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This is VAERS ID 112298

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 112298
VAERS Form:
Age:
Sex:Female
Location:Indiana
Vaccinated:1998-06-16
Onset:1998-06-18
Submitted:1998-07-01
Entered:1998-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: FEVER, URTICARIA, ASTHENIA, LARYNGISMUS, KIDNEY FUNC ABNORM

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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:
CDC 'Split Type':

Write-up: pt recv vax 16JUN98 & approx 6hr later 16JUN98 pt devel hives & throat constriction;pt was taken to ER;17JUN98 pt went back to work, but became tired & went home early;T104 18JUN98;pt kidneys reportedly were not functioning properly;


Changed on 12/8/2009

VAERS ID: 112298 Before After
VAERS Form:
Age:
Sex:Female
Location:Indiana
Vaccinated:1998-06-16
Onset:1998-06-18
Submitted:1998-07-01
Entered:1998-07-06 1998-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Asthenia, Laryngospasm, Pyrexia, Urticaria, Renal impairment, FEVER, URTICARIA, ASTHENIA, LARYNGISMUS, KIDNEY FUNC ABNORM

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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:
CDC 'Split Type': (blank) 19980162591

Write-up: pt recv vax 16JUN98 & approx 6hr later 16JUN98 pt devel hives & throat constriction;pt was taken to ER;17JUN98 pt went back to work, but became tired & went home early;T104 18JUN98;pt kidneys reportedly were not functioning properly;


Changed on 5/14/2017

VAERS ID: 112298 Before After
VAERS Form:
Age:
Sex:Female
Location:Indiana
Vaccinated:1998-06-16
Onset:1998-06-18
Submitted:1998-07-01
Entered:1998-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Laryngospasm, Pyrexia, Urticaria, Renal impairment

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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:
CDC 'Split Type': 19980162591

Write-up: pt recv vax 16JUN98 & approx 6hr later 16JUN98 pt devel hives & throat constriction;pt was taken to ER;17JUN98 pt went back to work, but became tired & went home early;T104 18JUN98;pt kidneys reportedly were not functioning properly;


Changed on 9/14/2017

VAERS ID: 112298 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Indiana
Vaccinated:1998-06-16
Onset:1998-06-18
Submitted:1998-07-01
Entered:1998-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Laryngospasm, Pyrexia, Urticaria, Renal impairment

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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:
CDC 'Split Type': 19980162591

Write-up: pt recv vax 16JUN98 & approx 6hr later 16JUN98 pt devel hives & throat constriction;pt was taken to ER;17JUN98 pt went back to work, but became tired & went home early;T104 18JUN98;pt kidneys reportedly were not functioning properly;


Changed on 2/14/2018

VAERS ID: 112298 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:1998-06-16
Onset:1998-06-18
Submitted:1998-07-01
Entered:1998-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Laryngospasm, Pyrexia, Urticaria, Renal impairment

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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:
CDC 'Split Type': 19980162591

Write-up: pt recv vax 16JUN98 & approx 6hr later 16JUN98 pt devel hives & throat constriction;pt was taken to ER;17JUN98 pt went back to work, but became tired & went home early;T104 18JUN98;pt kidneys reportedly were not functioning properly;


Changed on 6/14/2018

VAERS ID: 112298 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:1998-06-16
Onset:1998-06-18
Submitted:1998-07-01
Entered:1998-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Laryngospasm, Pyrexia, Urticaria, Renal impairment

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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:
CDC 'Split Type': 19980162591

Write-up: pt recv vax 16JUN98 & approx 6hr later 16JUN98 pt devel hives & throat constriction;pt was taken to ER;17JUN98 pt went back to work, but became tired & went home early;T104 18JUN98;pt kidneys reportedly were not functioning properly;


Changed on 8/14/2018

VAERS ID: 112298 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:1998-06-16
Onset:1998-06-18
Submitted:1998-07-01
Entered:1998-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Laryngospasm, Pyrexia, Urticaria, Renal impairment

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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:
CDC 'Split Type': 19980162591

Write-up: pt recv vax 16JUN98 & approx 6hr later 16JUN98 pt devel hives & throat constriction;pt was taken to ER;17JUN98 pt went back to work, but became tired & went home early;T104 18JUN98;pt kidneys reportedly were not functioning properly;


Changed on 9/14/2018

VAERS ID: 112298 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:1998-06-16
Onset:1998-06-18
Submitted:1998-07-01
Entered:1998-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Laryngospasm, Pyrexia, Urticaria, Renal impairment

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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:
CDC 'Split Type': 19980162591

Write-up: pt recv vax 16JUN98 & approx 6hr later 16JUN98 pt devel hives & throat constriction;pt was taken to ER;17JUN98 pt went back to work, but became tired & went home early;T104 18JUN98;pt kidneys reportedly were not functioning properly;


Changed on 10/14/2018

VAERS ID: 112298 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:1998-06-16
Onset:1998-06-18
Submitted:1998-07-01
Entered:1998-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Laryngospasm, Pyrexia, Urticaria, Renal impairment

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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:
CDC 'Split Type': 19980162591

Write-up: pt recv vax 16JUN98 & approx 6hr later 16JUN98 pt devel hives & throat constriction;pt was taken to ER;17JUN98 pt went back to work, but became tired & went home early;T104 18JUN98;pt kidneys reportedly were not functioning properly;


Changed on 12/24/2020

VAERS ID: 112298 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:1998-06-16
Onset:1998-06-18
Submitted:1998-07-01
Entered:1998-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Laryngospasm, Pyrexia, Urticaria, Renal impairment

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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:
CDC 'Split Type': 19980162591

Write-up: pt recv vax 16JUN98 & approx 6hr later 16JUN98 pt devel hives & throat constriction;pt was taken to ER;17JUN98 pt went back to work, but became tired & went home early;T104 18JUN98;pt kidneys reportedly were not functioning properly;


Changed on 12/30/2020

VAERS ID: 112298 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:1998-06-16
Onset:1998-06-18
Submitted:1998-07-01
Entered:1998-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Laryngospasm, Pyrexia, Urticaria, Renal impairment

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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:
CDC 'Split Type': 19980162591

Write-up: pt recv vax 16JUN98 & approx 6hr later 16JUN98 pt devel hives & throat constriction;pt was taken to ER;17JUN98 pt went back to work, but became tired & went home early;T104 18JUN98;pt kidneys reportedly were not functioning properly;


Changed on 5/7/2021

VAERS ID: 112298 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:1998-06-16
Onset:1998-06-18
Submitted:1998-07-01
Entered:1998-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Laryngospasm, Pyrexia, Urticaria, Renal impairment

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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:
CDC 'Split Type': 19980162591

Write-up: pt recv vax 16JUN98 & approx 6hr later 16JUN98 pt devel hives & throat constriction;pt was taken to ER;17JUN98 pt went back to work, but became tired & went home early;T104 18JUN98;pt kidneys reportedly were not functioning properly;


Changed on 5/21/2021

VAERS ID: 112298 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:1998-06-16
Onset:1998-06-18
Submitted:1998-07-01
Entered:1998-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Laryngospasm, Pyrexia, Urticaria, Renal impairment

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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:
CDC 'Split Type': 19980162591

Write-up: pt recv vax 16JUN98 & approx 6hr later 16JUN98 pt devel hives & throat constriction;pt was taken to ER;17JUN98 pt went back to work, but became tired & went home early;T104 18JUN98;pt kidneys reportedly were not functioning properly;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=112298&WAYBACKHISTORY=ON


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