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This is VAERS ID 110784

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 110784
VAERS Form:
Age:29.5
Sex:Male
Location:California
Vaccinated:1998-04-17
Onset:1998-04-17
Submitted:1998-05-08
Entered:1998-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: VAQTA / MSD - / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: FEVER, HEADACHE, DEHYDRAT, COUGH INC, BRONCHITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: No relevant data;
Other Medications: Acyclovir;Vancenase;Allegra;Ibuporfen;Indinavir sulfate;Lamivudine;Septra;Zidovudine;
Current Illness:
Preexisting Conditions: Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia;
Allergies:
Diagnostic Lab Data: CXR abn but r/o PCP;blood cult results pending;WBC nl;WBC nl;sputum results pending;blood CD4 count 18%;
CDC 'Split Type': Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia;

Write-up: pt felt feverish;also devel h/a & a cough w/some chest congestion;19APR98 still feverish, h/a, chest congestion worsened;20APR98 T102 to ER;pt adm to hosp 21APR98 w/dehydration;dx bronchitis w/directives to r/o pneumonia, PCP, TB


Changed on 12/8/2009

VAERS ID: 110784 Before After
VAERS Form:
Age:29.5
Sex:Male
Location:California
Vaccinated:1998-04-17
Onset:1998-04-17
Submitted:1998-05-08
Entered:1998-05-14 1998-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: VAQTA HEP A (VAQTA) / MSD MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Bronchitis, Cough, Dehydration, Headache, Lung disorder, Pneumonia, Pyrexia, Respiratory disorder, FEVER, HEADACHE, DEHYDRAT, COUGH INC, BRONCHITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: No relevant data;
Other Medications: Acyclovir;Vancenase;Allegra;Ibuporfen;Indinavir sulfate;Lamivudine;Septra;Zidovudine;
Current Illness:
Preexisting Conditions: Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia;
Allergies:
Diagnostic Lab Data: CXR abn but r/o PCP;blood cult results pending;WBC nl;WBC nl;sputum results pending;blood CD4 count 18%;
CDC 'Split Type': Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia; WAES98041901

Write-up: pt felt feverish;also devel h/a & a cough w/some chest congestion;19APR98 still feverish, h/a, chest congestion worsened;20APR98 T102 to ER;pt adm to hosp 21APR98 w/dehydration;dx bronchitis w/directives to r/o pneumonia, PCP, TB


Changed on 2/14/2017

VAERS ID: 110784 Before After
VAERS Form:
Age:29.5 29.0
Sex:Male
Location:California
Vaccinated:1998-04-17
Onset:1998-04-17
Submitted:1998-05-08
Entered:1998-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Bronchitis, Cough, Dehydration, Headache, Lung disorder, Pneumonia, Pyrexia, Respiratory disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: No relevant data;
Other Medications: Acyclovir;Vancenase;Allegra;Ibuporfen;Indinavir sulfate;Lamivudine;Septra;Zidovudine;
Current Illness:
Preexisting Conditions: Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia;
Allergies:
Diagnostic Lab Data: CXR abn but r/o PCP;blood cult results pending;WBC nl;WBC nl;sputum results pending;blood CD4 count 18%;
CDC 'Split Type': WAES98041901

Write-up: pt felt feverish;also devel h/a & a cough w/some chest congestion;19APR98 still feverish, h/a, chest congestion worsened;20APR98 T102 to ER;pt adm to hosp 21APR98 w/dehydration;dx bronchitis w/directives to r/o pneumonia, PCP, TB


Changed on 5/14/2017

VAERS ID: 110784 Before After
VAERS Form:
Age:29.0
Sex:Male
Location:California
Vaccinated:1998-04-17
Onset:1998-04-17
Submitted:1998-05-08
Entered:1998-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Bronchitis, Cough, Dehydration, Headache, Lung disorder, Pneumonia, Pyrexia, Respiratory disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: No relevant data; data;~ ()~~~In patient
Other Medications: Acyclovir;Vancenase;Allegra;Ibuporfen;Indinavir sulfate;Lamivudine;Septra;Zidovudine;
Current Illness:
Preexisting Conditions: Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia;
Allergies:
Diagnostic Lab Data: CXR abn but r/o PCP;blood cult results pending;WBC nl;WBC nl;sputum results pending;blood CD4 count 18%;
CDC 'Split Type': WAES98041901

