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This is VAERS ID 239982

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 239982
VAERS Form:
Age:44.0
Sex:Male
Location:Wisconsin
Vaccinated:2005-06-14
Onset:2005-06-14
Submitted:2005-06-16
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE AHBVB074AA / 0 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECH AHAVA021AA / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, U1525AAB / 0 LA / IM
TD: TD ADSORBED, ADULT (NO BRAND NAME) / AVENTIS PASTEUR, U1210AA / 2 LA / IM
TYP: TYPHOID (TYPHIM VI) / AVENTIS PASTEUR, Y0794 / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, HEADACHE, MALAISE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Lexapro, Androderm, Multivitamin
Current Illness: currently having loose stools
Preexisting Conditions: Chronic Abdominal Discomfort/Irritable Bowel Syndrome
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient states that he developed headaches, low grade fever of 99 degrees and general malaise.


Changed on 12/8/2009

VAERS ID: 239982 Before After
VAERS Form:
Age:44.0
Sex:Male
Location:Wisconsin
Vaccinated:2005-06-14
Onset:2005-06-14
Submitted:2005-06-16
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE GLAXOSMITHKLINE BIOLOGICALS AHBVB074AA / 0 RA / IM
HEPA: HEP A (HAVRIX) HEP A (HAVRIX) / SMITHKLINE BEECH SMITHKLINE BEECHAM AHAVA021AA / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR, AVENTIS PASTEUR U1525AAB / 0 LA / IM
TD: TD ADSORBED, ADULT (NO BRAND NAME) TD ADSORBED (NO BRAND NAME) / AVENTIS PASTEUR, AVENTIS PASTEUR U1210AA / 2 LA / IM
TYP: TYPHOID (TYPHIM VI) TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / AVENTIS PASTEUR, AVENTIS PASTEUR Y0794 / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Headache, Malaise, Pyrexia, FEVER, HEADACHE, MALAISE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Lexapro, Androderm, Multivitamin
Current Illness: currently having loose stools
Preexisting Conditions: Chronic Abdominal Discomfort/Irritable Bowel Syndrome
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient states that he developed headaches, low grade fever of 99 degrees and general malaise.


Changed on 4/7/2010

VAERS ID: 239982 Before After
VAERS Form:
Age:44.0
Sex:Male
Location:Wisconsin
Vaccinated:2005-06-14
Onset:2005-06-14
Submitted:2005-06-16
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB074AA / 0 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM AHAVA021AA / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR U1525AAB / 0 LA / IM
TD: TD ADSORBED (NO BRAND NAME) / AVENTIS PASTEUR U1210AA / 2 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / AVENTIS PASTEUR Y0794 / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Headache, Malaise, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Lexapro, Androderm, Multivitamin
Current Illness: currently having loose stools
Preexisting Conditions: Chronic Abdominal Discomfort/Irritable Bowel Syndrome
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient states that he developed headaches, low grade fever of 99 degrees and general malaise.


Changed on 5/14/2017

VAERS ID: 239982 Before After
VAERS Form:
Age:44.0
Sex:Male
Location:Wisconsin
Vaccinated:2005-06-14
Onset:2005-06-14
Submitted:2005-06-16
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB074AA / 0 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM AHAVA021AA / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR U1525AAB / 0 LA / IM
TD: TD ADSORBED (NO BRAND NAME) / AVENTIS PASTEUR SANOFI PASTEUR U1210AA / 2 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / AVENTIS PASTEUR SANOFI PASTEUR Y0794 / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Headache, Malaise, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Lexapro, Androderm, Multivitamin
Current Illness: currently having loose stools
Preexisting Conditions: Chronic Abdominal Discomfort/Irritable Bowel Syndrome
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient states that he developed headaches, low grade fever of 99 degrees and general malaise.


