data: SGPT 862 9sep95, SGPT 86 11oct95;SGOT 448 9sep95; SGOT 45 on 11oct95; ALKPH 263 9sep95;ALKPH 118 on 11oct95; Bilirubin .6mg/dl on 9sep95; bil .8 mg/dl on 11oct95
CDC 'Split Type': 950113911

Write-up: pt recvd vax; exp elev liver enzymes w/in 1 mon of vax;


Changed on 9/14/2018

VAERS ID: 81058 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:D.C.
Vaccinated:1995-08-01
Onset:1995-09-09
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Hyperbilirubinaemia, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hiv pos
Allergies:
Diagnostic Lab Data: SGPT 862 9sep95, SGPT 86 11oct95;SGOT 448 9sep95; SGOT 45 on 11oct95; ALKPH 263 9sep95;ALKPH 118 on 11oct95; Bilirubin .6mg/dl on 9sep95; bil .8 mg/dl on 11oct95
CDC 'Split Type': 950113911

Write-up: pt recvd vax; exp elev liver enzymes w/in 1 mon of vax;


Changed on 10/14/2018

VAERS ID: 81058 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:D.C.
Vaccinated:1995-08-01
Onset:1995-09-09
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Hyperbilirubinaemia, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hiv pos
Allergies:
Diagnostic Lab Data: SGPT 862 9sep95, SGPT 86 11oct95;SGOT 448 9sep95; SGOT 45 on 11oct95; ALKPH 263 9sep95;ALKPH 118 on 11oct95; Bilirubin .6mg/dl on 9sep95; bil .8 mg/dl on 11oct95
CDC 'Split Type': 950113911

Write-up: pt recvd vax; exp elev liver enzymes w/in 1 mon of vax;


Changed on 12/24/2020

VAERS ID: 81058 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:D.C.
Vaccinated:1995-08-01
Onset:1995-09-09
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Hyperbilirubinaemia, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hiv pos
Allergies:
Diagnostic Lab Data: SGPT 862 9sep95, SGPT 86 11oct95;SGOT 448 9sep95; SGOT 45 on 11oct95; ALKPH 263 9sep95;ALKPH 118 on 11oct95; Bilirubin .6mg/dl on 9sep95; bil .8 mg/dl on 11oct95
CDC 'Split Type': 950113911

Write-up: pt recvd vax; exp elev liver enzymes w/in 1 mon of vax;


Changed on 12/30/2020

VAERS ID: 81058 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:D.C.
Vaccinated:1995-08-01
Onset:1995-09-09
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Hyperbilirubinaemia, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hiv pos
Allergies:
Diagnostic Lab Data: SGPT 862 9sep95, SGPT 86 11oct95;SGOT 448 9sep95; SGOT 45 on 11oct95; ALKPH 263 9sep95;ALKPH 118 on 11oct95; Bilirubin .6mg/dl on 9sep95; bil .8 mg/dl on 11oct95
CDC 'Split Type': 950113911

Write-up: pt recvd vax; exp elev liver enzymes w/in 1 mon of vax;


Changed on 5/7/2021

VAERS ID: 81058 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:D.C.
Vaccinated:1995-08-01
Onset:1995-09-09
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Hyperbilirubinaemia, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hiv pos
Allergies:
Diagnostic Lab Data: SGPT 862 9sep95, SGPT 86 11oct95;SGOT 448 9sep95; SGOT 45 on 11oct95; ALKPH 263 9sep95;ALKPH 118 on 11oct95; Bilirubin .6mg/dl on 9sep95; bil .8 mg/dl on 11oct95
CDC 'Split Type': 950113911

Write-up: pt recvd vax; exp elev liver enzymes w/in 1 mon of vax;


Changed on 5/14/2021

VAERS ID: 81058 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:D.C.
Vaccinated:1995-08-01
Onset:1995-09-09
Submitted:1995-12-06
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Hyperbilirubinaemia, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hiv pos
Allergies:
Diagnostic Lab Data: SGPT 862 9sep95, SGPT 86 11oct95;SGOT 448 9sep95; SGOT 45 on 11oct95; ALKPH 263 9sep95;ALKPH 118 on 11oct95; Bilirubin .6mg/dl on 9sep95; bil .8 mg/dl on 11oct95
CDC 'Split Type': 950113911

Write-up: pt recvd vax; exp elev liver enzymes w/in 1 mon of vax;

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