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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 77886 |
VAERS Form: | |
Age: | 68.0 |
Sex: | Female |
Location: | Illinois |
Vaccinated: | 1995-07-20 |
Onset: | 1995-08-01 |
Submitted: | 1995-08-16 |
Entered: | 1996-01-24 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEPA: HAVRIX / SMITHKLINE | VHA420A6 / 1 | A / - |
Administered by: Private Purchased by: Unknown
Symptoms: PRURITUS, DIARRHEA, LIVER FUNC ABNORM, JAUNDICE, URIN ABNORM
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: SGOT 109; SGPT 277; ALKPH 388;
CDC 'Split Type':
Write-up: pt recvd vax;was inadvertently given 2nd dose; w/in 24 to 48 hrs of vax exp itching, d, darker urine & was jaundiced when examined;
Vaccinated: | 1995-07-20 |
Onset: | 1995-08-01 1995-07-21 |
Submitted: | 1995-08-16 1995-09-27 |
Entered: | 1996-01-24 1995-09-22 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM | VHA420A6 420A6 / 1 | A - / - IM |
Administered by: Private Unknown Purchased by: Unknown
Symptoms: Diarrhoea, Gastrointestinal disorder, Hepatic function abnormal, Jaundice, Neoplasm malignant, Pruritus, Blood alkaline phosphatase increased, Urine analysis abnormal, PRURITUS, DIARRHEA, LIVER FUNC ABNORM, JAUNDICE, URIN ABNORM
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No Yes, days:
Write-up: pt recvd vax;was inadvertently given 2nd dose; vax 20JUL95 & w/in 24 to 48 hrs of 24-48hrs following vax exp itching, d, diarrhea, darker urine urine, & was jaundiced when examined;elev examined; pt was found to have elevated liver enzymes on 1aug95;
Vaccinated: | 1995-07-20 |
Onset: | 1995-07-21 |
Submitted: | 1995-09-27 |
Entered: | 1995-09-22 1995-10-03 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM | 420A6 / 1 | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Diarrhoea, Gastrointestinal disorder, Hepatic function abnormal, Jaundice, Neoplasm malignant, Pruritus, Blood alkaline phosphatase increased, Urine analysis abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: pt recvd vax 20JUL95 & w/in 24-48hrs following vax exp itching, diarrhea, darker urine, & was jaundiced when examined; pt was found to have elevated liver enzymes 01AUG95;
Vaccinated: | 1995-07-20 |
Onset: | 1995-07-21 |
Submitted: | 1995-09-27 |
Entered: | 1995-10-03 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM | 420A6 / 1 | - / IM |
Administered by: Unknown Private Purchased by: Unknown Private
Symptoms: Diarrhoea, Gastrointestinal disorder, Hepatic function abnormal, Jaundice, Neoplasm malignant, Pruritus, Blood alkaline phosphatase increased, Urine analysis abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: pt recvd vax 20JUL95 & w/in 24-48hrs following vax exp itching, diarrhea, darker urine, & was jaundiced when examined; pt was found to have elevated liver enzymes 01AUG95;
Vaccinated: | 1995-07-20 |
Onset: | 1995-07-21 |
Submitted: | 1995-09-27 |
Entered: | 1995-10-03 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM | 420A6 / 1 2 | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Diarrhoea, Gastrointestinal disorder, Hepatic function abnormal, Jaundice, Neoplasm malignant, Pruritus, Blood alkaline phosphatase increased, Urine analysis abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: pt recvd vax 20JUL95 & w/in 24-48hrs following vax exp itching, diarrhea, darker urine, & was jaundiced when examined; pt was found to have elevated liver enzymes 01AUG95;
Vaccinated: | 1995-07-20 |
Onset: | 1995-07-21 |
Submitted: | 1995-09-27 |
Entered: | 1995-10-03 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM | 420A6 / 2 | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Diarrhoea, Gastrointestinal disorder, Hepatic function abnormal, Jaundice, Neoplasm malignant, Pruritus, Blood alkaline phosphatase increased, Urine analysis abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: pt recvd vax 20JUL95 & w/in 24-48hrs following vax exp itching, diarrhea, darker urine, & was jaundiced when examined; pt was found to have elevated liver enzymes 01AUG95;
