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This is VAERS ID 118069

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 118069
VAERS Form:
Age:21.7
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: VAQTA / MSD - / 1 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: HYPERTONIA, ASTHMA, EDEMA LUNG, LUNG DIS, DEPRESSION

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A;
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': unk

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;


Changed on 12/8/2009

VAERS ID: 118069 Before After
VAERS Form:
Age:21.7
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-14 1999-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: VAQTA HEP A (VAQTA) / MSD MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Asthma, Depression, Hypertonia, Lung disorder, Mania, Pain, Pneumonia, Pulmonary oedema, Thinking abnormal, Adverse drug reaction, HYPERTONIA, ASTHMA, EDEMA LUNG, LUNG DIS, DEPRESSION

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A;
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': unk WAES98121980

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;


Changed on 3/14/2014

VAERS ID: 118069 Before After
VAERS Form:
Age:21.7 21.0
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 1 - / -

Administered by: Other Unknown      Purchased by: Other Unknown
Symptoms: Asthma, Depression, Hypertonia, Lung disorder, Mania, Pain, Pneumonia, Pulmonary oedema, Thinking abnormal, Adverse drug reaction

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A; A;~ ()~ ~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES98121980

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;


Changed on 6/14/2014

VAERS ID: 118069 Before After
VAERS Form:
Age:21.0
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Depression, Hypertonia, Lung disorder, Mania, Pain, Pneumonia, Pulmonary oedema, Thinking abnormal

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A;~ ()~ ~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES98121980

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;


Changed on 3/14/2015

VAERS ID: 118069 Before After
VAERS Form:
Age:21.0
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Depression, Hypertonia, Lung disorder, Mania, Pain, Pneumonia, Pulmonary oedema, Thinking abnormal

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A;~ ()~ ~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES98121980

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;


Changed on 5/14/2017

VAERS ID: 118069 Before After
VAERS Form:
Age:21.0
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 1 - / -

Administered by: Unknown Other      Purchased by: Unknown Other
Symptoms: Asthma, Depression, Hypertonia, Lung disorder, Mania, Pain, Pneumonia, Pulmonary oedema, Thinking abnormal

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A;~ ()~ ~~In ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES98121980

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;


Changed on 9/14/2017

VAERS ID: 118069 Before After
VAERS Form:(blank) 1
Age:21.0
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 1 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthma, Depression, Hypertonia, Lung disorder, Mania, Pain, Pneumonia, Pulmonary oedema, Thinking abnormal

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A;~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES98121980

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;


Changed on 2/14/2018

VAERS ID: 118069 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthma, Depression, Hypertonia, Lung disorder, Mania, Pain, Pneumonia, Pulmonary oedema, Thinking abnormal

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A;~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES98121980

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;


Changed on 6/14/2018

VAERS ID: 118069 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthma, Depression, Hypertonia, Lung disorder, Mania, Pain, Pneumonia, Pulmonary oedema, Thinking abnormal

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A;~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES98121980

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;


Changed on 8/14/2018

VAERS ID: 118069 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthma, Depression, Hypertonia, Lung disorder, Mania, Pain, Pneumonia, Pulmonary oedema, Thinking abnormal

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A;~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES98121980

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;


Changed on 9/14/2018

VAERS ID: 118069 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthma, Depression, Hypertonia, Lung disorder, Mania, Pain, Pneumonia, Pulmonary oedema, Thinking abnormal

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A;~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES98121980

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;


Changed on 10/14/2018

VAERS ID: 118069 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthma, Depression, Hypertonia, Lung disorder, Mania, Pain, Pneumonia, Pulmonary oedema, Thinking abnormal

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A;~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES98121980

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;


Changed on 12/24/2020

VAERS ID: 118069 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthma, Depression, Hypertonia, Lung disorder, Mania, Pain, Pneumonia, Pulmonary oedema, Thinking abnormal

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A;~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES98121980

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;


Changed on 12/30/2020

VAERS ID: 118069 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthma, Depression, Hypertonia, Lung disorder, Mania, Pain, Pneumonia, Pulmonary oedema, Thinking abnormal

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A;~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES98121980

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;


Changed on 5/7/2021

VAERS ID: 118069 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthma, Depression, Hypertonia, Lung disorder, Mania, Pain, Pneumonia, Pulmonary oedema, Thinking abnormal

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A;~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES98121980

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;


Changed on 5/21/2021

VAERS ID: 118069 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Mississippi
Vaccinated:1997-02-01
Onset:1997-03-19
Submitted:1999-01-05
Entered:1999-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / 2 - / -

Administered by: Other      Purchased by: Other
Symptoms: Asthma, Depression, Hypertonia, Lung disorder, Mania, Pain, Pneumonia, Pulmonary oedema, Thinking abnormal

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: pt exp fever, stomach cramps & diarrhea w/dose 1 hep A;~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES98121980

Write-up: 19MAR97 pt devel fluid in the lungs;SEP97 exp signs of depression;pt also exp pain in lungs & muscle cramps;also exp two episodes of pneumonia;became manic;dx bipolar disorder;dx asthma;

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