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This is VAERS ID 150480

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 150480
VAERS Form:
Age:14.0
Sex:Female
Location:Oklahoma
Vaccinated:1999-09-14
Onset:1999-09-14
Submitted:2000-03-22
Entered:2000-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 3075 / 1 LA / IM
HEPA: VAQTA / MSD 114HJ / 0 RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: DYSPNEA, CONVULS GRAND MAL, ASTHMA, PAIN

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: recovering from pneumonia
Preexisting Conditions: asthma, hx of grand mal seizures
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt''s lungs hurt bad, hurt to breath, and then couldn''t breath 2 hours post vax. Pt was taken to ER and admitted to hospital. Put tube in throat so she could breath then gave her a shot to reduce swelling. Took tube out 15 minutes after shot was given.


Changed on 12/30/2006

VAERS ID: 150480 Before After
VAERS Form:
Age:14.0
Sex:Female
Location:Oklahoma
Vaccinated:1999-09-14
Onset:1999-09-14
Submitted:2000-03-22
Entered:2000-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B / SMITHKLINE 3075 / 1 LA / IM
HEPA: VAQTA / MSD 114HJ / 0 RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: DYSPNEA, CONVULS GRAND MAL, ASTHMA, PAIN

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: recovering from pneumonia
Preexisting Conditions: asthma, hx of grand mal seizures
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt''s Pt''''s lungs hurt bad, hurt to breath, and then couldn''t couldn''''t breath 2 hours post vax. Pt was taken to ER and admitted to hospital. Put tube in throat so she could breath then gave her a shot to reduce swelling. Took tube out 15 minutes after shot was given.


Changed on 12/8/2009

VAERS ID: 150480 Before After
VAERS Form:
Age:14.0
Sex:Female
Location:Oklahoma
Vaccinated:1999-09-14
Onset:1999-09-14
Submitted:2000-03-22
Entered:2000-03-30 2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 3075 / 1 LA / IM
HEPA: VAQTA HEP A (VAQTA) / MSD MERCK & CO. INC. 114HJ / 0 RA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Asthma, Dyspnoea, Grand mal convulsion, Pain, DYSPNEA, CONVULS GRAND MAL, ASTHMA, PAIN

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: recovering from pneumonia
Preexisting Conditions: asthma, hx of grand mal seizures
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt''''s Pt''s lungs hurt bad, hurt to breath, and then couldn''''t couldn''t breath 2 hours post vax. Pt was taken to ER and admitted to hospital. Put tube in throat so she could breath then gave her a shot to reduce swelling. Took tube out 15 minutes after shot was given.


Changed on 5/14/2017

VAERS ID: 150480 Before After
VAERS Form:
Age:14.0
Sex:Female
Location:Oklahoma
Vaccinated:1999-09-14
Onset:1999-09-14
Submitted:2000-03-22
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3075 / 1 LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 114HJ / 0 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Asthma, Dyspnoea, Grand mal convulsion, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: recovering from pneumonia
Preexisting Conditions: asthma, hx of grand mal seizures
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt''s lungs hurt bad, hurt to breath, and then couldn''t breath 2 hours post vax. Pt was taken to ER and admitted to hospital. Put tube in throat so she could breath then gave her a shot to reduce swelling. Took tube out 15 minutes after shot was given.


Changed on 9/14/2017

VAERS ID: 150480 Before After
VAERS Form:(blank) 1
Age:14.0
Sex:Female
Location:Oklahoma
Vaccinated:1999-09-14
Onset:1999-09-14
Submitted:2000-03-22
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3075 / 1 2 LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 114HJ / 0 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Dyspnoea, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: recovering from pneumonia
Preexisting Conditions: asthma, hx of grand mal seizures
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt''s lungs hurt bad, hurt to breath, and then couldn''t breath 2 hours post vax. Pt was taken to ER and admitted to hospital. Put tube in throat so she could breath then gave her a shot to reduce swelling. Took tube out 15 minutes after shot was given.


Changed on 2/14/2018

VAERS ID: 150480 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Oklahoma
Vaccinated:1999-09-14
Onset:1999-09-14
Submitted:2000-03-22
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3075 / 2 LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 114HJ / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Dyspnoea, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: recovering from pneumonia
Preexisting Conditions: asthma, hx of grand mal seizures
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt''s lungs hurt bad, hurt to breath, and then couldn''t breath 2 hours post vax. Pt was taken to ER and admitted to hospital. Put tube in throat so she could breath then gave her a shot to reduce swelling. Took tube out 15 minutes after shot was given.


