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This is VAERS ID 150966

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 150966
VAERS Form:
Age:15.0
Sex:Male
Location:New Jersey
Vaccinated:2000-02-22
Onset:2000-02-26
Submitted:2000-03-06
Entered:2000-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: VAQTA / MSD 0745J / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: VOMIT, HEADACHE, DEHYDRAT, CHILLS FEVER, PAPILLEDEMA

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF-nml, spinal tap-neg, Blood culture-neg, CIF-nml, MRI-nml
CDC 'Split Type':

Write-up: Pt experienced severe headache, fever, chills for 7 days. Pt also experienced papilledema and dehydration and vomiting for 2-3 days.


Changed on 12/8/2009

VAERS ID: 150966 Before After
VAERS Form:
Age:15.0
Sex:Male
Location:New Jersey
Vaccinated:2000-02-22
Onset:2000-02-26
Submitted:2000-03-06
Entered:2000-04-17 2000-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: VAQTA HEP A (VAQTA) / MSD MERCK & CO. INC. 0745J / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dehydration, Headache, Papilloedema, Pyrexia, Vomiting, VOMIT, HEADACHE, DEHYDRAT, CHILLS FEVER, PAPILLEDEMA

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF-nml, spinal tap-neg, Blood culture-neg, CIF-nml, MRI-nml
CDC 'Split Type':

Write-up: Pt experienced severe headache, fever, chills for 7 days. Pt also experienced papilledema and dehydration and vomiting for 2-3 days.


Changed on 9/14/2017

VAERS ID: 150966 Before After
VAERS Form:(blank) 1
Age:15.0
Sex:Male
Location:New Jersey
Vaccinated:2000-02-22
Onset:2000-02-26
Submitted:2000-03-06
Entered:2000-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0745J / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dehydration, Headache, Papilloedema, Pyrexia, Vomiting

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF-nml, spinal tap-neg, Blood culture-neg, CIF-nml, MRI-nml
CDC 'Split Type':

Write-up: Pt experienced severe headache, fever, chills for 7 days. Pt also experienced papilledema and dehydration and vomiting for 2-3 days.


Changed on 2/14/2018

VAERS ID: 150966 Before After
VAERS Form:1
Age:15.0
Sex:Male
Location:New Jersey
Vaccinated:2000-02-22
Onset:2000-02-26
Submitted:2000-03-06
Entered:2000-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0745J / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dehydration, Headache, Papilloedema, Pyrexia, Vomiting

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF-nml, spinal tap-neg, Blood culture-neg, CIF-nml, MRI-nml
CDC 'Split Type':

Write-up: Pt experienced severe headache, fever, chills for 7 days. Pt also experienced papilledema and dehydration and vomiting for 2-3 days.


Changed on 6/14/2018

VAERS ID: 150966 Before After
VAERS Form:1
Age:15.0
Sex:Male
Location:New Jersey
Vaccinated:2000-02-22
Onset:2000-02-26
Submitted:2000-03-06
Entered:2000-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0745J / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dehydration, Headache, Papilloedema, Pyrexia, Vomiting

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF-nml, spinal tap-neg, Blood culture-neg, CIF-nml, MRI-nml
CDC 'Split Type':

Write-up: Pt experienced severe headache, fever, chills for 7 days. Pt also experienced papilledema and dehydration and vomiting for 2-3 days.


Changed on 8/14/2018

VAERS ID: 150966 Before After
VAERS Form:1
Age:15.0
Sex:Male
Location:New Jersey
Vaccinated:2000-02-22
Onset:2000-02-26
Submitted:2000-03-06
Entered:2000-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0745J / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dehydration, Headache, Papilloedema, Pyrexia, Vomiting

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF-nml, spinal tap-neg, Blood culture-neg, CIF-nml, MRI-nml
CDC 'Split Type':

Write-up: Pt experienced severe headache, fever, chills for 7 days. Pt also experienced papilledema and dehydration and vomiting for 2-3 days.


Changed on 9/14/2018

VAERS ID: 150966 Before After
VAERS Form:1
Age:15.0
Sex:Male
Location:New Jersey
Vaccinated:2000-02-22
Onset:2000-02-26
Submitted:2000-03-06
Entered:2000-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0745J / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dehydration, Headache, Papilloedema, Pyrexia, Vomiting

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF-nml, spinal tap-neg, Blood culture-neg, CIF-nml, MRI-nml
CDC 'Split Type':

Write-up: Pt experienced severe headache, fever, chills for 7 days. Pt also experienced papilledema and dehydration and vomiting for 2-3 days.


Changed on 10/14/2018

VAERS ID: 150966 Before After
VAERS Form:1
Age:15.0
Sex:Male
Location:New Jersey
Vaccinated:2000-02-22
Onset:2000-02-26
Submitted:2000-03-06
Entered:2000-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0745J / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dehydration, Headache, Papilloedema, Pyrexia, Vomiting

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF-nml, spinal tap-neg, Blood culture-neg, CIF-nml, MRI-nml
CDC 'Split Type':

Write-up: Pt experienced severe headache, fever, chills for 7 days. Pt also experienced papilledema and dehydration and vomiting for 2-3 days.


Changed on 12/24/2020

VAERS ID: 150966 Before After
VAERS Form:1
Age:15.0
Sex:Male
Location:New Jersey
Vaccinated:2000-02-22
Onset:2000-02-26
Submitted:2000-03-06
Entered:2000-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0745J / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dehydration, Headache, Papilloedema, Pyrexia, Vomiting

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF-nml, spinal tap-neg, Blood culture-neg, CIF-nml, MRI-nml
CDC 'Split Type':

Write-up: Pt experienced severe headache, fever, chills for 7 days. Pt also experienced papilledema and dehydration and vomiting for 2-3 days.


Changed on 12/30/2020

VAERS ID: 150966 Before After
VAERS Form:1
Age:15.0
Sex:Male
Location:New Jersey
Vaccinated:2000-02-22
Onset:2000-02-26
Submitted:2000-03-06
Entered:2000-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0745J / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dehydration, Headache, Papilloedema, Pyrexia, Vomiting

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF-nml, spinal tap-neg, Blood culture-neg, CIF-nml, MRI-nml
CDC 'Split Type':

Write-up: Pt experienced severe headache, fever, chills for 7 days. Pt also experienced papilledema and dehydration and vomiting for 2-3 days.


Changed on 5/7/2021

VAERS ID: 150966 Before After
VAERS Form:1
Age:15.0
Sex:Male
Location:New Jersey
Vaccinated:2000-02-22
Onset:2000-02-26
Submitted:2000-03-06
Entered:2000-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0745J / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dehydration, Headache, Papilloedema, Pyrexia, Vomiting

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF-nml, spinal tap-neg, Blood culture-neg, CIF-nml, MRI-nml
CDC 'Split Type':

Write-up: Pt experienced severe headache, fever, chills for 7 days. Pt also experienced papilledema and dehydration and vomiting for 2-3 days.


Changed on 5/21/2021

VAERS ID: 150966 Before After
VAERS Form:1
Age:15.0
Sex:Male
Location:New Jersey
Vaccinated:2000-02-22
Onset:2000-02-26
Submitted:2000-03-06
Entered:2000-04-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0745J / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dehydration, Headache, Papilloedema, Pyrexia, Vomiting

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF-nml, spinal tap-neg, Blood culture-neg, CIF-nml, MRI-nml
CDC 'Split Type':

Write-up: Pt experienced severe headache, fever, chills for 7 days. Pt also experienced papilledema and dehydration and vomiting for 2-3 days.

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