Changed on 9/14/2017

VAERS ID: 239982 Before After
VAERS Form:(blank) 1
Age:44.0
Sex:Male
Location:Wisconsin
Vaccinated:2005-06-14
Onset:2005-06-14
Submitted:2005-06-16
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB074AA / 0 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM AHAVA021AA / 0 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AAB / 0 1 LA / IM
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U1210AA / 2 3 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR Y0794 / 0 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Headache, Malaise, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Lexapro, Androderm, Multivitamin
Current Illness: currently having loose stools
Preexisting Conditions: Chronic Abdominal Discomfort/Irritable Bowel Syndrome
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient states that he developed headaches, low grade fever of 99 degrees and general malaise.


Changed on 2/14/2018

VAERS ID: 239982 Before After
VAERS Form:1
Age:44.0
Sex:Male
Location:Wisconsin
Vaccinated:2005-06-14
Onset:2005-06-14
Submitted:2005-06-16
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB074AA / 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM AHAVA021AA / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AAB / 1 LA / IM
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U1210AA / 3 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR Y0794 / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Headache, Malaise, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Lexapro, Androderm, Multivitamin
Current Illness: currently having loose stools
Preexisting Conditions: Chronic Abdominal Discomfort/Irritable Bowel Syndrome
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient states that he developed headaches, low grade fever of 99 degrees and general malaise.


Changed on 6/14/2018

VAERS ID: 239982 Before After
VAERS Form:1
Age:44.0
Sex:Male
Location:Wisconsin
Vaccinated:2005-06-14
Onset:2005-06-14
Submitted:2005-06-16
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB074AA / 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM AHAVA021AA / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AAB / 1 LA / IM
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U1210AA / 3 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR Y0794 / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Headache, Malaise, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Lexapro, Androderm, Multivitamin
Current Illness: currently having loose stools
Preexisting Conditions: Chronic Abdominal Discomfort/Irritable Bowel Syndrome
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient states that he developed headaches, low grade fever of 99 degrees and general malaise.


Changed on 8/14/2018

VAERS ID: 239982 Before After
VAERS Form:1
Age:44.0
Sex:Male
Location:Wisconsin
Vaccinated:2005-06-14
Onset:2005-06-14
Submitted:2005-06-16
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB074AA / 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM AHAVA021AA / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AAB / 1 LA / IM
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U1210AA / 3 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR Y0794 / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Headache, Malaise, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Lexapro, Androderm, Multivitamin
Current Illness: currently having loose stools
Preexisting Conditions: Chronic Abdominal Discomfort/Irritable Bowel Syndrome
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient states that he developed headaches, low grade fever of 99 degrees and general malaise.


Changed on 9/14/2018

VAERS ID: 239982 Before After
VAERS Form:1
Age:44.0
Sex:Male
Location:Wisconsin
Vaccinated:2005-06-14
Onset:2005-06-14
Submitted:2005-06-16
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB074AA / 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM AHAVA021AA / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AAB / 1 LA / IM
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U1210AA / 3 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR Y0794 / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Headache, Malaise, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Lexapro, Androderm, Multivitamin
Current Illness: currently having loose stools
Preexisting Conditions: Chronic Abdominal Discomfort/Irritable Bowel Syndrome
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient states that he developed headaches, low grade fever of 99 degrees and general malaise.


Changed on 10/14/2018

VAERS ID: 239982 Before After
VAERS Form:1
Age:44.0
Sex:Male
Location:Wisconsin
Vaccinated:2005-06-14
Onset:2005-06-14
Submitted:2005-06-16
Entered:2005-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB074AA / 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM AHAVA021AA / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1525AAB / 1 LA / IM
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR U1210AA / 3 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR Y0794 / 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Headache, Malaise, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: Lexapro, Androderm, Multivitamin
Current Illness: currently having loose stools
Preexisting Conditions: Chronic Abdominal Discomfort/Irritable Bowel Syndrome
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient states that he developed headaches, low grade fever of 99 degrees and general malaise.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=239982&WAYBACKHISTORY=ON


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