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This is VAERS ID 85212

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 85212
VAERS Form:
Age:50.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: UNK. DT ADSORBED, PEDIATRIC / UNCLASSIFIED - / 0 - / -
FLU: UNK. INFLUENZA VACCINE / UNCLASSIFIED - / 0 - / -
HEPA: HAVRIX / SMITHKLINE - / 0 - / -
TYP: UNK. TYPHOID / UNCLASSIFIED - / 0 - / -

Administered by: Military      Purchased by: Unknown
Symptoms: FEVER, LIVER FUNC ABNORM, SGOT INC, PHOSPHATASE ALK INC, RASH PETECH

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: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type':

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 12/8/2009

VAERS ID: 85212 Before After
VAERS Form:
Age:50.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-05-01 1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: UNK. DT ADSORBED, PEDIATRIC DT ADSORBED (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / 0 - / -
FLU: UNK. INFLUENZA VACCINE INFLUENZA (SEASONAL) (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / 0 - / -
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM - / 0 - / -
TYP: UNK. TYPHOID TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / 0 - / -

Administered by: Military      Purchased by: Unknown Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, Blood alkaline phosphatase increased, FEVER, LIVER FUNC ABNORM, SGOT INC, PHOSPHATASE ALK INC, RASH PETECH

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: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': (blank) 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 7/7/2013

VAERS ID: 85212 Before After
VAERS Form:
Age:50.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -
FLU: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -

Administered by: Military      Purchased by: Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, 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:
Other Medications: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 6/14/2014

VAERS ID: 85212 Before After
VAERS Form:
Age:50.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -

Administered by: Military      Purchased by: Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, 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:
Other Medications: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 12/14/2016

VAERS ID: 85212 Before After
VAERS Form:
Age:50.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -
FLU3: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -

Administered by: Military      Purchased by: Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, 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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 5/14/2017

VAERS ID: 85212 Before After
VAERS Form:
Age:50.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 - / -

Administered by: Military      Purchased by: Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, 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:
Other Medications: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 9/14/2017

VAERS ID: 85212 Before After
VAERS Form:(blank) 1
Age:50.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 1 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 1 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 1 - / -

Administered by: Military      Purchased by: Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, 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:
Other Medications: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 2/14/2018

VAERS ID: 85212 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Military      Purchased by: Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, 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:
Other Medications: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 6/14/2018

VAERS ID: 85212 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Military      Purchased by: Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, 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:
Other Medications: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 8/14/2018

VAERS ID: 85212 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Military      Purchased by: Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, 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:
Other Medications: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 9/14/2018

VAERS ID: 85212 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Military      Purchased by: Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, 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:
Other Medications: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 10/14/2018

VAERS ID: 85212 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Military      Purchased by: Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, 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:
Other Medications: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 12/10/2020

VAERS ID: 85212 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:Unknown New Mexico
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Military      Purchased by: Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, 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:
Other Medications: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 12/24/2020

VAERS ID: 85212 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:New Mexico
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Military      Purchased by: Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, 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:
Other Medications: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 12/30/2020

VAERS ID: 85212 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:New Mexico
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Military      Purchased by: Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, 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:
Other Medications: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 5/7/2021

VAERS ID: 85212 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:New Mexico
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Military      Purchased by: Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, 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:
Other Medications: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;


Changed on 5/21/2021

VAERS ID: 85212 Before After
VAERS Form:1
Age:50.0
Sex:Female
Location:New Mexico
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1996-02-28
Entered:1996-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
FLUX: INFLUENZA (SEASONAL) (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 - / -

Administered by: Military      Purchased by: Military
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Hepatic function abnormal, Petechiae, Pyrexia, 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:
Other Medications: PPD;
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ALKPH 179 U/L; SGOT = 40 U/L; SGPT = 117; GGT= 212 U/L;
CDC 'Split Type': 960025741

Write-up: pt recv vax;exp liver enzymes,a petechial rash,& a high fever;rash&high fever occurred twice over a 2 wk,period&have resolved;

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