National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 80688

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 80688
VAERS Form:
Age:14.3
Sex:Male
Location:Alabama
Vaccinated:1995-12-15
Onset:1995-12-22
Submitted:1995-12-24
Entered:1996-01-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA VACCINE USP / WYETH 4958031 / 0 LA / SC
FLU: FLUSHIELD 1995-1996 / WYETH 4958114 / 0 RA / IM
HEPA: HAVRIX / SMITHKLINE VHA165A2 / 0 LA / IM
TYP: TYPHOID VI / CONNAUGHT LABS K1160 / 0 RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: CONVULS, FEVER, ENCEPHALOPATHY

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT neg, LP neg
CDC 'Split Type':

Write-up: 22DEC95 fever x 12k; 28DEC95 sz 9PM-fever encephalopathy


Changed on 12/8/2009

VAERS ID: 80688 Before After
VAERS Form:
Age:14.3 14.0
Sex:Male
Location:Alabama
Vaccinated:1995-12-15
Onset:1995-12-22
Submitted:1995-12-24
Entered:1996-01-05 1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA VACCINE USP CHOLERA (USP) / WYETH WYETH PHARMACEUTICALS, INC 4958031 / 0 LA / SC
FLU: FLUSHIELD 1995-1996 INFLUENZA (SEASONAL) (FLUSHIELD 95-96) / WYETH WYETH PHARMACEUTICALS, INC 4958114 / 0 RA / IM
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA165A2 165A2 / 0 LA / IM
TYP: TYPHOID VI TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / CONNAUGHT LABS CONNAUGHT LABORATORIES K1160 / 0 RA / IM

Administered by: Public Unknown      Purchased by: Unknown
Symptoms: Convulsion, Encephalopathy, Pyrexia, CONVULS, FEVER, ENCEPHALOPATHY

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT neg, LP neg
CDC 'Split Type': (blank) AL9539

Write-up: 22DEC95 fever x 12k; 28DEC95 sz 9PM-fever encephalopathy


Changed on 8/31/2010

VAERS ID: 80688 Before After
VAERS Form:
Age:14.0
Sex:Male
Location:Alabama
Vaccinated:1995-12-15
Onset:1995-12-22
Submitted:1995-12-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4958031 / 0 LA / SC
FLU: INFLUENZA (SEASONAL) (FLUSHIELD 95-96) INFLUENZA (SEASONAL) (FLUSHIELD) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4958114 / 0 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 165A2 / 0 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / CONNAUGHT LABORATORIES K1160 / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Encephalopathy, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT neg, LP neg
CDC 'Split Type': AL9539

Write-up: 22DEC95 fever x 12k; 28DEC95 sz 9PM-fever encephalopathy


Changed on 7/7/2013

VAERS ID: 80688 Before After
VAERS Form:
Age:14.0
Sex:Male
Location:Alabama
Vaccinated:1995-12-15
Onset:1995-12-22
Submitted:1995-12-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4958031 / 0 LA / SC
FLU: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958114 / 0 RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958114 / 0 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 165A2 / 0 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / CONNAUGHT LABORATORIES K1160 / 0 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Encephalopathy, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT neg, LP neg
CDC 'Split Type': AL9539

Write-up: 22DEC95 fever x 12k; 28DEC95 sz 9PM-fever encephalopathy


Changed on 5/14/2017

VAERS ID: 80688 Before After
VAERS Form:
Age:14.0
Sex:Male
Location:Alabama
Vaccinated:1995-12-15
Onset:1995-12-22
Submitted:1995-12-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4958031 / 0 LA / SC
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958114 / 0 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 165A2 / 0 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / CONNAUGHT LABORATORIES K1160 / 0 RA / IM

Administered by: Unknown Public      Purchased by: Unknown Public
Symptoms: Convulsion, Encephalopathy, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT neg, LP neg
CDC 'Split Type': AL9539

