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This is VAERS ID 122172

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 122172
VAERS Form:
Age:11.5
Sex:Female
Location:Alaska
Vaccinated:1998-10-15
Onset:1998-10-31
Submitted:1999-05-13
Entered:1999-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 1141H / - LA / IM
HEPA: VAQTA / MSD 1110H / 0 RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: ARTHRALGIA, ANOREXIA, ASTHENIA, DEHYDRAT, ANEMIA

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 4 or 5NOV blood work,UA nl;7DEC blood & urine nl;14DEC abd ultrasound,upper GI & small bowel nl;21DEC MRI head & abdomen nl;28DEC colonoscopy & endoscopy nl;EEG x 2 nl
CDC 'Split Type':

Write-up: 31OCT, flu like illness,fever,abd pain, aching joints,vomiting;to MD on 4NOV or 5NOV;V cont w/ fatigue,can eat only popsicles & mom concerned about dehydration;4DEC new Sx:h/a,muscle aches,nausea;28DEC 15 # wt loss;twitch;Dx fibromyalgia


Changed on 12/8/2009

VAERS ID: 122172 Before After
VAERS Form:
Age:11.5
Sex:Female
Location:Alaska
Vaccinated:1998-10-15
Onset:1998-10-31
Submitted:1999-05-13
Entered:1999-05-20 1999-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 1141H / - LA / IM
HEPA: VAQTA HEP A (VAQTA) / MSD MERCK & CO. INC. 1110H / 0 RA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Abdominal pain, Anaemia, Anorexia, Arthralgia, Asthenia, Dehydration, Headache, Hepatic function abnormal, Influenza, Laboratory test abnormal, Lymphocytosis, Muscle twitching, Myalgia, Nausea, Personality disorder, Pyrexia, Vomiting, Weight decreased, ARTHRALGIA, ANOREXIA, ASTHENIA, DEHYDRAT, ANEMIA

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 4 or 5NOV blood work,UA nl;7DEC blood & urine nl;14DEC abd ultrasound,upper GI & small bowel nl;21DEC MRI head & abdomen nl;28DEC colonoscopy & endoscopy nl;EEG x 2 nl
CDC 'Split Type':

Write-up: 31OCT, flu like illness,fever,abd pain, aching joints,vomiting;to MD on 4NOV or 5NOV;V cont w/ fatigue,can eat only popsicles & mom concerned about dehydration;4DEC new Sx:h/a,muscle aches,nausea;28DEC 15 # wt loss;twitch;Dx fibromyalgia


Changed on 2/14/2017

VAERS ID: 122172 Before After
VAERS Form:
Age:11.5 11.0
Sex:Female
Location:Alaska
Vaccinated:1998-10-15
Onset:1998-10-31
Submitted:1999-05-13
Entered:1999-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1141H / - LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1110H / 0 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Anaemia, Anorexia, Arthralgia, Asthenia, Dehydration, Headache, Hepatic function abnormal, Influenza, Laboratory test abnormal, Lymphocytosis, Muscle twitching, Myalgia, Nausea, Personality disorder, Pyrexia, Vomiting, Weight decreased

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 4 or 5NOV blood work,UA nl;7DEC blood & urine nl;14DEC abd ultrasound,upper GI & small bowel nl;21DEC MRI head & abdomen nl;28DEC colonoscopy & endoscopy nl;EEG x 2 nl
CDC 'Split Type':

Write-up: 31OCT, flu like illness,fever,abd pain, aching joints,vomiting;to MD on 4NOV or 5NOV;V cont w/ fatigue,can eat only popsicles & mom concerned about dehydration;4DEC new Sx:h/a,muscle aches,nausea;28DEC 15 # wt loss;twitch;Dx fibromyalgia


Changed on 5/14/2017

VAERS ID: 122172 Before After
VAERS Form:
Age:11.0
Sex:Female
Location:Alaska
Vaccinated:1998-10-15
Onset:1998-10-31
Submitted:1999-05-13
Entered:1999-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1141H / - LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1110H / 0 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Anaemia, Anorexia, Arthralgia, Asthenia, Dehydration, Headache, Hepatic function abnormal, Influenza, Laboratory test abnormal, Lymphocytosis, Muscle twitching, Myalgia, Nausea, Personality disorder, Pyrexia, Vomiting, Weight decreased

