National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 85206

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 85206
VAERS Form:
Age:45.0
Sex:Male
Location:Minnesota
Vaccinated:1995-11-22
Onset:1996-01-24
Submitted:1996-01-29
Entered:1996-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA417A4 / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: REACT UNEVAL

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: engerix 6dec95, 18jan93, 12aug92, 13jul92;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: HAV 24jan96 = 0 nonresponder; HBSA nov93 = 0 nonresponder; HBSA responder post dose 4;
CDC 'Split Type':

Write-up: pt recv vax;found to be nonresponder;


Changed on 12/8/2009

VAERS ID: 85206 Before After
VAERS Form:
Age:45.0
Sex:Male
Location:Minnesota
Vaccinated:1995-11-22
Onset:1996-01-24
Submitted:1996-01-29
Entered:1996-05-01 1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA417A4 417A4 / 0 - / IM

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Unevaluable event, REACT UNEVAL

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: engerix 6dec95, 18jan93, 12aug92, 13jul92;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: HAV 24jan96 = 0 nonresponder; HBSA nov93 = 0 nonresponder; HBSA responder post dose 4;
CDC 'Split Type': (blank) 960009992

Write-up: pt recv vax;found to be nonresponder;


Changed on 5/14/2017

VAERS ID: 85206 Before After
VAERS Form:
Age:45.0
Sex:Male
Location:Minnesota
Vaccinated:1995-11-22
Onset:1996-01-24
Submitted:1996-01-29
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 417A4 / 0 - / IM

Administered by: Unknown Private      Purchased by: Unknown Private
Symptoms: Unevaluable event

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: engerix 6dec95, 18jan93, 12aug92, 13jul92;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: HAV 24jan96 = 0 nonresponder; HBSA nov93 = 0 nonresponder; HBSA responder post dose 4;
CDC 'Split Type': 960009992

Write-up: pt recv vax;found to be nonresponder;


Changed on 9/14/2017

VAERS ID: 85206 Before After
VAERS Form:(blank) 1
Age:45.0
Sex:Male
Location:Minnesota
Vaccinated:1995-11-22
Onset:1996-01-24
Submitted:1996-01-29
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 417A4 / 0 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

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: engerix 6dec95, 18jan93, 12aug92, 13jul92;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: HAV 24jan96 = 0 nonresponder; HBSA nov93 = 0 nonresponder; HBSA responder post dose 4;
CDC 'Split Type': 960009992

Write-up: pt recv vax;found to be nonresponder;


Changed on 2/14/2018

VAERS ID: 85206 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Minnesota
Vaccinated:1995-11-22
Onset:1996-01-24
Submitted:1996-01-29
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 417A4 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

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: engerix 6dec95, 18jan93, 12aug92, 13jul92;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: HAV 24jan96 = 0 nonresponder; HBSA nov93 = 0 nonresponder; HBSA responder post dose 4;
CDC 'Split Type': 960009992

Write-up: pt recv vax;found to be nonresponder;


Changed on 6/14/2018

VAERS ID: 85206 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Minnesota
Vaccinated:1995-11-22
Onset:1996-01-24
Submitted:1996-01-29
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 417A4 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

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: engerix 6dec95, 18jan93, 12aug92, 13jul92;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: HAV 24jan96 = 0 nonresponder; HBSA nov93 = 0 nonresponder; HBSA responder post dose 4;
CDC 'Split Type': 960009992

Write-up: pt recv vax;found to be nonresponder;


Changed on 8/14/2018

VAERS ID: 85206 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Minnesota
Vaccinated:1995-11-22
Onset:1996-01-24
Submitted:1996-01-29
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 417A4 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

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: engerix 6dec95, 18jan93, 12aug92, 13jul92;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: HAV 24jan96 = 0 nonresponder; HBSA nov93 = 0 nonresponder; HBSA responder post dose 4;
CDC 'Split Type': 960009992

Write-up: pt recv vax;found to be nonresponder;


Changed on 9/14/2018

VAERS ID: 85206 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Minnesota
Vaccinated:1995-11-22
Onset:1996-01-24
Submitted:1996-01-29
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 417A4 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

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: engerix 6dec95, 18jan93, 12aug92, 13jul92;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: HAV 24jan96 = 0 nonresponder; HBSA nov93 = 0 nonresponder; HBSA responder post dose 4;
CDC 'Split Type': 960009992

Write-up: pt recv vax;found to be nonresponder;


Changed on 10/14/2018

VAERS ID: 85206 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Minnesota
Vaccinated:1995-11-22
Onset:1996-01-24
Submitted:1996-01-29
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 417A4 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

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: engerix 6dec95, 18jan93, 12aug92, 13jul92;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: HAV 24jan96 = 0 nonresponder; HBSA nov93 = 0 nonresponder; HBSA responder post dose 4;
CDC 'Split Type': 960009992

Write-up: pt recv vax;found to be nonresponder;


Changed on 12/24/2020

VAERS ID: 85206 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Minnesota
Vaccinated:1995-11-22
Onset:1996-01-24
Submitted:1996-01-29
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 417A4 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

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: engerix 6dec95, 18jan93, 12aug92, 13jul92;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: HAV 24jan96 = 0 nonresponder; HBSA nov93 = 0 nonresponder; HBSA responder post dose 4;
CDC 'Split Type': 960009992

Write-up: pt recv vax;found to be nonresponder;


Changed on 12/30/2020

VAERS ID: 85206 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Minnesota
Vaccinated:1995-11-22
Onset:1996-01-24
Submitted:1996-01-29
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 417A4 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

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: engerix 6dec95, 18jan93, 12aug92, 13jul92;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: HAV 24jan96 = 0 nonresponder; HBSA nov93 = 0 nonresponder; HBSA responder post dose 4;
CDC 'Split Type': 960009992

Write-up: pt recv vax;found to be nonresponder;


Changed on 5/7/2021

VAERS ID: 85206 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Minnesota
Vaccinated:1995-11-22
Onset:1996-01-24
Submitted:1996-01-29
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 417A4 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

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: engerix 6dec95, 18jan93, 12aug92, 13jul92;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: HAV 24jan96 = 0 nonresponder; HBSA nov93 = 0 nonresponder; HBSA responder post dose 4;
CDC 'Split Type': 960009992

Write-up: pt recv vax;found to be nonresponder;


Changed on 5/21/2021

VAERS ID: 85206 Before After
VAERS Form:1
Age:45.0
Sex:Male
Location:Minnesota
Vaccinated:1995-11-22
Onset:1996-01-24
Submitted:1996-01-29
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 417A4 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Unevaluable event

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: engerix 6dec95, 18jan93, 12aug92, 13jul92;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: HAV 24jan96 = 0 nonresponder; HBSA nov93 = 0 nonresponder; HBSA responder post dose 4;
CDC 'Split Type': 960009992

Write-up: pt recv vax;found to be nonresponder;

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=85206&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166