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This is VAERS ID 108895

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 108895
VAERS Form:
Age:13.0
Sex:Female
Location:Colorado
Vaccinated:1998-02-05
Onset:1998-02-09
Submitted:1998-03-24
Entered:1998-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE 547A1 / 0 - / -
OPV: ORIMUNE / LEDERLE 443673 / 0 - / PO

Administered by: Other      Purchased by: Unknown
Symptoms: HEADACHE, CONVULS GRAND MAL, ENCEPHALITIS

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP positive for encephalitis;
CDC 'Split Type':

Write-up: pt recv vax & w/in 24hr had a h/a which persisted 3 days;pt then had a grand mal sz & was hosp;LP & analysis of the cerebrospinal fluid led to the dx of mild encephalitis;pt disch from hosp 12FEB98 & recovering slowly;


Changed on 12/8/2009

VAERS ID: 108895 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Colorado
Vaccinated:1998-02-05
Onset:1998-02-09
Submitted:1998-03-24
Entered:1998-03-27 1998-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM 547A1 / 0 - / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 443673 / 0 - / PO

Administered by: Other      Purchased by: Unknown Other
Symptoms: Encephalitis, Grand mal convulsion, Headache, HEADACHE, CONVULS GRAND MAL, ENCEPHALITIS

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP positive for encephalitis;
CDC 'Split Type': (blank) 19980072401

Write-up: pt recv vax & w/in 24hr had a h/a which persisted 3 days;pt then had a grand mal sz & was hosp;LP & analysis of the cerebrospinal fluid led to the dx of mild encephalitis;pt disch from hosp 12FEB98 & recovering slowly;


Changed on 5/14/2017

VAERS ID: 108895 Before After
VAERS Form:
Age:13.0
Sex:Female
Location:Colorado
Vaccinated:1998-02-05
Onset:1998-02-09
Submitted:1998-03-24
Entered:1998-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 0 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 443673 / 0 - / PO

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Grand mal convulsion, Headache

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP positive for encephalitis;
CDC 'Split Type': 19980072401

Write-up: pt recv vax & w/in 24hr had a h/a which persisted 3 days;pt then had a grand mal sz & was hosp;LP & analysis of the cerebrospinal fluid led to the dx of mild encephalitis;pt disch from hosp 12FEB98 & recovering slowly;


Changed on 9/14/2017

VAERS ID: 108895 Before After
VAERS Form:(blank) 1
Age:13.0
Sex:Female
Location:Colorado
Vaccinated:1998-02-05
Onset:1998-02-09
Submitted:1998-03-24
Entered:1998-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 0 1 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 443673 / 0 1 - MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Grand mal convulsion, Headache

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP positive for encephalitis;
CDC 'Split Type': 19980072401

Write-up: pt recv vax & w/in 24hr had a h/a which persisted 3 days;pt then had a grand mal sz & was hosp;LP & analysis of the cerebrospinal fluid led to the dx of mild encephalitis;pt disch from hosp 12FEB98 & recovering slowly;


Changed on 2/14/2018

VAERS ID: 108895 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Colorado
Vaccinated:1998-02-05
Onset:1998-02-09
Submitted:1998-03-24
Entered:1998-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 443673 / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Grand mal convulsion, Headache

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP positive for encephalitis;
CDC 'Split Type': 19980072401

Write-up: pt recv vax & w/in 24hr had a h/a which persisted 3 days;pt then had a grand mal sz & was hosp;LP & analysis of the cerebrospinal fluid led to the dx of mild encephalitis;pt disch from hosp 12FEB98 & recovering slowly;


Changed on 6/14/2018

VAERS ID: 108895 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Colorado
Vaccinated:1998-02-05
Onset:1998-02-09
Submitted:1998-03-24
Entered:1998-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 443673 / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Grand mal convulsion, Headache

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP positive for encephalitis;
CDC 'Split Type': 19980072401

Write-up: pt recv vax & w/in 24hr had a h/a which persisted 3 days;pt then had a grand mal sz & was hosp;LP & analysis of the cerebrospinal fluid led to the dx of mild encephalitis;pt disch from hosp 12FEB98 & recovering slowly;