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 4 or 5NOV blood work,UA nl;7DEC blood & urine nl;14DEC abd ultrasound,upper GI & small bowel nl;21DEC MRI head & abdomen nl;28DEC colonoscopy & endoscopy nl;EEG x 2 nl
CDC 'Split Type':

Write-up: 31OCT, flu like illness,fever,abd pain, aching joints,vomiting;to MD on 4NOV or 5NOV;V cont w/ fatigue,can eat only popsicles & mom concerned about dehydration;4DEC new Sx:h/a,muscle aches,nausea;28DEC 15 # wt loss;twitch;Dx fibromyalgia


Changed on 9/14/2017

VAERS ID: 122172 Before After
VAERS Form:(blank) 1
Age:11.0
Sex:Female
Location:Alaska
Vaccinated:1998-10-15
Onset:1998-10-31
Submitted:1999-05-13
Entered:1999-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1141H / - UNK LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1110H / 0 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Anaemia, Anorexia, Arthralgia, Asthenia, Dehydration, Headache, Hepatic function abnormal, Influenza, Laboratory test abnormal, Lymphocytosis, Muscle twitching, Myalgia, Nausea, Personality disorder, Pyrexia, Vomiting, Weight decreased

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 4 or 5NOV blood work,UA nl;7DEC blood & urine nl;14DEC abd ultrasound,upper GI & small bowel nl;21DEC MRI head & abdomen nl;28DEC colonoscopy & endoscopy nl;EEG x 2 nl
CDC 'Split Type':

Write-up: 31OCT, flu like illness,fever,abd pain, aching joints,vomiting;to MD on 4NOV or 5NOV;V cont w/ fatigue,can eat only popsicles & mom concerned about dehydration;4DEC new Sx:h/a,muscle aches,nausea;28DEC 15 # wt loss;twitch;Dx fibromyalgia


Changed on 2/14/2018

VAERS ID: 122172 Before After
VAERS Form:1
Age:11.0
Sex:Female
Location:Alaska
Vaccinated:1998-10-15
Onset:1998-10-31
Submitted:1999-05-13
Entered:1999-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1141H / UNK LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1110H / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Anaemia, Anorexia, Arthralgia, Asthenia, Dehydration, Headache, Hepatic function abnormal, Influenza, Laboratory test abnormal, Lymphocytosis, Muscle twitching, Myalgia, Nausea, Personality disorder, Pyrexia, Vomiting, Weight decreased

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 4 or 5NOV blood work,UA nl;7DEC blood & urine nl;14DEC abd ultrasound,upper GI & small bowel nl;21DEC MRI head & abdomen nl;28DEC colonoscopy & endoscopy nl;EEG x 2 nl
CDC 'Split Type':

Write-up: 31OCT, flu like illness,fever,abd pain, aching joints,vomiting;to MD on 4NOV or 5NOV;V cont w/ fatigue,can eat only popsicles & mom concerned about dehydration;4DEC new Sx:h/a,muscle aches,nausea;28DEC 15 # wt loss;twitch;Dx fibromyalgia


Changed on 6/14/2018

VAERS ID: 122172 Before After
VAERS Form:1
Age:11.0
Sex:Female
Location:Alaska
Vaccinated:1998-10-15
Onset:1998-10-31
Submitted:1999-05-13
Entered:1999-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1141H / UNK LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1110H / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Anaemia, Anorexia, Arthralgia, Asthenia, Dehydration, Headache, Hepatic function abnormal, Influenza, Laboratory test abnormal, Lymphocytosis, Muscle twitching, Myalgia, Nausea, Personality disorder, Pyrexia, Vomiting, Weight decreased

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 4 or 5NOV blood work,UA nl;7DEC blood & urine nl;14DEC abd ultrasound,upper GI & small bowel nl;21DEC MRI head & abdomen nl;28DEC colonoscopy & endoscopy nl;EEG x 2 nl
CDC 'Split Type':

Write-up: 31OCT, flu like illness,fever,abd pain, aching joints,vomiting;to MD on 4NOV or 5NOV;V cont w/ fatigue,can eat only popsicles & mom concerned about dehydration;4DEC new Sx:h/a,muscle aches,nausea;28DEC 15 # wt loss;twitch;Dx fibromyalgia


