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This is VAERS ID 112468

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 112468
VAERS Form:
Age:67.2
Sex:Male
Location:Florida
Vaccinated:1997-05-19
Onset:1997-05-20
Submitted:1998-07-07
Entered:1998-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE 503B6 / 0 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: HYPOKINESIA, HYPERTONIA, MYALGIA, GAIT ABNORM, ATAXIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: Extreme use of alcohol 40 yrs;
Allergies:
Diagnostic Lab Data: all tests showed no noticable problem
CDC 'Split Type': Extreme use of alcohol 40 yrs;

Write-up: w/in 24hr p/vax arm hurt, then chest, feet & legs;on 4th day went to hosp because legs were paralyzed;stayed 7 days & released w/walker;now yr later legs numb, tingly & very unsteady;


Changed on 12/8/2009

VAERS ID: 112468 Before After
VAERS Form:
Age:67.2
Sex:Male
Location:Florida
Vaccinated:1997-05-19
Onset:1997-05-20
Submitted:1998-07-07
Entered:1998-07-14 1998-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM 503B6 / 0 - / -

Administered by: Public      Purchased by: Unknown Private
Symptoms: Coordination abnormal, Gait disturbance, Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Paralysis, HYPOKINESIA, HYPERTONIA, MYALGIA, GAIT ABNORM, ATAXIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: Extreme use of alcohol 40 yrs;
Allergies:
Diagnostic Lab Data: all tests showed no noticable problem
CDC 'Split Type': Extreme use of alcohol 40 yrs; (blank)

Write-up: w/in 24hr p/vax arm hurt, then chest, feet & legs;on 4th day went to hosp because legs were paralyzed;stayed 7 days & released w/walker;now yr later legs numb, tingly & very unsteady;


Changed on 2/14/2017

VAERS ID: 112468 Before After
VAERS Form:
Age:67.2 67.0
Sex:Male
Location:Florida
Vaccinated:1997-05-19
Onset:1997-05-20
Submitted:1998-07-07
Entered:1998-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 503B6 / 0 - / -

Administered by: Public      Purchased by: Private
Symptoms: Coordination abnormal, Gait disturbance, Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: Extreme use of alcohol 40 yrs;
Allergies:
Diagnostic Lab Data: all tests showed no noticable problem
CDC 'Split Type':

Write-up: w/in 24hr p/vax arm hurt, then chest, feet & legs;on 4th day went to hosp because legs were paralyzed;stayed 7 days & released w/walker;now yr later legs numb, tingly & very unsteady;


Changed on 5/14/2017

VAERS ID: 112468 Before After
VAERS Form:
Age:67.0
Sex:Male
Location:Florida
Vaccinated:1997-05-19
Onset:1997-05-20
Submitted:1998-07-07
Entered:1998-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 503B6 / 0 - / -

Administered by: Public      Purchased by: Private
Symptoms: Coordination abnormal, Gait disturbance, Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: Extreme use of alcohol 40 yrs;
Allergies:
Diagnostic Lab Data: all tests showed no noticable problem
CDC 'Split Type':

Write-up: w/in 24hr p/vax arm hurt, then chest, feet & legs;on 4th day went to hosp because legs were paralyzed;stayed 7 days & released w/walker;now yr later legs numb, tingly & very unsteady;


Changed on 9/14/2017

VAERS ID: 112468 Before After
VAERS Form:(blank) 1
Age:67.0
Sex:Male
Location:Florida
Vaccinated:1997-05-19
Onset:1997-05-20
Submitted:1998-07-07
Entered:1998-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 503B6 / 0 1 - / -

Administered by: Public      Purchased by: Private
Symptoms: Coordination abnormal, Gait disturbance, Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: Extreme use of alcohol 40 yrs;
Allergies:
Diagnostic Lab Data: all tests showed no noticable problem
CDC 'Split Type':

Write-up: w/in 24hr p/vax arm hurt, then chest, feet & legs;on 4th day went to hosp because legs were paralyzed;stayed 7 days & released w/walker;now yr later legs numb, tingly & very unsteady;


Changed on 2/14/2018

VAERS ID: 112468 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:Florida
Vaccinated:1997-05-19
Onset:1997-05-20
Submitted:1998-07-07
Entered:1998-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 503B6 / 1 - / -

Administered by: Public      Purchased by: Private
Symptoms: Coordination abnormal, Gait disturbance, Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: Extreme use of alcohol 40 yrs;
Allergies:
Diagnostic Lab Data: all tests showed no noticable problem
CDC 'Split Type':

Write-up: w/in 24hr p/vax arm hurt, then chest, feet & legs;on 4th day went to hosp because legs were paralyzed;stayed 7 days & released w/walker;now yr later legs numb, tingly & very unsteady;


Changed on 6/14/2018

VAERS ID: 112468 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:Florida
Vaccinated:1997-05-19
Onset:1997-05-20
Submitted:1998-07-07
Entered:1998-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 503B6 / 1 - / -

Administered by: Public      Purchased by: Private
Symptoms: Coordination abnormal, Gait disturbance, Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: Extreme use of alcohol 40 yrs;
Allergies:
Diagnostic Lab Data: all tests showed no noticable problem
CDC 'Split Type':