Changed on 8/14/2018

VAERS ID: 108895 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Colorado
Vaccinated:1998-02-05
Onset:1998-02-09
Submitted:1998-03-24
Entered:1998-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 443673 / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Grand mal convulsion, Headache

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP positive for encephalitis;
CDC 'Split Type': 19980072401

Write-up: pt recv vax & w/in 24hr had a h/a which persisted 3 days;pt then had a grand mal sz & was hosp;LP & analysis of the cerebrospinal fluid led to the dx of mild encephalitis;pt disch from hosp 12FEB98 & recovering slowly;


Changed on 9/14/2018

VAERS ID: 108895 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Colorado
Vaccinated:1998-02-05
Onset:1998-02-09
Submitted:1998-03-24
Entered:1998-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 443673 / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Grand mal convulsion, Headache

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP positive for encephalitis;
CDC 'Split Type': 19980072401

Write-up: pt recv vax & w/in 24hr had a h/a which persisted 3 days;pt then had a grand mal sz & was hosp;LP & analysis of the cerebrospinal fluid led to the dx of mild encephalitis;pt disch from hosp 12FEB98 & recovering slowly;


Changed on 10/14/2018

VAERS ID: 108895 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Colorado
Vaccinated:1998-02-05
Onset:1998-02-09
Submitted:1998-03-24
Entered:1998-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 443673 / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Grand mal convulsion, Headache

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP positive for encephalitis;
CDC 'Split Type': 19980072401

Write-up: pt recv vax & w/in 24hr had a h/a which persisted 3 days;pt then had a grand mal sz & was hosp;LP & analysis of the cerebrospinal fluid led to the dx of mild encephalitis;pt disch from hosp 12FEB98 & recovering slowly;


Changed on 12/24/2020

VAERS ID: 108895 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Colorado
Vaccinated:1998-02-05
Onset:1998-02-09
Submitted:1998-03-24
Entered:1998-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 443673 / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Grand mal convulsion, Headache

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP positive for encephalitis;
CDC 'Split Type': 19980072401

Write-up: pt recv vax & w/in 24hr had a h/a which persisted 3 days;pt then had a grand mal sz & was hosp;LP & analysis of the cerebrospinal fluid led to the dx of mild encephalitis;pt disch from hosp 12FEB98 & recovering slowly;


Changed on 12/30/2020

VAERS ID: 108895 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Colorado
Vaccinated:1998-02-05
Onset:1998-02-09
Submitted:1998-03-24
Entered:1998-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 443673 / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Grand mal convulsion, Headache

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP positive for encephalitis;
CDC 'Split Type': 19980072401

Write-up: pt recv vax & w/in 24hr had a h/a which persisted 3 days;pt then had a grand mal sz & was hosp;LP & analysis of the cerebrospinal fluid led to the dx of mild encephalitis;pt disch from hosp 12FEB98 & recovering slowly;


Changed on 5/7/2021

VAERS ID: 108895 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Colorado
Vaccinated:1998-02-05
Onset:1998-02-09
Submitted:1998-03-24
Entered:1998-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 443673 / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Grand mal convulsion, Headache

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP positive for encephalitis;
CDC 'Split Type': 19980072401

Write-up: pt recv vax & w/in 24hr had a h/a which persisted 3 days;pt then had a grand mal sz & was hosp;LP & analysis of the cerebrospinal fluid led to the dx of mild encephalitis;pt disch from hosp 12FEB98 & recovering slowly;


Changed on 5/21/2021

VAERS ID: 108895 Before After
VAERS Form:1
Age:13.0
Sex:Female
Location:Colorado
Vaccinated:1998-02-05
Onset:1998-02-09
Submitted:1998-03-24
Entered:1998-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 443673 / 1 MO / PO

Administered by: Other      Purchased by: Other
Symptoms: Encephalitis, Grand mal convulsion, Headache

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP positive for encephalitis;
CDC 'Split Type': 19980072401

Write-up: pt recv vax & w/in 24hr had a h/a which persisted 3 days;pt then had a grand mal sz & was hosp;LP & analysis of the cerebrospinal fluid led to the dx of mild encephalitis;pt disch from hosp 12FEB98 & recovering slowly;

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