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This is VAERS ID 133237

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 133237
VAERS Form:
Age:52.1
Sex:Male
Location:California
Vaccinated:1999-04-22
Onset:1999-04-29
Submitted:2000-01-10
Entered:2000-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA547A1 / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: TASTE LOSS, PAROSMIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 4/22/99, the pt rcvd the vaccine, on 4/29/99 the pt experienced anosmia and ageusia. The MD reports that these events resulted in permanent disability.


Changed on 12/8/2009

VAERS ID: 133237 Before After
VAERS Form:
Age:52.1 52.0
Sex:Male
Location:California
Vaccinated:1999-04-22
Onset:1999-04-29
Submitted:2000-01-10
Entered:2000-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA547A1 547A1 / 0 - / IM

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Ageusia, Parosmia, TASTE LOSS, PAROSMIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 2000000072

Write-up: 4/22/99, the pt rcvd the vaccine, on 4/29/99 the pt experienced anosmia and ageusia. The MD reports that these events resulted in permanent disability.


Changed on 5/14/2017

VAERS ID: 133237 Before After
VAERS Form:
Age:52.0
Sex:Male
Location:California
Vaccinated:1999-04-22
Onset:1999-04-29
Submitted:2000-01-10
Entered:2000-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 0 - / IM

Administered by: Unknown Private      Purchased by: Unknown Private
Symptoms: Ageusia, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2000000072

Write-up: 4/22/99, the pt rcvd the vaccine, on 4/29/99 the pt experienced anosmia and ageusia. The MD reports that these events resulted in permanent disability.


Changed on 9/14/2017

VAERS ID: 133237 Before After
VAERS Form:(blank) 1
Age:52.0
Sex:Male
Location:California
Vaccinated:1999-04-22
Onset:1999-04-29
Submitted:2000-01-10
Entered:2000-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 0 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ageusia, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2000000072

Write-up: 4/22/99, the pt rcvd the vaccine, on 4/29/99 the pt experienced anosmia and ageusia. The MD reports that these events resulted in permanent disability.


Changed on 2/14/2018

VAERS ID: 133237 Before After
VAERS Form:1
Age:52.0
Sex:Male
Location:California
Vaccinated:1999-04-22
Onset:1999-04-29
Submitted:2000-01-10
Entered:2000-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ageusia, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2000000072

Write-up: 4/22/99, the pt rcvd the vaccine, on 4/29/99 the pt experienced anosmia and ageusia. The MD reports that these events resulted in permanent disability.


Changed on 6/14/2018

VAERS ID: 133237 Before After
VAERS Form:1
Age:52.0
Sex:Male
Location:California
Vaccinated:1999-04-22
Onset:1999-04-29
Submitted:2000-01-10
Entered:2000-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ageusia, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2000000072

Write-up: 4/22/99, the pt rcvd the vaccine, on 4/29/99 the pt experienced anosmia and ageusia. The MD reports that these events resulted in permanent disability.


Changed on 8/14/2018

VAERS ID: 133237 Before After
VAERS Form:1
Age:52.0
Sex:Male
Location:California
Vaccinated:1999-04-22
Onset:1999-04-29
Submitted:2000-01-10
Entered:2000-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ageusia, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2000000072

Write-up: 4/22/99, the pt rcvd the vaccine, on 4/29/99 the pt experienced anosmia and ageusia. The MD reports that these events resulted in permanent disability.


Changed on 9/14/2018

VAERS ID: 133237 Before After
VAERS Form:1
Age:52.0
Sex:Male
Location:California
Vaccinated:1999-04-22
Onset:1999-04-29
Submitted:2000-01-10
Entered:2000-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ageusia, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2000000072

Write-up: 4/22/99, the pt rcvd the vaccine, on 4/29/99 the pt experienced anosmia and ageusia. The MD reports that these events resulted in permanent disability.


Changed on 10/14/2018

VAERS ID: 133237 Before After
VAERS Form:1
Age:52.0
Sex:Male
Location:California
Vaccinated:1999-04-22
Onset:1999-04-29
Submitted:2000-01-10
Entered:2000-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ageusia, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2000000072

Write-up: 4/22/99, the pt rcvd the vaccine, on 4/29/99 the pt experienced anosmia and ageusia. The MD reports that these events resulted in permanent disability.


Changed on 12/24/2020

VAERS ID: 133237 Before After
VAERS Form:1
Age:52.0
Sex:Male
Location:California
Vaccinated:1999-04-22
Onset:1999-04-29
Submitted:2000-01-10
Entered:2000-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ageusia, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2000000072

Write-up: 4/22/99, the pt rcvd the vaccine, on 4/29/99 the pt experienced anosmia and ageusia. The MD reports that these events resulted in permanent disability.


Changed on 12/30/2020

VAERS ID: 133237 Before After
VAERS Form:1
Age:52.0
Sex:Male
Location:California
Vaccinated:1999-04-22
Onset:1999-04-29
Submitted:2000-01-10
Entered:2000-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ageusia, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2000000072

Write-up: 4/22/99, the pt rcvd the vaccine, on 4/29/99 the pt experienced anosmia and ageusia. The MD reports that these events resulted in permanent disability.


Changed on 5/7/2021

VAERS ID: 133237 Before After
VAERS Form:1
Age:52.0
Sex:Male
Location:California
Vaccinated:1999-04-22
Onset:1999-04-29
Submitted:2000-01-10
Entered:2000-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ageusia, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2000000072

Write-up: 4/22/99, the pt rcvd the vaccine, on 4/29/99 the pt experienced anosmia and ageusia. The MD reports that these events resulted in permanent disability.


Changed on 5/21/2021

VAERS ID: 133237 Before After
VAERS Form:1
Age:52.0
Sex:Male
Location:California
Vaccinated:1999-04-22
Onset:1999-04-29
Submitted:2000-01-10
Entered:2000-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 547A1 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ageusia, Parosmia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 2000000072

Write-up: 4/22/99, the pt rcvd the vaccine, on 4/29/99 the pt experienced anosmia and ageusia. The MD reports that these events resulted in permanent disability.

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