Write-up: pt felt feverish;also devel h/a & a cough w/some chest congestion;19APR98 still feverish, h/a, chest congestion worsened;20APR98 T102 to ER;pt adm to hosp 21APR98 w/dehydration;dx bronchitis w/directives to r/o pneumonia, PCP, TB


Changed on 9/14/2017

VAERS ID: 110784 Before After
VAERS Form:(blank) 1
Age:29.0
Sex:Male
Location:California
Vaccinated:1998-04-17
Onset:1998-04-17
Submitted:1998-05-08
Entered:1998-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 1 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Bronchitis, Cough, Dehydration, Headache, Lung disorder, Pneumonia, Pyrexia, Respiratory disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: No relevant data;~ ()~~~In patient
Other Medications: Acyclovir;Vancenase;Allegra;Ibuporfen;Indinavir sulfate;Lamivudine;Septra;Zidovudine;
Current Illness:
Preexisting Conditions: Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia;
Allergies:
Diagnostic Lab Data: CXR abn but r/o PCP;blood cult results pending;WBC nl;WBC nl;sputum results pending;blood CD4 count 18%;
CDC 'Split Type': WAES98041901

Write-up: pt felt feverish;also devel h/a & a cough w/some chest congestion;19APR98 still feverish, h/a, chest congestion worsened;20APR98 T102 to ER;pt adm to hosp 21APR98 w/dehydration;dx bronchitis w/directives to r/o pneumonia, PCP, TB


Changed on 2/14/2018

VAERS ID: 110784 Before After
VAERS Form:1
Age:29.0
Sex:Male
Location:California
Vaccinated:1998-04-17
Onset:1998-04-17
Submitted:1998-05-08
Entered:1998-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Bronchitis, Cough, Dehydration, Headache, Lung disorder, Pneumonia, Pyrexia, Respiratory disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: No relevant data;~ ()~~~In patient
Other Medications: Acyclovir;Vancenase;Allegra;Ibuporfen;Indinavir sulfate;Lamivudine;Septra;Zidovudine;
Current Illness:
Preexisting Conditions: Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia;
Allergies:
Diagnostic Lab Data: CXR abn but r/o PCP;blood cult results pending;WBC nl;WBC nl;sputum results pending;blood CD4 count 18%;
CDC 'Split Type': WAES98041901

Write-up: pt felt feverish;also devel h/a & a cough w/some chest congestion;19APR98 still feverish, h/a, chest congestion worsened;20APR98 T102 to ER;pt adm to hosp 21APR98 w/dehydration;dx bronchitis w/directives to r/o pneumonia, PCP, TB


Changed on 6/14/2018

VAERS ID: 110784 Before After
VAERS Form:1
Age:29.0
Sex:Male
Location:California
Vaccinated:1998-04-17
Onset:1998-04-17
Submitted:1998-05-08
Entered:1998-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Bronchitis, Cough, Dehydration, Headache, Lung disorder, Pneumonia, Pyrexia, Respiratory disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: No relevant data;~ ()~~~In patient
Other Medications: Acyclovir;Vancenase;Allegra;Ibuporfen;Indinavir sulfate;Lamivudine;Septra;Zidovudine;
Current Illness:
Preexisting Conditions: Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia;
Allergies:
Diagnostic Lab Data: CXR abn but r/o PCP;blood cult results pending;WBC nl;WBC nl;sputum results pending;blood CD4 count 18%;
CDC 'Split Type': WAES98041901

Write-up: pt felt feverish;also devel h/a & a cough w/some chest congestion;19APR98 still feverish, h/a, chest congestion worsened;20APR98 T102 to ER;pt adm to hosp 21APR98 w/dehydration;dx bronchitis w/directives to r/o pneumonia, PCP, TB