Changed on 8/14/2018

VAERS ID: 122172 Before After
VAERS Form:1
Age:11.0
Sex:Female
Location:Alaska
Vaccinated:1998-10-15
Onset:1998-10-31
Submitted:1999-05-13
Entered:1999-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1141H / UNK LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1110H / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Anaemia, Anorexia, Arthralgia, Asthenia, Dehydration, Headache, Hepatic function abnormal, Influenza, Laboratory test abnormal, Lymphocytosis, Muscle twitching, Myalgia, Nausea, Personality disorder, Pyrexia, Vomiting, Weight decreased

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 4 or 5NOV blood work,UA nl;7DEC blood & urine nl;14DEC abd ultrasound,upper GI & small bowel nl;21DEC MRI head & abdomen nl;28DEC colonoscopy & endoscopy nl;EEG x 2 nl
CDC 'Split Type':

Write-up: 31OCT, flu like illness,fever,abd pain, aching joints,vomiting;to MD on 4NOV or 5NOV;V cont w/ fatigue,can eat only popsicles & mom concerned about dehydration;4DEC new Sx:h/a,muscle aches,nausea;28DEC 15 # wt loss;twitch;Dx fibromyalgia


Changed on 9/14/2018

VAERS ID: 122172 Before After
VAERS Form:1
Age:11.0
Sex:Female
Location:Alaska
Vaccinated:1998-10-15
Onset:1998-10-31
Submitted:1999-05-13
Entered:1999-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1141H / UNK LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1110H / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Anaemia, Anorexia, Arthralgia, Asthenia, Dehydration, Headache, Hepatic function abnormal, Influenza, Laboratory test abnormal, Lymphocytosis, Muscle twitching, Myalgia, Nausea, Personality disorder, Pyrexia, Vomiting, Weight decreased

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 4 or 5NOV blood work,UA nl;7DEC blood & urine nl;14DEC abd ultrasound,upper GI & small bowel nl;21DEC MRI head & abdomen nl;28DEC colonoscopy & endoscopy nl;EEG x 2 nl
CDC 'Split Type':

Write-up: 31OCT, flu like illness,fever,abd pain, aching joints,vomiting;to MD on 4NOV or 5NOV;V cont w/ fatigue,can eat only popsicles & mom concerned about dehydration;4DEC new Sx:h/a,muscle aches,nausea;28DEC 15 # wt loss;twitch;Dx fibromyalgia


Changed on 10/14/2018

VAERS ID: 122172 Before After
VAERS Form:1
Age:11.0
Sex:Female
Location:Alaska
Vaccinated:1998-10-15
Onset:1998-10-31
Submitted:1999-05-13
Entered:1999-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1141H / UNK LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1110H / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Anaemia, Anorexia, Arthralgia, Asthenia, Dehydration, Headache, Hepatic function abnormal, Influenza, Laboratory test abnormal, Lymphocytosis, Muscle twitching, Myalgia, Nausea, Personality disorder, Pyrexia, Vomiting, Weight decreased

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 4 or 5NOV blood work,UA nl;7DEC blood & urine nl;14DEC abd ultrasound,upper GI & small bowel nl;21DEC MRI head & abdomen nl;28DEC colonoscopy & endoscopy nl;EEG x 2 nl
CDC 'Split Type':

Write-up: 31OCT, flu like illness,fever,abd pain, aching joints,vomiting;to MD on 4NOV or 5NOV;V cont w/ fatigue,can eat only popsicles & mom concerned about dehydration;4DEC new Sx:h/a,muscle aches,nausea;28DEC 15 # wt loss;twitch;Dx fibromyalgia


Changed on 12/24/2020

VAERS ID: 122172 Before After
VAERS Form:1
Age:11.0
Sex:Female
Location:Alaska
Vaccinated:1998-10-15
Onset:1998-10-31
Submitted:1999-05-13
Entered:1999-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1141H / UNK LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1110H / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Anaemia, Anorexia, Arthralgia, Asthenia, Dehydration, Headache, Hepatic function abnormal, Influenza, Laboratory test abnormal, Lymphocytosis, Muscle twitching, Myalgia, Nausea, Personality disorder, Pyrexia, Vomiting, Weight decreased

