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This is VAERS ID 77518

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 77518
VAERS Form:
Age:17.6
Sex:Female
Location:New York
Vaccinated:1995-04-03
Onset:0000-00-00
Submitted:1995-09-08
Entered:1995-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA420A6 / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, HEADACHE, ARTHRALGIA, DIABETES MELL, HYPERGLYCEM

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SGOT 79; SGPT 1117; gamma gt 210; Blood sugar 533;
CDC 'Split Type':

Write-up: pt recv vax 3APR95 & devel arthralgia, fever, h/a & upon return to US was found to have DM; 14JUN95 was given meds; also had LFT-has diabetes mellitus


Changed on 12/8/2009

VAERS ID: 77518 Before After
VAERS Form:
Age:17.6 17.0
Sex:Female
Location:New York
Vaccinated:1995-04-03
Onset:0000-00-00
Submitted:1995-09-08
Entered:1995-09-21 1995-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA420A6 420A6 / 0 LA / IM

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Arthralgia, Aspartate aminotransferase increased, Diabetes mellitus, Headache, Hepatic function abnormal, Hyperglycaemia, Pyrexia, FEVER, HEADACHE, ARTHRALGIA, DIABETES MELL, HYPERGLYCEM

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SGOT 79; SGPT 1117; gamma gt 210; Blood sugar 533;
CDC 'Split Type':

Write-up: pt recv vax 3APR95 & devel arthralgia, fever, h/a & upon return to US was found to have DM; 14JUN95 was given meds; also had LFT-has diabetes mellitus


Changed on 5/14/2017

VAERS ID: 77518 Before After
VAERS Form:
Age:17.0
Sex:Female
Location:New York
Vaccinated:1995-04-03
Onset:0000-00-00
Submitted:1995-09-08
Entered:1995-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 420A6 / 0 LA / IM

Administered by: Unknown Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Arthralgia, Aspartate aminotransferase increased, Diabetes mellitus, Headache, Hepatic function abnormal, Hyperglycaemia, Pyrexia

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SGOT 79; SGPT 1117; gamma gt 210; Blood sugar 533;
CDC 'Split Type':

Write-up: pt recv vax 3APR95 & devel arthralgia, fever, h/a & upon return to US was found to have DM; 14JUN95 was given meds; also had LFT-has diabetes mellitus


Changed on 9/14/2017

VAERS ID: 77518 Before After
VAERS Form:(blank) 1
Age:17.0
Sex:Female
Location:New York
Vaccinated:1995-04-03
Onset:0000-00-00
Submitted:1995-09-08
Entered:1995-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 420A6 / 0 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Arthralgia, Aspartate aminotransferase increased, Diabetes mellitus, Headache, Hepatic function abnormal, Hyperglycaemia, Pyrexia

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SGOT 79; SGPT 1117; gamma gt 210; Blood sugar 533;
CDC 'Split Type':

Write-up: pt recv vax 3APR95 & devel arthralgia, fever, h/a & upon return to US was found to have DM; 14JUN95 was given meds; also had LFT-has diabetes mellitus


Changed on 2/14/2018

VAERS ID: 77518 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:New York
Vaccinated:1995-04-03
Onset:0000-00-00
Submitted:1995-09-08
Entered:1995-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 420A6 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Arthralgia, Aspartate aminotransferase increased, Diabetes mellitus, Headache, Hepatic function abnormal, Hyperglycaemia, Pyrexia

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SGOT 79; SGPT 1117; gamma gt 210; Blood sugar 533;
CDC 'Split Type':

Write-up: pt recv vax 3APR95 & devel arthralgia, fever, h/a & upon return to US was found to have DM; 14JUN95 was given meds; also had LFT-has diabetes mellitus


Changed on 6/14/2018

VAERS ID: 77518 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:New York
Vaccinated:1995-04-03
Onset:0000-00-00
Submitted:1995-09-08
Entered:1995-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 420A6 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Arthralgia, Aspartate aminotransferase increased, Diabetes mellitus, Headache, Hepatic function abnormal, Hyperglycaemia, Pyrexia

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SGOT 79; SGPT 1117; gamma gt 210; Blood sugar 533;
CDC 'Split Type':

Write-up: pt recv vax 3APR95 & devel arthralgia, fever, h/a & upon return to US was found to have DM; 14JUN95 was given meds; also had LFT-has diabetes mellitus


Changed on 8/14/2018

VAERS ID: 77518 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:New York
Vaccinated:1995-04-03
Onset:0000-00-00
Submitted:1995-09-08
Entered:1995-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 420A6 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Arthralgia, Aspartate aminotransferase increased, Diabetes mellitus, Headache, Hepatic function abnormal, Hyperglycaemia, Pyrexia

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SGOT 79; SGPT 1117; gamma gt 210; Blood sugar 533;
CDC 'Split Type':

Write-up: pt recv vax 3APR95 & devel arthralgia, fever, h/a & upon return to US was found to have DM; 14JUN95 was given meds; also had LFT-has diabetes mellitus


Changed on 9/14/2018

VAERS ID: 77518 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:New York
Vaccinated:1995-04-03
Onset:0000-00-00
Submitted:1995-09-08
Entered:1995-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 420A6 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Arthralgia, Aspartate aminotransferase increased, Diabetes mellitus, Headache, Hepatic function abnormal, Hyperglycaemia, Pyrexia

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SGOT 79; SGPT 1117; gamma gt 210; Blood sugar 533;
CDC 'Split Type':

Write-up: pt recv vax 3APR95 & devel arthralgia, fever, h/a & upon return to US was found to have DM; 14JUN95 was given meds; also had LFT-has diabetes mellitus


Changed on 10/14/2018

VAERS ID: 77518 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:New York
Vaccinated:1995-04-03
Onset:0000-00-00
Submitted:1995-09-08
Entered:1995-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 420A6 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Arthralgia, Aspartate aminotransferase increased, Diabetes mellitus, Headache, Hepatic function abnormal, Hyperglycaemia, Pyrexia

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SGOT 79; SGPT 1117; gamma gt 210; Blood sugar 533;
CDC 'Split Type':

Write-up: pt recv vax 3APR95 & devel arthralgia, fever, h/a & upon return to US was found to have DM; 14JUN95 was given meds; also had LFT-has diabetes mellitus


Changed on 12/24/2020

VAERS ID: 77518 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:New York
Vaccinated:1995-04-03
Onset:0000-00-00
Submitted:1995-09-08
Entered:1995-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 420A6 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Arthralgia, Aspartate aminotransferase increased, Diabetes mellitus, Headache, Hepatic function abnormal, Hyperglycaemia, Pyrexia

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SGOT 79; SGPT 1117; gamma gt 210; Blood sugar 533;
CDC 'Split Type':

Write-up: pt recv vax 3APR95 & devel arthralgia, fever, h/a & upon return to US was found to have DM; 14JUN95 was given meds; also had LFT-has diabetes mellitus


Changed on 12/30/2020

VAERS ID: 77518 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:New York
Vaccinated:1995-04-03
Onset:0000-00-00
Submitted:1995-09-08
Entered:1995-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 420A6 / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Arthralgia, Aspartate aminotransferase increased, Diabetes mellitus, Headache, Hepatic function abnormal, Hyperglycaemia, Pyrexia

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: SGOT 79; SGPT 1117; gamma gt 210; Blood sugar 533;
CDC 'Split Type':

Write-up: pt recv vax 3APR95 & devel arthralgia, fever, h/a & upon return to US was found to have DM; 14JUN95 was given meds; also had LFT-has diabetes mellitus

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=77518&WAYBACKHISTORY=ON


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