Changed on 8/14/2018

VAERS ID: 110784 Before After
VAERS Form:1
Age:29.0
Sex:Male
Location:California
Vaccinated:1998-04-17
Onset:1998-04-17
Submitted:1998-05-08
Entered:1998-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Bronchitis, Cough, Dehydration, Headache, Lung disorder, Pneumonia, Pyrexia, Respiratory disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: No relevant data;~ ()~~~In patient
Other Medications: Acyclovir;Vancenase;Allegra;Ibuporfen;Indinavir sulfate;Lamivudine;Septra;Zidovudine;
Current Illness:
Preexisting Conditions: Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia;
Allergies:
Diagnostic Lab Data: CXR abn but r/o PCP;blood cult results pending;WBC nl;WBC nl;sputum results pending;blood CD4 count 18%;
CDC 'Split Type': WAES98041901

Write-up: pt felt feverish;also devel h/a & a cough w/some chest congestion;19APR98 still feverish, h/a, chest congestion worsened;20APR98 T102 to ER;pt adm to hosp 21APR98 w/dehydration;dx bronchitis w/directives to r/o pneumonia, PCP, TB


Changed on 9/14/2018

VAERS ID: 110784 Before After
VAERS Form:1
Age:29.0
Sex:Male
Location:California
Vaccinated:1998-04-17
Onset:1998-04-17
Submitted:1998-05-08
Entered:1998-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Bronchitis, Cough, Dehydration, Headache, Lung disorder, Pneumonia, Pyrexia, Respiratory disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: No relevant data;~ ()~~~In patient
Other Medications: Acyclovir;Vancenase;Allegra;Ibuporfen;Indinavir sulfate;Lamivudine;Septra;Zidovudine;
Current Illness:
Preexisting Conditions: Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia;
Allergies:
Diagnostic Lab Data: CXR abn but r/o PCP;blood cult results pending;WBC nl;WBC nl;sputum results pending;blood CD4 count 18%;
CDC 'Split Type': WAES98041901

Write-up: pt felt feverish;also devel h/a & a cough w/some chest congestion;19APR98 still feverish, h/a, chest congestion worsened;20APR98 T102 to ER;pt adm to hosp 21APR98 w/dehydration;dx bronchitis w/directives to r/o pneumonia, PCP, TB


Changed on 10/14/2018

VAERS ID: 110784 Before After
VAERS Form:1
Age:29.0
Sex:Male
Location:California
Vaccinated:1998-04-17
Onset:1998-04-17
Submitted:1998-05-08
Entered:1998-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Bronchitis, Cough, Dehydration, Headache, Lung disorder, Pneumonia, Pyrexia, Respiratory disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: No relevant data;~ ()~~~In patient
Other Medications: Acyclovir;Vancenase;Allegra;Ibuporfen;Indinavir sulfate;Lamivudine;Septra;Zidovudine;
Current Illness:
Preexisting Conditions: Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia;
Allergies:
Diagnostic Lab Data: CXR abn but r/o PCP;blood cult results pending;WBC nl;WBC nl;sputum results pending;blood CD4 count 18%;
CDC 'Split Type': WAES98041901

Write-up: pt felt feverish;also devel h/a & a cough w/some chest congestion;19APR98 still feverish, h/a, chest congestion worsened;20APR98 T102 to ER;pt adm to hosp 21APR98 w/dehydration;dx bronchitis w/directives to r/o pneumonia, PCP, TB


Changed on 12/24/2020

VAERS ID: 110784 Before After
VAERS Form:1
Age:29.0
Sex:Male
Location:California
Vaccinated:1998-04-17
Onset:1998-04-17
Submitted:1998-05-08
Entered:1998-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Bronchitis, Cough, Dehydration, Headache, Lung disorder, Pneumonia, Pyrexia, Respiratory disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: No relevant data;~ ()~~~In patient
Other Medications: Acyclovir;Vancenase;Allegra;Ibuporfen;Indinavir sulfate;Lamivudine;Septra;Zidovudine;
Current Illness:
Preexisting Conditions: Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia;
Allergies:
Diagnostic Lab Data: CXR abn but r/o PCP;blood cult results pending;WBC nl;WBC nl;sputum results pending;blood CD4 count 18%;
CDC 'Split Type': WAES98041901

