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This is VAERS ID 81061

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 81061
VAERS Form:
Age:49.0
Sex:Female
Location:Florida
Vaccinated:1995-10-23
Onset:1995-10-23
Submitted:1995-11-01
Entered:1996-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE - / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: NAUSEA, HEADACHE, HYPERTONIA, PALPITAT

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: synthroid
Current Illness:
Preexisting Conditions: thyroid condition;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax;devel frontal ha followed by n;exp violent muscle spasms of arms & legs;palpitations to er;2 hrs later felt better;


Changed on 12/8/2009

VAERS ID: 81061 Before After
VAERS Form:
Age:49.0
Sex:Female
Location:Florida
Vaccinated:1995-10-23
Onset:1995-10-23
Submitted:1995-11-01
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: Headache, Hypertonia, Nausea, Palpitations, NAUSEA, HEADACHE, HYPERTONIA, PALPITAT

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: synthroid
Current Illness:
Preexisting Conditions: thyroid condition;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 950115331

Write-up: pt recvd vax;devel frontal ha followed by n;exp violent muscle spasms of arms & legs;palpitations to er;2 hrs later felt better;


Changed on 5/14/2017

VAERS ID: 81061 Before After
VAERS Form:
Age:49.0
Sex:Female
Location:Florida
Vaccinated:1995-10-23
Onset:1995-10-23
Submitted:1995-11-01
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: Headache, Hypertonia, Nausea, Palpitations

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: synthroid
Current Illness:
Preexisting Conditions: thyroid condition;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950115331

Write-up: pt recvd vax;devel frontal ha followed by n;exp violent muscle spasms of arms & legs;palpitations to er;2 hrs later felt better;


Changed on 9/14/2017

VAERS ID: 81061 Before After
VAERS Form:(blank) 1
Age:49.0
Sex:Female
Location:Florida
Vaccinated:1995-10-23
Onset:1995-10-23
Submitted:1995-11-01
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: Headache, Hypertonia, Nausea, Palpitations

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: synthroid
Current Illness:
Preexisting Conditions: thyroid condition;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950115331

Write-up: pt recvd vax;devel frontal ha followed by n;exp violent muscle spasms of arms & legs;palpitations to er;2 hrs later felt better;


Changed on 2/14/2018

VAERS ID: 81061 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:Florida
Vaccinated:1995-10-23
Onset:1995-10-23
Submitted:1995-11-01
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: Headache, Hypertonia, Nausea, Palpitations

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: synthroid
Current Illness:
Preexisting Conditions: thyroid condition;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950115331

Write-up: pt recvd vax;devel frontal ha followed by n;exp violent muscle spasms of arms & legs;palpitations to er;2 hrs later felt better;


Changed on 6/14/2018

VAERS ID: 81061 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:Florida
Vaccinated:1995-10-23
Onset:1995-10-23
Submitted:1995-11-01
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: Headache, Hypertonia, Nausea, Palpitations

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: synthroid
Current Illness:
Preexisting Conditions: thyroid condition;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950115331

Write-up: pt recvd vax;devel frontal ha followed by n;exp violent muscle spasms of arms & legs;palpitations to er;2 hrs later felt better;


Changed on 8/14/2018

VAERS ID: 81061 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:Florida
Vaccinated:1995-10-23
Onset:1995-10-23
Submitted:1995-11-01
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: Headache, Hypertonia, Nausea, Palpitations

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: synthroid
Current Illness:
Preexisting Conditions: thyroid condition;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950115331

Write-up: pt recvd vax;devel frontal ha followed by n;exp violent muscle spasms of arms & legs;palpitations to er;2 hrs later felt better;


Changed on 9/14/2018

VAERS ID: 81061 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:Florida
Vaccinated:1995-10-23
Onset:1995-10-23
Submitted:1995-11-01
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: Headache, Hypertonia, Nausea, Palpitations

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: synthroid
Current Illness:
Preexisting Conditions: thyroid condition;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950115331

Write-up: pt recvd vax;devel frontal ha followed by n;exp violent muscle spasms of arms & legs;palpitations to er;2 hrs later felt better;


Changed on 10/14/2018

VAERS ID: 81061 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:Florida
Vaccinated:1995-10-23
Onset:1995-10-23
Submitted:1995-11-01
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: Headache, Hypertonia, Nausea, Palpitations

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: synthroid
Current Illness:
Preexisting Conditions: thyroid condition;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950115331

Write-up: pt recvd vax;devel frontal ha followed by n;exp violent muscle spasms of arms & legs;palpitations to er;2 hrs later felt better;


Changed on 12/24/2020

VAERS ID: 81061 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:Florida
Vaccinated:1995-10-23
Onset:1995-10-23
Submitted:1995-11-01
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: Headache, Hypertonia, Nausea, Palpitations

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: synthroid
Current Illness:
Preexisting Conditions: thyroid condition;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950115331

Write-up: pt recvd vax;devel frontal ha followed by n;exp violent muscle spasms of arms & legs;palpitations to er;2 hrs later felt better;


Changed on 12/30/2020

VAERS ID: 81061 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:Florida
Vaccinated:1995-10-23
Onset:1995-10-23
Submitted:1995-11-01
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: Headache, Hypertonia, Nausea, Palpitations

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: synthroid
Current Illness:
Preexisting Conditions: thyroid condition;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950115331

Write-up: pt recvd vax;devel frontal ha followed by n;exp violent muscle spasms of arms & legs;palpitations to er;2 hrs later felt better;


Changed on 5/7/2021

VAERS ID: 81061 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:Florida
Vaccinated:1995-10-23
Onset:1995-10-23
Submitted:1995-11-01
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: Headache, Hypertonia, Nausea, Palpitations

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: synthroid
Current Illness:
Preexisting Conditions: thyroid condition;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950115331

Write-up: pt recvd vax;devel frontal ha followed by n;exp violent muscle spasms of arms & legs;palpitations to er;2 hrs later felt better;


Changed on 5/14/2021

VAERS ID: 81061 Before After
VAERS Form:1
Age:49.0
Sex:Female
Location:Florida
Vaccinated:1995-10-23
Onset:1995-10-23
Submitted:1995-11-01
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: Headache, Hypertonia, Nausea, Palpitations

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: synthroid
Current Illness:
Preexisting Conditions: thyroid condition;
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950115331

Write-up: pt recvd vax;devel frontal ha followed by n;exp violent muscle spasms of arms & legs;palpitations to er;2 hrs later felt better;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=81061&WAYBACKHISTORY=ON


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