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This is VAERS ID 81060

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 81060
VAERS Form:
Age:20.0
Sex:Male
Location:New York
Vaccinated:1995-08-10
Onset:1995-08-10
Submitted:1995-10-31
Entered:1996-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE - / 0 A / IM

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, INFECT, ASTHENIA

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: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; on 10aug95 exp fever up to 103;weak & tired;events resolved in 3 days; pt had strep throat infect shortly p/ these sxs; tx w/ atb;


Changed on 12/8/2009

VAERS ID: 81060 Before After
VAERS Form:
Age:20.0
Sex:Male
Location:New York
Vaccinated:1995-08-10
Onset:1995-08-10
Submitted:1995-10-31
Entered:1996-01-24 1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM - / 0 A / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Asthenia, Infection, Pyrexia, FEVER, INFECT, ASTHENIA

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: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 950114971

Write-up: pt recvd vax; on 10aug95 exp fever up to 103;weak & tired;events resolved in 3 days; pt had strep throat infect shortly p/ these sxs; tx w/ atb;


Changed on 5/14/2017

VAERS ID: 81060 Before After
VAERS Form:
Age:20.0
Sex:Male
Location:New York
Vaccinated:1995-08-10
Onset:1995-08-10
Submitted:1995-10-31
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 A - / IM IM A

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Infection, Pyrexia

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: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950114971

Write-up: pt recvd vax; on 10aug95 exp fever up to 103;weak & tired;events resolved in 3 days; pt had strep throat infect shortly p/ these sxs; tx w/ atb;


Changed on 9/14/2017

VAERS ID: 81060 Before After
VAERS Form:(blank) 1
Age:20.0
Sex:Male
Location:New York
Vaccinated:1995-08-10
Onset:1995-08-10
Submitted:1995-10-31
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 1 - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Infection, Pyrexia

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: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950114971

Write-up: pt recvd vax; on 10aug95 exp fever up to 103;weak & tired;events resolved in 3 days; pt had strep throat infect shortly p/ these sxs; tx w/ atb;


Changed on 2/14/2018

VAERS ID: 81060 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:New York
Vaccinated:1995-08-10
Onset:1995-08-10
Submitted:1995-10-31
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Infection, Pyrexia

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: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950114971

Write-up: pt recvd vax; on 10aug95 exp fever up to 103;weak & tired;events resolved in 3 days; pt had strep throat infect shortly p/ these sxs; tx w/ atb;


Changed on 6/14/2018

VAERS ID: 81060 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:New York
Vaccinated:1995-08-10
Onset:1995-08-10
Submitted:1995-10-31
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Infection, Pyrexia

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: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950114971

Write-up: pt recvd vax; on 10aug95 exp fever up to 103;weak & tired;events resolved in 3 days; pt had strep throat infect shortly p/ these sxs; tx w/ atb;


Changed on 8/14/2018

VAERS ID: 81060 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:New York
Vaccinated:1995-08-10
Onset:1995-08-10
Submitted:1995-10-31
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Infection, Pyrexia

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: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950114971

Write-up: pt recvd vax; on 10aug95 exp fever up to 103;weak & tired;events resolved in 3 days; pt had strep throat infect shortly p/ these sxs; tx w/ atb;


Changed on 9/14/2018

VAERS ID: 81060 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:New York
Vaccinated:1995-08-10
Onset:1995-08-10
Submitted:1995-10-31
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Infection, Pyrexia

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: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950114971

Write-up: pt recvd vax; on 10aug95 exp fever up to 103;weak & tired;events resolved in 3 days; pt had strep throat infect shortly p/ these sxs; tx w/ atb;


Changed on 10/14/2018

VAERS ID: 81060 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:New York
Vaccinated:1995-08-10
Onset:1995-08-10
Submitted:1995-10-31
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Infection, Pyrexia

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: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950114971

Write-up: pt recvd vax; on 10aug95 exp fever up to 103;weak & tired;events resolved in 3 days; pt had strep throat infect shortly p/ these sxs; tx w/ atb;


Changed on 12/24/2020

VAERS ID: 81060 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:New York
Vaccinated:1995-08-10
Onset:1995-08-10
Submitted:1995-10-31
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Infection, Pyrexia

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: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950114971

Write-up: pt recvd vax; on 10aug95 exp fever up to 103;weak & tired;events resolved in 3 days; pt had strep throat infect shortly p/ these sxs; tx w/ atb;


Changed on 12/30/2020

VAERS ID: 81060 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:New York
Vaccinated:1995-08-10
Onset:1995-08-10
Submitted:1995-10-31
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Infection, Pyrexia

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: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950114971

Write-up: pt recvd vax; on 10aug95 exp fever up to 103;weak & tired;events resolved in 3 days; pt had strep throat infect shortly p/ these sxs; tx w/ atb;


Changed on 5/7/2021

VAERS ID: 81060 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:New York
Vaccinated:1995-08-10
Onset:1995-08-10
Submitted:1995-10-31
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Infection, Pyrexia

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: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950114971

Write-up: pt recvd vax; on 10aug95 exp fever up to 103;weak & tired;events resolved in 3 days; pt had strep throat infect shortly p/ these sxs; tx w/ atb;


Changed on 5/14/2021

VAERS ID: 81060 Before After
VAERS Form:1
Age:20.0
Sex:Male
Location:New York
Vaccinated:1995-08-10
Onset:1995-08-10
Submitted:1995-10-31
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / IM A

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Infection, Pyrexia

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: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950114971

Write-up: pt recvd vax; on 10aug95 exp fever up to 103;weak & tired;events resolved in 3 days; pt had strep throat infect shortly p/ these sxs; tx w/ atb;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=81060&WAYBACKHISTORY=ON


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