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This is VAERS ID 118522

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 118522
VAERS Form:
Age:65.4
Sex:Male
Location:Arizona
Vaccinated:1999-01-06
Onset:1999-01-19
Submitted:1999-01-26
Entered:1999-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: VAQTA / MSD 1481E / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: VISION ABNORM, DIPLOPIA

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recv vax 6JAN99 & presented w/diplopia that started very distal, seeing two lines, not one;this progressed to double vision for almost everything x/reading;this was considered to be a disabling event;Annual follow-up dated 11/27/00 provided no addition"al data.


Changed on 12/8/2009

VAERS ID: 118522 Before After
VAERS Form:
Age:65.4
Sex:Male
Location:Arizona
Vaccinated:1999-01-06
Onset:1999-01-19
Submitted:1999-01-26
Entered:1999-02-03 1999-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: VAQTA HEP A (VAQTA) / MSD MERCK & CO. INC. 1481E / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Diplopia, Visual disturbance, VISION ABNORM, DIPLOPIA

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES99011275

Write-up: pt recv vax 6JAN99 & presented w/diplopia that started very distal, seeing two lines, not one;this progressed to double vision for almost everything x/reading;this was considered to be a disabling event;Annual follow-up dated 11/27/00 provided no addition"al additional data.


Changed on 2/14/2017

VAERS ID: 118522 Before After
VAERS Form:
Age:65.4 65.0
Sex:Male
Location:Arizona
Vaccinated:1999-01-06
Onset:1999-01-19
Submitted:1999-01-26
Entered:1999-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1481E / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Diplopia, Visual disturbance

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES99011275

Write-up: pt recv vax 6JAN99 & presented w/diplopia that started very distal, seeing two lines, not one;this progressed to double vision for almost everything x/reading;this was considered to be a disabling event;Annual follow-up dated 11/27/00 provided no additional data.


Changed on 9/14/2017

VAERS ID: 118522 Before After
VAERS Form:(blank) 1
Age:65.0
Sex:Male
Location:Arizona
Vaccinated:1999-01-06
Onset:1999-01-19
Submitted:1999-01-26
Entered:1999-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1481E / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Diplopia, Visual disturbance

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES99011275

Write-up: pt recv vax 6JAN99 & presented w/diplopia that started very distal, seeing two lines, not one;this progressed to double vision for almost everything x/reading;this was considered to be a disabling event;Annual follow-up dated 11/27/00 provided no additional data.


Changed on 2/14/2018

VAERS ID: 118522 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Arizona
Vaccinated:1999-01-06
Onset:1999-01-19
Submitted:1999-01-26
Entered:1999-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1481E / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Diplopia, Visual disturbance

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES99011275

Write-up: pt recv vax 6JAN99 & presented w/diplopia that started very distal, seeing two lines, not one;this progressed to double vision for almost everything x/reading;this was considered to be a disabling event;Annual follow-up dated 11/27/00 provided no additional data.


Changed on 6/14/2018

VAERS ID: 118522 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Arizona
Vaccinated:1999-01-06
Onset:1999-01-19
Submitted:1999-01-26
Entered:1999-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1481E / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Diplopia, Visual disturbance

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES99011275

Write-up: pt recv vax 6JAN99 & presented w/diplopia that started very distal, seeing two lines, not one;this progressed to double vision for almost everything x/reading;this was considered to be a disabling event;Annual follow-up dated 11/27/00 provided no additional data.


Changed on 8/14/2018

VAERS ID: 118522 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Arizona
Vaccinated:1999-01-06
Onset:1999-01-19
Submitted:1999-01-26
Entered:1999-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1481E / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Diplopia, Visual disturbance

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES99011275

Write-up: pt recv vax 6JAN99 & presented w/diplopia that started very distal, seeing two lines, not one;this progressed to double vision for almost everything x/reading;this was considered to be a disabling event;Annual follow-up dated 11/27/00 provided no additional data.


Changed on 9/14/2018

VAERS ID: 118522 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Arizona
Vaccinated:1999-01-06
Onset:1999-01-19
Submitted:1999-01-26
Entered:1999-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1481E / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Diplopia, Visual disturbance

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES99011275

Write-up: pt recv vax 6JAN99 & presented w/diplopia that started very distal, seeing two lines, not one;this progressed to double vision for almost everything x/reading;this was considered to be a disabling event;Annual follow-up dated 11/27/00 provided no additional data.


Changed on 10/14/2018

VAERS ID: 118522 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Arizona
Vaccinated:1999-01-06
Onset:1999-01-19
Submitted:1999-01-26
Entered:1999-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1481E / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Diplopia, Visual disturbance

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES99011275

Write-up: pt recv vax 6JAN99 & presented w/diplopia that started very distal, seeing two lines, not one;this progressed to double vision for almost everything x/reading;this was considered to be a disabling event;Annual follow-up dated 11/27/00 provided no additional data.


Changed on 12/24/2020

VAERS ID: 118522 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Arizona
Vaccinated:1999-01-06
Onset:1999-01-19
Submitted:1999-01-26
Entered:1999-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1481E / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Diplopia, Visual disturbance

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES99011275

Write-up: pt recv vax 6JAN99 & presented w/diplopia that started very distal, seeing two lines, not one;this progressed to double vision for almost everything x/reading;this was considered to be a disabling event;Annual follow-up dated 11/27/00 provided no additional data.


Changed on 12/30/2020

VAERS ID: 118522 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Arizona
Vaccinated:1999-01-06
Onset:1999-01-19
Submitted:1999-01-26
Entered:1999-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1481E / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Diplopia, Visual disturbance

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES99011275

Write-up: pt recv vax 6JAN99 & presented w/diplopia that started very distal, seeing two lines, not one;this progressed to double vision for almost everything x/reading;this was considered to be a disabling event;Annual follow-up dated 11/27/00 provided no additional data.


Changed on 5/7/2021

VAERS ID: 118522 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Arizona
Vaccinated:1999-01-06
Onset:1999-01-19
Submitted:1999-01-26
Entered:1999-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1481E / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Diplopia, Visual disturbance

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES99011275

Write-up: pt recv vax 6JAN99 & presented w/diplopia that started very distal, seeing two lines, not one;this progressed to double vision for almost everything x/reading;this was considered to be a disabling event;Annual follow-up dated 11/27/00 provided no additional data.


Changed on 5/21/2021

VAERS ID: 118522 Before After
VAERS Form:1
Age:65.0
Sex:Male
Location:Arizona
Vaccinated:1999-01-06
Onset:1999-01-19
Submitted:1999-01-26
Entered:1999-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1481E / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Diplopia, Visual disturbance

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? No
Previous Vaccinations:
Other Medications: unk
Current Illness:
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES99011275

Write-up: pt recv vax 6JAN99 & presented w/diplopia that started very distal, seeing two lines, not one;this progressed to double vision for almost everything x/reading;this was considered to be a disabling event;Annual follow-up dated 11/27/00 provided no additional data.

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