Vaccinated: | 1995-07-20 |
Onset: | 1995-07-21 |
Submitted: | 1995-09-27 |
Entered: | 1995-10-03 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM | 420A6 / 2 | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Diarrhoea, Gastrointestinal disorder, Hepatic function abnormal, Jaundice, Neoplasm malignant, Pruritus, Blood alkaline phosphatase increased, Urine analysis abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: pt recvd vax 20JUL95 & w/in 24-48hrs following vax exp itching, diarrhea, darker urine, & was jaundiced when examined; pt was found to have elevated liver enzymes 01AUG95;
Vaccinated: | 1995-07-20 |
Onset: | 1995-07-21 |
Submitted: | 1995-09-27 |
Entered: | 1995-10-03 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM | 420A6 / 2 | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Diarrhoea, Gastrointestinal disorder, Hepatic function abnormal, Jaundice, Neoplasm malignant, Pruritus, Blood alkaline phosphatase increased, Urine analysis abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: pt recvd vax 20JUL95 & w/in 24-48hrs following vax exp itching, diarrhea, darker urine, & was jaundiced when examined; pt was found to have elevated liver enzymes 01AUG95;
Vaccinated: | 1995-07-20 |
Onset: | 1995-07-21 |
Submitted: | 1995-09-27 |
Entered: | 1995-10-03 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM | 420A6 / 2 | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Diarrhoea, Gastrointestinal disorder, Hepatic function abnormal, Jaundice, Neoplasm malignant, Pruritus, Blood alkaline phosphatase increased, Urine analysis abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: pt recvd vax 20JUL95 & w/in 24-48hrs following vax exp itching, diarrhea, darker urine, & was jaundiced when examined; pt was found to have elevated liver enzymes 01AUG95;
Vaccinated: | 1995-07-20 |
Onset: | 1995-07-21 |
Submitted: | 1995-09-27 |
Entered: | 1995-10-03 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM | 420A6 / 2 | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Diarrhoea, Gastrointestinal disorder, Hepatic function abnormal, Jaundice, Neoplasm malignant, Pruritus, Blood alkaline phosphatase increased, Urine analysis abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: pt recvd vax 20JUL95 & w/in 24-48hrs following vax exp itching, diarrhea, darker urine, & was jaundiced when examined; pt was found to have elevated liver enzymes 01AUG95;
Vaccinated: | 1995-07-20 |
Onset: | 1995-07-21 |
Submitted: | 1995-09-27 |
Entered: | 1995-10-03 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM | 420A6 / 2 | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Diarrhoea, Gastrointestinal disorder, Hepatic function abnormal, Jaundice, Neoplasm malignant, Pruritus, Blood alkaline phosphatase increased, Urine analysis abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: pt recvd vax 20JUL95 & w/in 24-48hrs following vax exp itching, diarrhea, darker urine, & was jaundiced when examined; pt was found to have elevated liver enzymes 01AUG95;
Vaccinated: | 1995-07-20 |
Onset: | 1995-07-21 |
Submitted: | 1995-09-27 |
Entered: | 1995-10-03 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM | 420A6 / 2 | - / IM |
Administered by: Private Purchased by: Private
Symptoms: Diarrhoea, Gastrointestinal disorder, Hepatic function abnormal, Jaundice, Neoplasm malignant, Pruritus, Blood alkaline phosphatase increased, Urine analysis abnormal
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: pt recvd vax 20JUL95 & w/in 24-48hrs following vax exp itching, diarrhea, darker urine, & was jaundiced when examined; pt was found to have elevated liver enzymes 01AUG95;
Link To This Search Result:
https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=77886&WAYBACKHISTORY=ON
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