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This is VAERS ID 85252

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 85252
VAERS Form:
Age:
Sex:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-03-21
Entered:1996-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE - / - A / IM
TD: TD ADSORBED, ADULTS / WYETH - / - A / IM

Administered by: Other      Purchased by: Unknown
Symptoms: EDEMA INJECT SITE, HYSN INJECT SITE

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: recent mastectomy
Preexisting Conditions: recent mastectomy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax; devel redness & swelling at inject site 10 days later;


Changed on 12/8/2009

VAERS ID: 85252 Before After
VAERS Form:
Age:
Sex:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-03-21
Entered:1996-05-09 1996-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM - / - A / IM
TD: TD ADSORBED, ADULTS TD ADSORBED (NO BRAND NAME) / WYETH WYETH PHARMACEUTICALS, INC - / - A / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site hypersensitivity, Injection site oedema, EDEMA INJECT SITE, HYSN INJECT SITE

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: recent mastectomy
Preexisting Conditions: recent mastectomy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 895097001S

Write-up: pt recv vax; devel redness & swelling at inject site 10 days later;


Changed on 8/31/2010

VAERS ID: 85252 Before After
VAERS Form:
Age:
Sex:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-03-21
Entered:1996-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / - A / IM
TD: TD ADSORBED (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH - / - A / IM

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema

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: recent mastectomy
Preexisting Conditions: recent mastectomy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895097001S

Write-up: pt recv vax; devel redness & swelling at inject site 10 days later;


Changed on 5/14/2017

VAERS ID: 85252 Before After
VAERS Form:
Age:
Sex:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-03-21
Entered:1996-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / - A - / IM IM A
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / - A - / IM IM A

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema

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: recent mastectomy
Preexisting Conditions: recent mastectomy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895097001S

Write-up: pt recv vax; devel redness & swelling at inject site 10 days later;


Changed on 9/14/2017

VAERS ID: 85252 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-03-21
Entered:1996-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / - UNK - / IM A
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / - UNK - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema

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: recent mastectomy
Preexisting Conditions: recent mastectomy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895097001S

Write-up: pt recv vax; devel redness & swelling at inject site 10 days later;


Changed on 2/14/2018

VAERS ID: 85252 Before After
VAERS Form:1
Age:
Sex:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-03-21
Entered:1996-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / IM A
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema

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: recent mastectomy
Preexisting Conditions: recent mastectomy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895097001S

Write-up: pt recv vax; devel redness & swelling at inject site 10 days later;


Changed on 6/14/2018

VAERS ID: 85252 Before After
VAERS Form:1
Age:
Sex:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-03-21
Entered:1996-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / IM A
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema

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: recent mastectomy
Preexisting Conditions: recent mastectomy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895097001S

Write-up: pt recv vax; devel redness & swelling at inject site 10 days later;


Changed on 8/14/2018

VAERS ID: 85252 Before After
VAERS Form:1
Age:
Sex:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-03-21
Entered:1996-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / IM A
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema

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: recent mastectomy
Preexisting Conditions: recent mastectomy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895097001S

Write-up: pt recv vax; devel redness & swelling at inject site 10 days later;


Changed on 9/14/2018

VAERS ID: 85252 Before After
VAERS Form:1
Age:
Sex:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-03-21
Entered:1996-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / IM A
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema

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: recent mastectomy
Preexisting Conditions: recent mastectomy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895097001S

Write-up: pt recv vax; devel redness & swelling at inject site 10 days later;


Changed on 10/14/2018

VAERS ID: 85252 Before After
VAERS Form:1
Age:
Sex:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-03-21
Entered:1996-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / IM A
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema

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: recent mastectomy
Preexisting Conditions: recent mastectomy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895097001S

Write-up: pt recv vax; devel redness & swelling at inject site 10 days later;


Changed on 12/24/2020

VAERS ID: 85252 Before After
VAERS Form:1
Age:
Sex:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-03-21
Entered:1996-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / IM A
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema

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: recent mastectomy
Preexisting Conditions: recent mastectomy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895097001S

Write-up: pt recv vax; devel redness & swelling at inject site 10 days later;


Changed on 12/30/2020

VAERS ID: 85252 Before After
VAERS Form:1
Age:
Sex:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-03-21
Entered:1996-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / IM A
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema

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: recent mastectomy
Preexisting Conditions: recent mastectomy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895097001S

Write-up: pt recv vax; devel redness & swelling at inject site 10 days later;


Changed on 5/7/2021

VAERS ID: 85252 Before After
VAERS Form:1
Age:
Sex:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-03-21
Entered:1996-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / IM A
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema

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: recent mastectomy
Preexisting Conditions: recent mastectomy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895097001S

Write-up: pt recv vax; devel redness & swelling at inject site 10 days later;


Changed on 5/21/2021

VAERS ID: 85252 Before After
VAERS Form:1
Age:
Sex:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1995-03-21
Entered:1996-04-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / IM A
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH - / UNK - / IM A

Administered by: Other      Purchased by: Other
Symptoms: Injection site hypersensitivity, Injection site oedema

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: recent mastectomy
Preexisting Conditions: recent mastectomy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 895097001S

Write-up: pt recv vax; devel redness & swelling at inject site 10 days later;

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