Changed on 6/14/2018

VAERS ID: 150480 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Oklahoma
Vaccinated:1999-09-14
Onset:1999-09-14
Submitted:2000-03-22
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3075 / 2 LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 114HJ / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Dyspnoea, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: recovering from pneumonia
Preexisting Conditions: asthma, hx of grand mal seizures
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt''s lungs hurt bad, hurt to breath, and then couldn''t breath 2 hours post vax. Pt was taken to ER and admitted to hospital. Put tube in throat so she could breath then gave her a shot to reduce swelling. Took tube out 15 minutes after shot was given.


Changed on 8/14/2018

VAERS ID: 150480 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Oklahoma
Vaccinated:1999-09-14
Onset:1999-09-14
Submitted:2000-03-22
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3075 / 2 LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 114HJ / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Dyspnoea, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: recovering from pneumonia
Preexisting Conditions: asthma, hx of grand mal seizures
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt''s lungs hurt bad, hurt to breath, and then couldn''t breath 2 hours post vax. Pt was taken to ER and admitted to hospital. Put tube in throat so she could breath then gave her a shot to reduce swelling. Took tube out 15 minutes after shot was given.


Changed on 9/14/2018

VAERS ID: 150480 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Oklahoma
Vaccinated:1999-09-14
Onset:1999-09-14
Submitted:2000-03-22
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3075 / 2 LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 114HJ / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Dyspnoea, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: recovering from pneumonia
Preexisting Conditions: asthma, hx of grand mal seizures
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt''s lungs hurt bad, hurt to breath, and then couldn''t breath 2 hours post vax. Pt was taken to ER and admitted to hospital. Put tube in throat so she could breath then gave her a shot to reduce swelling. Took tube out 15 minutes after shot was given.


Changed on 10/14/2018

VAERS ID: 150480 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Oklahoma
Vaccinated:1999-09-14
Onset:1999-09-14
Submitted:2000-03-22
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3075 / 2 LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 114HJ / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Dyspnoea, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: recovering from pneumonia
Preexisting Conditions: asthma, hx of grand mal seizures
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt''s lungs hurt bad, hurt to breath, and then couldn''t breath 2 hours post vax. Pt was taken to ER and admitted to hospital. Put tube in throat so she could breath then gave her a shot to reduce swelling. Took tube out 15 minutes after shot was given.


Changed on 12/24/2020

VAERS ID: 150480 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Oklahoma
Vaccinated:1999-09-14
Onset:1999-09-14
Submitted:2000-03-22
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3075 / 2 LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 114HJ / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Dyspnoea, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: recovering from pneumonia
Preexisting Conditions: asthma, hx of grand mal seizures
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt''s lungs hurt bad, hurt to breath, and then couldn''t breath 2 hours post vax. Pt was taken to ER and admitted to hospital. Put tube in throat so she could breath then gave her a shot to reduce swelling. Took tube out 15 minutes after shot was given.


Changed on 12/30/2020

VAERS ID: 150480 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Oklahoma
Vaccinated:1999-09-14
Onset:1999-09-14
Submitted:2000-03-22
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3075 / 2 LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 114HJ / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Dyspnoea, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: recovering from pneumonia
Preexisting Conditions: asthma, hx of grand mal seizures
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt''s lungs hurt bad, hurt to breath, and then couldn''t breath 2 hours post vax. Pt was taken to ER and admitted to hospital. Put tube in throat so she could breath then gave her a shot to reduce swelling. Took tube out 15 minutes after shot was given.


Changed on 5/7/2021

VAERS ID: 150480 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Oklahoma
Vaccinated:1999-09-14
Onset:1999-09-14
Submitted:2000-03-22
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3075 / 2 LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 114HJ / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Dyspnoea, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: recovering from pneumonia
Preexisting Conditions: asthma, hx of grand mal seizures
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt''s lungs hurt bad, hurt to breath, and then couldn''t breath 2 hours post vax. Pt was taken to ER and admitted to hospital. Put tube in throat so she could breath then gave her a shot to reduce swelling. Took tube out 15 minutes after shot was given.


Changed on 5/21/2021

VAERS ID: 150480 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Oklahoma
Vaccinated:1999-09-14
Onset:1999-09-14
Submitted:2000-03-22
Entered:2000-03-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 3075 / 2 LA / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 114HJ / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Dyspnoea, Pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: recovering from pneumonia
Preexisting Conditions: asthma, hx of grand mal seizures
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt''s lungs hurt bad, hurt to breath, and then couldn''t breath 2 hours post vax. Pt was taken to ER and admitted to hospital. Put tube in throat so she could breath then gave her a shot to reduce swelling. Took tube out 15 minutes after shot was given.

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