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This is VAERS ID 85625

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 85625
VAERS Form:
Age:12.6
Sex:Female
Location:California
Vaccinated:1996-03-08
Onset:1996-03-30
Submitted:1996-04-19
Entered:1996-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: UNK. HEPATITIS B / UNCLASSIFIED - / - - / -
HEPA: HAVRIX / SMITHKLINE - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: URTICARIA, RASH MAC PAP

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: OTC vitamins
Current Illness:
Preexisting Conditions: seasonal hayfever;no viral illness, no exposure to hepatitis, no parasite exposure
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: pt recv vax 8MAR96&devel hives&a morbilliform rash on 30MAR96;


Changed on 12/8/2009

VAERS ID: 85625 Before After
VAERS Form:
Age:12.6
Sex:Female
Location:California
Vaccinated:1996-03-08
Onset:1996-03-30
Submitted:1996-04-19
Entered:1996-05-10 1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: UNK. HEPATITIS B HEP B (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash maculo-papular, Urticaria, URTICARIA, RASH MAC PAP

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: OTC vitamins
Current Illness:
Preexisting Conditions: seasonal hayfever;no viral illness, no exposure to hepatitis, no parasite exposure
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: pt recv vax 8MAR96&devel hives&a morbilliform rash on 30MAR96;


Changed on 2/14/2017

VAERS ID: 85625 Before After
VAERS Form:
Age:12.6 12.0
Sex:Female
Location:California
Vaccinated:1996-03-08
Onset:1996-03-30
Submitted:1996-04-19
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash maculo-papular, Urticaria

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: OTC vitamins
Current Illness:
Preexisting Conditions: seasonal hayfever;no viral illness, no exposure to hepatitis, no parasite exposure
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: pt recv vax 8MAR96&devel hives&a morbilliform rash on 30MAR96;


Changed on 5/14/2017

VAERS ID: 85625 Before After
VAERS Form:
Age:12.0
Sex:Female
Location:California
Vaccinated:1996-03-08
Onset:1996-03-30
Submitted:1996-04-19
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash maculo-papular, Urticaria

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: OTC vitamins
Current Illness:
Preexisting Conditions: seasonal hayfever;no viral illness, no exposure to hepatitis, no parasite exposure
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: pt recv vax 8MAR96&devel hives&a morbilliform rash on 30MAR96;


Changed on 9/14/2017

VAERS ID: 85625 Before After
VAERS Form:(blank) 1
Age:12.0
Sex:Female
Location:California
Vaccinated:1996-03-08
Onset:1996-03-30
Submitted:1996-04-19
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash maculo-papular, Urticaria

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: OTC vitamins
Current Illness:
Preexisting Conditions: seasonal hayfever;no viral illness, no exposure to hepatitis, no parasite exposure
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: pt recv vax 8MAR96&devel hives&a morbilliform rash on 30MAR96;


Changed on 2/14/2018

VAERS ID: 85625 Before After
VAERS Form:1
Age:12.0
Sex:Female
Location:California
Vaccinated:1996-03-08
Onset:1996-03-30
Submitted:1996-04-19
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash maculo-papular, Urticaria

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: OTC vitamins
Current Illness:
Preexisting Conditions: seasonal hayfever;no viral illness, no exposure to hepatitis, no parasite exposure
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: pt recv vax 8MAR96&devel hives&a morbilliform rash on 30MAR96;


Changed on 6/14/2018

VAERS ID: 85625 Before After
VAERS Form:1
Age:12.0
Sex:Female
Location:California
Vaccinated:1996-03-08
Onset:1996-03-30
Submitted:1996-04-19
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash maculo-papular, Urticaria

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: OTC vitamins
Current Illness:
Preexisting Conditions: seasonal hayfever;no viral illness, no exposure to hepatitis, no parasite exposure
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: pt recv vax 8MAR96&devel hives&a morbilliform rash on 30MAR96;


Changed on 8/14/2018

VAERS ID: 85625 Before After
VAERS Form:1
Age:12.0
Sex:Female
Location:California
Vaccinated:1996-03-08
Onset:1996-03-30
Submitted:1996-04-19
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash maculo-papular, Urticaria

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: OTC vitamins
Current Illness:
Preexisting Conditions: seasonal hayfever;no viral illness, no exposure to hepatitis, no parasite exposure
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: pt recv vax 8MAR96&devel hives&a morbilliform rash on 30MAR96;


Changed on 9/14/2018

VAERS ID: 85625 Before After
VAERS Form:1
Age:12.0
Sex:Female
Location:California
Vaccinated:1996-03-08
Onset:1996-03-30
Submitted:1996-04-19
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash maculo-papular, Urticaria

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: OTC vitamins
Current Illness:
Preexisting Conditions: seasonal hayfever;no viral illness, no exposure to hepatitis, no parasite exposure
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: pt recv vax 8MAR96&devel hives&a morbilliform rash on 30MAR96;


Changed on 10/14/2018

VAERS ID: 85625 Before After
VAERS Form:1
Age:12.0
Sex:Female
Location:California
Vaccinated:1996-03-08
Onset:1996-03-30
Submitted:1996-04-19
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash maculo-papular, Urticaria

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: OTC vitamins
Current Illness:
Preexisting Conditions: seasonal hayfever;no viral illness, no exposure to hepatitis, no parasite exposure
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: pt recv vax 8MAR96&devel hives&a morbilliform rash on 30MAR96;


Changed on 12/24/2020

VAERS ID: 85625 Before After
VAERS Form:1
Age:12.0
Sex:Female
Location:California
Vaccinated:1996-03-08
Onset:1996-03-30
Submitted:1996-04-19
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash maculo-papular, Urticaria

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: OTC vitamins
Current Illness:
Preexisting Conditions: seasonal hayfever;no viral illness, no exposure to hepatitis, no parasite exposure
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: pt recv vax 8MAR96&devel hives&a morbilliform rash on 30MAR96;


Changed on 12/30/2020

VAERS ID: 85625 Before After
VAERS Form:1
Age:12.0
Sex:Female
Location:California
Vaccinated:1996-03-08
Onset:1996-03-30
Submitted:1996-04-19
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash maculo-papular, Urticaria

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: OTC vitamins
Current Illness:
Preexisting Conditions: seasonal hayfever;no viral illness, no exposure to hepatitis, no parasite exposure
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: pt recv vax 8MAR96&devel hives&a morbilliform rash on 30MAR96;


Changed on 5/7/2021

VAERS ID: 85625 Before After
VAERS Form:1
Age:12.0
Sex:Female
Location:California
Vaccinated:1996-03-08
Onset:1996-03-30
Submitted:1996-04-19
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash maculo-papular, Urticaria

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: OTC vitamins
Current Illness:
Preexisting Conditions: seasonal hayfever;no viral illness, no exposure to hepatitis, no parasite exposure
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: pt recv vax 8MAR96&devel hives&a morbilliform rash on 30MAR96;


Changed on 5/21/2021

VAERS ID: 85625 Before After
VAERS Form:1
Age:12.0
Sex:Female
Location:California
Vaccinated:1996-03-08
Onset:1996-03-30
Submitted:1996-04-19
Entered:1996-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Rash maculo-papular, Urticaria

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: OTC vitamins
Current Illness:
Preexisting Conditions: seasonal hayfever;no viral illness, no exposure to hepatitis, no parasite exposure
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: pt recv vax 8MAR96&devel hives&a morbilliform rash on 30MAR96;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=85625&WAYBACKHISTORY=ON


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