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 4 or 5NOV blood work,UA nl;7DEC blood & urine nl;14DEC abd ultrasound,upper GI & small bowel nl;21DEC MRI head & abdomen nl;28DEC colonoscopy & endoscopy nl;EEG x 2 nl
CDC 'Split Type':

Write-up: 31OCT, flu like illness,fever,abd pain, aching joints,vomiting;to MD on 4NOV or 5NOV;V cont w/ fatigue,can eat only popsicles & mom concerned about dehydration;4DEC new Sx:h/a,muscle aches,nausea;28DEC 15 # wt loss;twitch;Dx fibromyalgia


Changed on 12/30/2020

VAERS ID: 122172 Before After
VAERS Form:1
Age:11.0
Sex:Female
Location:Alaska
Vaccinated:1998-10-15
Onset:1998-10-31
Submitted:1999-05-13
Entered:1999-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1141H / UNK LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1110H / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Anaemia, Anorexia, Arthralgia, Asthenia, Dehydration, Headache, Hepatic function abnormal, Influenza, Laboratory test abnormal, Lymphocytosis, Muscle twitching, Myalgia, Nausea, Personality disorder, Pyrexia, Vomiting, Weight decreased

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 4 or 5NOV blood work,UA nl;7DEC blood & urine nl;14DEC abd ultrasound,upper GI & small bowel nl;21DEC MRI head & abdomen nl;28DEC colonoscopy & endoscopy nl;EEG x 2 nl
CDC 'Split Type':

Write-up: 31OCT, flu like illness,fever,abd pain, aching joints,vomiting;to MD on 4NOV or 5NOV;V cont w/ fatigue,can eat only popsicles & mom concerned about dehydration;4DEC new Sx:h/a,muscle aches,nausea;28DEC 15 # wt loss;twitch;Dx fibromyalgia


Changed on 5/7/2021

VAERS ID: 122172 Before After
VAERS Form:1
Age:11.0
Sex:Female
Location:Alaska
Vaccinated:1998-10-15
Onset:1998-10-31
Submitted:1999-05-13
Entered:1999-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1141H / UNK LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1110H / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Anaemia, Anorexia, Arthralgia, Asthenia, Dehydration, Headache, Hepatic function abnormal, Influenza, Laboratory test abnormal, Lymphocytosis, Muscle twitching, Myalgia, Nausea, Personality disorder, Pyrexia, Vomiting, Weight decreased

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 4 or 5NOV blood work,UA nl;7DEC blood & urine nl;14DEC abd ultrasound,upper GI & small bowel nl;21DEC MRI head & abdomen nl;28DEC colonoscopy & endoscopy nl;EEG x 2 nl
CDC 'Split Type':

Write-up: 31OCT, flu like illness,fever,abd pain, aching joints,vomiting;to MD on 4NOV or 5NOV;V cont w/ fatigue,can eat only popsicles & mom concerned about dehydration;4DEC new Sx:h/a,muscle aches,nausea;28DEC 15 # wt loss;twitch;Dx fibromyalgia


Changed on 5/21/2021

VAERS ID: 122172 Before After
VAERS Form:1
Age:11.0
Sex:Female
Location:Alaska
Vaccinated:1998-10-15
Onset:1998-10-31
Submitted:1999-05-13
Entered:1999-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1141H / UNK LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1110H / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Anaemia, Anorexia, Arthralgia, Asthenia, Dehydration, Headache, Hepatic function abnormal, Influenza, Laboratory test abnormal, Lymphocytosis, Muscle twitching, Myalgia, Nausea, Personality disorder, Pyrexia, Vomiting, Weight decreased

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 4 or 5NOV blood work,UA nl;7DEC blood & urine nl;14DEC abd ultrasound,upper GI & small bowel nl;21DEC MRI head & abdomen nl;28DEC colonoscopy & endoscopy nl;EEG x 2 nl
CDC 'Split Type':

Write-up: 31OCT, flu like illness,fever,abd pain, aching joints,vomiting;to MD on 4NOV or 5NOV;V cont w/ fatigue,can eat only popsicles & mom concerned about dehydration;4DEC new Sx:h/a,muscle aches,nausea;28DEC 15 # wt loss;twitch;Dx fibromyalgia

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