National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 85620

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 85620
VAERS Form:
Age:42.9
Sex:Female
Location:Oregon
Vaccinated:1996-04-16
Onset:1996-04-18
Submitted:1996-05-02
Entered:1996-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA434A4 / 0 RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: URTICARIA, PRURITUS

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: denies
Other Medications: Synthyroid
Current Illness: denies
Preexisting Conditions: NKA, has ETXS since 1989
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': NKA, has ETXS since 1989

Write-up: 2 1/2 days p/vax pt devel hives on face, scalp, lt breast, abd & back;itching of feet & legs;took DPH & hives resolved by 0600 20APR96


Changed on 12/8/2009

VAERS ID: 85620 Before After
VAERS Form:
Age:42.9
Sex:Female
Location:Oregon
Vaccinated:1996-04-16
Onset:1996-04-18
Submitted:1996-05-02
Entered:1996-05-10 1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA434A4 / 0 RA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Pruritus, Urticaria, URTICARIA, PRURITUS

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: denies
Other Medications: Synthyroid
Current Illness: denies
Preexisting Conditions: NKA, has ETXS since 1989
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': NKA, has ETXS since 1989 (blank)

Write-up: 2 1/2 days p/vax pt devel hives on face, scalp, lt breast, abd & back;itching of feet & legs;took DPH & hives resolved by 0600 20APR96


Changed on 2/14/2017

VAERS ID: 85620 Before After
VAERS Form:
Age:42.9 42.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-16
Onset:1996-04-18
Submitted:1996-05-02
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 0 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pruritus, Urticaria

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: denies
Other Medications: Synthyroid
Current Illness: denies
Preexisting Conditions: NKA, has ETXS since 1989
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 2 1/2 days p/vax pt devel hives on face, scalp, lt breast, abd & back;itching of feet & legs;took DPH & hives resolved by 0600 20APR96


Changed on 5/14/2017

VAERS ID: 85620 Before After
VAERS Form:
Age:42.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-16
Onset:1996-04-18
Submitted:1996-05-02
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 0 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pruritus, Urticaria

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: denies denies~ ()~~~In patient
Other Medications: Synthyroid
Current Illness: denies
Preexisting Conditions: NKA, has ETXS since 1989
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 2 1/2 days p/vax pt devel hives on face, scalp, lt breast, abd & back;itching of feet & legs;took DPH & hives resolved by 0600 20APR96


Changed on 9/14/2017

VAERS ID: 85620 Before After
VAERS Form:(blank) 1
Age:42.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-16
Onset:1996-04-18
Submitted:1996-05-02
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 0 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pruritus, Urticaria

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: denies~ ()~~~In patient
Other Medications: Synthyroid
Current Illness: denies
Preexisting Conditions: NKA, has ETXS since 1989
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 2 1/2 days p/vax pt devel hives on face, scalp, lt breast, abd & back;itching of feet & legs;took DPH & hives resolved by 0600 20APR96


Changed on 2/14/2018

VAERS ID: 85620 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-16
Onset:1996-04-18
Submitted:1996-05-02
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pruritus, Urticaria

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: denies~ ()~~~In patient
Other Medications: Synthyroid
Current Illness: denies
Preexisting Conditions: NKA, has ETXS since 1989
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 2 1/2 days p/vax pt devel hives on face, scalp, lt breast, abd & back;itching of feet & legs;took DPH & hives resolved by 0600 20APR96


Changed on 6/14/2018

VAERS ID: 85620 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-16
Onset:1996-04-18
Submitted:1996-05-02
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pruritus, Urticaria

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: denies~ ()~~~In patient
Other Medications: Synthyroid
Current Illness: denies
Preexisting Conditions: NKA, has ETXS since 1989
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 2 1/2 days p/vax pt devel hives on face, scalp, lt breast, abd & back;itching of feet & legs;took DPH & hives resolved by 0600 20APR96


Changed on 8/14/2018

VAERS ID: 85620 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-16
Onset:1996-04-18
Submitted:1996-05-02
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pruritus, Urticaria

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: denies~ ()~~~In patient
Other Medications: Synthyroid
Current Illness: denies
Preexisting Conditions: NKA, has ETXS since 1989
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 2 1/2 days p/vax pt devel hives on face, scalp, lt breast, abd & back;itching of feet & legs;took DPH & hives resolved by 0600 20APR96


Changed on 9/14/2018

VAERS ID: 85620 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-16
Onset:1996-04-18
Submitted:1996-05-02
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pruritus, Urticaria

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: denies~ ()~~~In patient
Other Medications: Synthyroid
Current Illness: denies
Preexisting Conditions: NKA, has ETXS since 1989
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 2 1/2 days p/vax pt devel hives on face, scalp, lt breast, abd & back;itching of feet & legs;took DPH & hives resolved by 0600 20APR96


Changed on 10/14/2018

VAERS ID: 85620 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-16
Onset:1996-04-18
Submitted:1996-05-02
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pruritus, Urticaria

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: denies~ ()~~~In patient
Other Medications: Synthyroid
Current Illness: denies
Preexisting Conditions: NKA, has ETXS since 1989
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 2 1/2 days p/vax pt devel hives on face, scalp, lt breast, abd & back;itching of feet & legs;took DPH & hives resolved by 0600 20APR96


Changed on 12/24/2020

VAERS ID: 85620 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-16
Onset:1996-04-18
Submitted:1996-05-02
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pruritus, Urticaria

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: denies~ ()~~~In patient
Other Medications: Synthyroid
Current Illness: denies
Preexisting Conditions: NKA, has ETXS since 1989
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 2 1/2 days p/vax pt devel hives on face, scalp, lt breast, abd & back;itching of feet & legs;took DPH & hives resolved by 0600 20APR96


Changed on 12/30/2020

VAERS ID: 85620 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-16
Onset:1996-04-18
Submitted:1996-05-02
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pruritus, Urticaria

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: denies~ ()~~~In patient
Other Medications: Synthyroid
Current Illness: denies
Preexisting Conditions: NKA, has ETXS since 1989
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 2 1/2 days p/vax pt devel hives on face, scalp, lt breast, abd & back;itching of feet & legs;took DPH & hives resolved by 0600 20APR96


Changed on 5/7/2021

VAERS ID: 85620 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-16
Onset:1996-04-18
Submitted:1996-05-02
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pruritus, Urticaria

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: denies~ ()~~~In patient
Other Medications: Synthyroid
Current Illness: denies
Preexisting Conditions: NKA, has ETXS since 1989
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 2 1/2 days p/vax pt devel hives on face, scalp, lt breast, abd & back;itching of feet & legs;took DPH & hives resolved by 0600 20APR96


Changed on 5/21/2021

VAERS ID: 85620 Before After
VAERS Form:1
Age:42.0
Sex:Female
Location:Oregon
Vaccinated:1996-04-16
Onset:1996-04-18
Submitted:1996-05-02
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA434A4 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Pruritus, Urticaria

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: denies~ ()~~~In patient
Other Medications: Synthyroid
Current Illness: denies
Preexisting Conditions: NKA, has ETXS since 1989
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: 2 1/2 days p/vax pt devel hives on face, scalp, lt breast, abd & back;itching of feet & legs;took DPH & hives resolved by 0600 20APR96

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=85620&WAYBACKHISTORY=ON


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