Write-up: pt felt feverish;also devel h/a & a cough w/some chest congestion;19APR98 still feverish, h/a, chest congestion worsened;20APR98 T102 to ER;pt adm to hosp 21APR98 w/dehydration;dx bronchitis w/directives to r/o pneumonia, PCP, TB


Changed on 12/30/2020

VAERS ID: 110784 Before After
VAERS Form:1
Age:29.0
Sex:Male
Location:California
Vaccinated:1998-04-17
Onset:1998-04-17
Submitted:1998-05-08
Entered:1998-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Bronchitis, Cough, Dehydration, Headache, Lung disorder, Pneumonia, Pyrexia, Respiratory disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: No relevant data;~ ()~~~In patient
Other Medications: Acyclovir;Vancenase;Allegra;Ibuporfen;Indinavir sulfate;Lamivudine;Septra;Zidovudine;
Current Illness:
Preexisting Conditions: Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia;
Allergies:
Diagnostic Lab Data: CXR abn but r/o PCP;blood cult results pending;WBC nl;WBC nl;sputum results pending;blood CD4 count 18%;
CDC 'Split Type': WAES98041901

Write-up: pt felt feverish;also devel h/a & a cough w/some chest congestion;19APR98 still feverish, h/a, chest congestion worsened;20APR98 T102 to ER;pt adm to hosp 21APR98 w/dehydration;dx bronchitis w/directives to r/o pneumonia, PCP, TB


Changed on 5/7/2021

VAERS ID: 110784 Before After
VAERS Form:1
Age:29.0
Sex:Male
Location:California
Vaccinated:1998-04-17
Onset:1998-04-17
Submitted:1998-05-08
Entered:1998-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Bronchitis, Cough, Dehydration, Headache, Lung disorder, Pneumonia, Pyrexia, Respiratory disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: No relevant data;~ ()~~~In patient
Other Medications: Acyclovir;Vancenase;Allegra;Ibuporfen;Indinavir sulfate;Lamivudine;Septra;Zidovudine;
Current Illness:
Preexisting Conditions: Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia;
Allergies:
Diagnostic Lab Data: CXR abn but r/o PCP;blood cult results pending;WBC nl;WBC nl;sputum results pending;blood CD4 count 18%;
CDC 'Split Type': WAES98041901

Write-up: pt felt feverish;also devel h/a & a cough w/some chest congestion;19APR98 still feverish, h/a, chest congestion worsened;20APR98 T102 to ER;pt adm to hosp 21APR98 w/dehydration;dx bronchitis w/directives to r/o pneumonia, PCP, TB


Changed on 5/21/2021

VAERS ID: 110784 Before After
VAERS Form:1
Age:29.0
Sex:Male
Location:California
Vaccinated:1998-04-17
Onset:1998-04-17
Submitted:1998-05-08
Entered:1998-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Bronchitis, Cough, Dehydration, Headache, Lung disorder, Pneumonia, Pyrexia, Respiratory disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: No relevant data;~ ()~~~In patient
Other Medications: Acyclovir;Vancenase;Allegra;Ibuporfen;Indinavir sulfate;Lamivudine;Septra;Zidovudine;
Current Illness:
Preexisting Conditions: Kaposi''s sarcoma;Salmonella infect;allerg rhinitis;antihuman immunodeficiency virus antibody positive;asthma;folliculitis;herpes genitalis;herpes zoster;major depression;migraine;nasal congestion;neutropenia;
Allergies:
Diagnostic Lab Data: CXR abn but r/o PCP;blood cult results pending;WBC nl;WBC nl;sputum results pending;blood CD4 count 18%;
CDC 'Split Type': WAES98041901

Write-up: pt felt feverish;also devel h/a & a cough w/some chest congestion;19APR98 still feverish, h/a, chest congestion worsened;20APR98 T102 to ER;pt adm to hosp 21APR98 w/dehydration;dx bronchitis w/directives to r/o pneumonia, PCP, TB

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