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This is VAERS ID 85420

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 85420
VAERS Form:
Age:2.7
Sex:Female
Location:California
Vaccinated:1996-04-17
Onset:1996-04-17
Submitted:1996-04-18
Entered:1996-05-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA183A2 / 0 A / IM

Administered by: Military      Purchased by: Unknown
Symptoms: FEVER, NAUSEA, VOMIT

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: n/v from 17APR 1130PM-18APR 330PM vomiting x 4 until nothing left;temp over 100 @ 9AM 18APR t100.3;130PM 18APR x 1 vomiting pt back to feeling nl by 22APR


Changed on 12/8/2009

VAERS ID: 85420 Before After
VAERS Form:
Age:2.7 2.0
Sex:Female
Location:California
Vaccinated:1996-04-17
Onset:1996-04-17
Submitted:1996-04-18
Entered:1996-05-02 1996-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA183A2 183A2 / 0 A - / IM

Administered by: Military Unknown      Purchased by: Unknown
Symptoms: Nausea, Pyrexia, Vomiting, FEVER, NAUSEA, VOMIT

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: n/v from 17APR 1130PM-18APR 330PM vomiting x 4 until nothing left;temp over 100 @ 9AM 18APR t100.3;130PM 18APR x 1 vomiting pt back to feeling nl by 22APR


Changed on 5/14/2017

VAERS ID: 85420 Before After
VAERS Form:
Age:2.0
Sex:Female
Location:California
Vaccinated:1996-04-17
Onset:1996-04-17
Submitted:1996-04-18
Entered:1996-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 183A2 / 0 - / IM

Administered by: Unknown Military      Purchased by: Unknown Public
Symptoms: Nausea, Pyrexia, Vomiting

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: n/v from 17APR 1130PM-18APR 330PM vomiting x 4 until nothing left;temp over 100 @ 9AM 18APR t100.3;130PM 18APR x 1 vomiting pt back to feeling nl by 22APR


Changed on 9/14/2017

VAERS ID: 85420 Before After
VAERS Form:(blank) 1
Age:2.0
Sex:Female
Location:California
Vaccinated:1996-04-17
Onset:1996-04-17
Submitted:1996-04-18
Entered:1996-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 183A2 / 0 1 - / IM

Administered by: Military      Purchased by: Public
Symptoms: Nausea, Pyrexia, Vomiting

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: n/v from 17APR 1130PM-18APR 330PM vomiting x 4 until nothing left;temp over 100 @ 9AM 18APR t100.3;130PM 18APR x 1 vomiting pt back to feeling nl by 22APR


Changed on 2/14/2018

VAERS ID: 85420 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:California
Vaccinated:1996-04-17
Onset:1996-04-17
Submitted:1996-04-18
Entered:1996-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 183A2 / 1 - / IM

Administered by: Military      Purchased by: Public
Symptoms: Nausea, Pyrexia, Vomiting

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: n/v from 17APR 1130PM-18APR 330PM vomiting x 4 until nothing left;temp over 100 @ 9AM 18APR t100.3;130PM 18APR x 1 vomiting pt back to feeling nl by 22APR


Changed on 6/14/2018

VAERS ID: 85420 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:California
Vaccinated:1996-04-17
Onset:1996-04-17
Submitted:1996-04-18
Entered:1996-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 183A2 / 1 - / IM

Administered by: Military      Purchased by: Public
Symptoms: Nausea, Pyrexia, Vomiting

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: n/v from 17APR 1130PM-18APR 330PM vomiting x 4 until nothing left;temp over 100 @ 9AM 18APR t100.3;130PM 18APR x 1 vomiting pt back to feeling nl by 22APR


Changed on 8/14/2018

VAERS ID: 85420 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:California
Vaccinated:1996-04-17
Onset:1996-04-17
Submitted:1996-04-18
Entered:1996-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 183A2 / 1 - / IM

Administered by: Military      Purchased by: Public
Symptoms: Nausea, Pyrexia, Vomiting

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: n/v from 17APR 1130PM-18APR 330PM vomiting x 4 until nothing left;temp over 100 @ 9AM 18APR t100.3;130PM 18APR x 1 vomiting pt back to feeling nl by 22APR


Changed on 9/14/2018

VAERS ID: 85420 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:California
Vaccinated:1996-04-17
Onset:1996-04-17
Submitted:1996-04-18
Entered:1996-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 183A2 / 1 - / IM

Administered by: Military      Purchased by: Public
Symptoms: Nausea, Pyrexia, Vomiting

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: n/v from 17APR 1130PM-18APR 330PM vomiting x 4 until nothing left;temp over 100 @ 9AM 18APR t100.3;130PM 18APR x 1 vomiting pt back to feeling nl by 22APR


Changed on 10/14/2018

VAERS ID: 85420 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:California
Vaccinated:1996-04-17
Onset:1996-04-17
Submitted:1996-04-18
Entered:1996-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 183A2 / 1 - / IM

Administered by: Military      Purchased by: Public
Symptoms: Nausea, Pyrexia, Vomiting

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: n/v from 17APR 1130PM-18APR 330PM vomiting x 4 until nothing left;temp over 100 @ 9AM 18APR t100.3;130PM 18APR x 1 vomiting pt back to feeling nl by 22APR


Changed on 12/24/2020

VAERS ID: 85420 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:California
Vaccinated:1996-04-17
Onset:1996-04-17
Submitted:1996-04-18
Entered:1996-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 183A2 / 1 - / IM

Administered by: Military      Purchased by: Public
Symptoms: Nausea, Pyrexia, Vomiting

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: n/v from 17APR 1130PM-18APR 330PM vomiting x 4 until nothing left;temp over 100 @ 9AM 18APR t100.3;130PM 18APR x 1 vomiting pt back to feeling nl by 22APR


Changed on 12/30/2020

VAERS ID: 85420 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:California
Vaccinated:1996-04-17
Onset:1996-04-17
Submitted:1996-04-18
Entered:1996-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 183A2 / 1 - / IM

Administered by: Military      Purchased by: Public
Symptoms: Nausea, Pyrexia, Vomiting

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: n/v from 17APR 1130PM-18APR 330PM vomiting x 4 until nothing left;temp over 100 @ 9AM 18APR t100.3;130PM 18APR x 1 vomiting pt back to feeling nl by 22APR


Changed on 5/7/2021

VAERS ID: 85420 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:California
Vaccinated:1996-04-17
Onset:1996-04-17
Submitted:1996-04-18
Entered:1996-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 183A2 / 1 - / IM

Administered by: Military      Purchased by: Public
Symptoms: Nausea, Pyrexia, Vomiting

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: n/v from 17APR 1130PM-18APR 330PM vomiting x 4 until nothing left;temp over 100 @ 9AM 18APR t100.3;130PM 18APR x 1 vomiting pt back to feeling nl by 22APR


Changed on 5/21/2021

VAERS ID: 85420 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:California
Vaccinated:1996-04-17
Onset:1996-04-17
Submitted:1996-04-18
Entered:1996-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 183A2 / 1 - / IM

Administered by: Military      Purchased by: Public
Symptoms: Nausea, Pyrexia, Vomiting

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: n/v from 17APR 1130PM-18APR 330PM vomiting x 4 until nothing left;temp over 100 @ 9AM 18APR t100.3;130PM 18APR x 1 vomiting pt back to feeling nl by 22APR

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