Write-up: w/in 24hr p/vax arm hurt, then chest, feet & legs;on 4th day went to hosp because legs were paralyzed;stayed 7 days & released w/walker;now yr later legs numb, tingly & very unsteady;


Changed on 8/14/2018

VAERS ID: 112468 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:Florida
Vaccinated:1997-05-19
Onset:1997-05-20
Submitted:1998-07-07
Entered:1998-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 503B6 / 1 - / -

Administered by: Public      Purchased by: Private
Symptoms: Coordination abnormal, Gait disturbance, Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: Extreme use of alcohol 40 yrs;
Allergies:
Diagnostic Lab Data: all tests showed no noticable problem
CDC 'Split Type':

Write-up: w/in 24hr p/vax arm hurt, then chest, feet & legs;on 4th day went to hosp because legs were paralyzed;stayed 7 days & released w/walker;now yr later legs numb, tingly & very unsteady;


Changed on 9/14/2018

VAERS ID: 112468 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:Florida
Vaccinated:1997-05-19
Onset:1997-05-20
Submitted:1998-07-07
Entered:1998-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 503B6 / 1 - / -

Administered by: Public      Purchased by: Private
Symptoms: Coordination abnormal, Gait disturbance, Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: Extreme use of alcohol 40 yrs;
Allergies:
Diagnostic Lab Data: all tests showed no noticable problem
CDC 'Split Type':

Write-up: w/in 24hr p/vax arm hurt, then chest, feet & legs;on 4th day went to hosp because legs were paralyzed;stayed 7 days & released w/walker;now yr later legs numb, tingly & very unsteady;


Changed on 10/14/2018

VAERS ID: 112468 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:Florida
Vaccinated:1997-05-19
Onset:1997-05-20
Submitted:1998-07-07
Entered:1998-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 503B6 / 1 - / -

Administered by: Public      Purchased by: Private
Symptoms: Coordination abnormal, Gait disturbance, Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: Extreme use of alcohol 40 yrs;
Allergies:
Diagnostic Lab Data: all tests showed no noticable problem
CDC 'Split Type':

Write-up: w/in 24hr p/vax arm hurt, then chest, feet & legs;on 4th day went to hosp because legs were paralyzed;stayed 7 days & released w/walker;now yr later legs numb, tingly & very unsteady;


Changed on 12/24/2020

VAERS ID: 112468 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:Florida
Vaccinated:1997-05-19
Onset:1997-05-20
Submitted:1998-07-07
Entered:1998-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 503B6 / 1 - / -

Administered by: Public      Purchased by: Private
Symptoms: Coordination abnormal, Gait disturbance, Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: Extreme use of alcohol 40 yrs;
Allergies:
Diagnostic Lab Data: all tests showed no noticable problem
CDC 'Split Type':

Write-up: w/in 24hr p/vax arm hurt, then chest, feet & legs;on 4th day went to hosp because legs were paralyzed;stayed 7 days & released w/walker;now yr later legs numb, tingly & very unsteady;


Changed on 12/30/2020

VAERS ID: 112468 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:Florida
Vaccinated:1997-05-19
Onset:1997-05-20
Submitted:1998-07-07
Entered:1998-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 503B6 / 1 - / -

Administered by: Public      Purchased by: Private
Symptoms: Coordination abnormal, Gait disturbance, Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: Extreme use of alcohol 40 yrs;
Allergies:
Diagnostic Lab Data: all tests showed no noticable problem
CDC 'Split Type':

Write-up: w/in 24hr p/vax arm hurt, then chest, feet & legs;on 4th day went to hosp because legs were paralyzed;stayed 7 days & released w/walker;now yr later legs numb, tingly & very unsteady;


Changed on 5/7/2021

VAERS ID: 112468 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:Florida
Vaccinated:1997-05-19
Onset:1997-05-20
Submitted:1998-07-07
Entered:1998-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 503B6 / 1 - / -

Administered by: Public      Purchased by: Private
Symptoms: Coordination abnormal, Gait disturbance, Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: Extreme use of alcohol 40 yrs;
Allergies:
Diagnostic Lab Data: all tests showed no noticable problem
CDC 'Split Type':

Write-up: w/in 24hr p/vax arm hurt, then chest, feet & legs;on 4th day went to hosp because legs were paralyzed;stayed 7 days & released w/walker;now yr later legs numb, tingly & very unsteady;


Changed on 5/21/2021

VAERS ID: 112468 Before After
VAERS Form:1
Age:67.0
Sex:Male
Location:Florida
Vaccinated:1997-05-19
Onset:1997-05-20
Submitted:1998-07-07
Entered:1998-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 503B6 / 1 - / -

Administered by: Public      Purchased by: Private
Symptoms: Coordination abnormal, Gait disturbance, Hypertonia, Hypokinesia, Myalgia, Myasthenic syndrome, Paraesthesia, Paralysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 7     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: Extreme use of alcohol 40 yrs;
Allergies:
Diagnostic Lab Data: all tests showed no noticable problem
CDC 'Split Type':

Write-up: w/in 24hr p/vax arm hurt, then chest, feet & legs;on 4th day went to hosp because legs were paralyzed;stayed 7 days & released w/walker;now yr later legs numb, tingly & very unsteady;

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