Write-up: 22DEC95 fever x 12k; 28DEC95 sz 9PM-fever encephalopathy


Changed on 9/14/2017

VAERS ID: 80688 Before After
VAERS Form:(blank) 1
Age:14.0
Sex:Male
Location:Alabama
Vaccinated:1995-12-15
Onset:1995-12-22
Submitted:1995-12-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4958031 / 0 1 LA / SC
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958114 / 0 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 165A2 / 0 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / CONNAUGHT LABORATORIES K1160 / 0 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Convulsion, Encephalopathy, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT neg, LP neg
CDC 'Split Type': AL9539

Write-up: 22DEC95 fever x 12k; 28DEC95 sz 9PM-fever encephalopathy


Changed on 2/14/2018

VAERS ID: 80688 Before After
VAERS Form:1
Age:14.0
Sex:Male
Location:Alabama
Vaccinated:1995-12-15
Onset:1995-12-22
Submitted:1995-12-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4958031 / 1 LA / SC
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958114 / 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 165A2 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / CONNAUGHT LABORATORIES K1160 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Convulsion, Encephalopathy, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT neg, LP neg
CDC 'Split Type': AL9539

Write-up: 22DEC95 fever x 12k; 28DEC95 sz 9PM-fever encephalopathy


Changed on 6/14/2018

VAERS ID: 80688 Before After
VAERS Form:1
Age:14.0
Sex:Male
Location:Alabama
Vaccinated:1995-12-15
Onset:1995-12-22
Submitted:1995-12-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4958031 / 1 LA / SC
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958114 / 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 165A2 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / CONNAUGHT LABORATORIES K1160 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Convulsion, Encephalopathy, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT neg, LP neg
CDC 'Split Type': AL9539

Write-up: 22DEC95 fever x 12k; 28DEC95 sz 9PM-fever encephalopathy


Changed on 8/14/2018

VAERS ID: 80688 Before After
VAERS Form:1
Age:14.0
Sex:Male
Location:Alabama
Vaccinated:1995-12-15
Onset:1995-12-22
Submitted:1995-12-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4958031 / 1 LA / SC
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958114 / 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 165A2 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / CONNAUGHT LABORATORIES K1160 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Convulsion, Encephalopathy, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT neg, LP neg
CDC 'Split Type': AL9539

Write-up: 22DEC95 fever x 12k; 28DEC95 sz 9PM-fever encephalopathy


Changed on 9/14/2018

VAERS ID: 80688 Before After
VAERS Form:1
Age:14.0
Sex:Male
Location:Alabama
Vaccinated:1995-12-15
Onset:1995-12-22
Submitted:1995-12-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4958031 / 1 LA / SC
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958114 / 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 165A2 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / CONNAUGHT LABORATORIES K1160 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Convulsion, Encephalopathy, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT neg, LP neg
CDC 'Split Type': AL9539

Write-up: 22DEC95 fever x 12k; 28DEC95 sz 9PM-fever encephalopathy


Changed on 10/14/2018

VAERS ID: 80688 Before After
VAERS Form:1
Age:14.0
Sex:Male
Location:Alabama
Vaccinated:1995-12-15
Onset:1995-12-22
Submitted:1995-12-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4958031 / 1 LA / SC
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958114 / 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 165A2 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / CONNAUGHT LABORATORIES K1160 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Convulsion, Encephalopathy, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT neg, LP neg
CDC 'Split Type': AL9539

Write-up: 22DEC95 fever x 12k; 28DEC95 sz 9PM-fever encephalopathy


Changed on 12/24/2020

VAERS ID: 80688 Before After
VAERS Form:1
Age:14.0
Sex:Male
Location:Alabama
Vaccinated:1995-12-15
Onset:1995-12-22
Submitted:1995-12-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4958031 / 1 LA / SC
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958114 / 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 165A2 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / CONNAUGHT LABORATORIES K1160 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Convulsion, Encephalopathy, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT neg, LP neg
CDC 'Split Type': AL9539

Write-up: 22DEC95 fever x 12k; 28DEC95 sz 9PM-fever encephalopathy


Changed on 12/30/2020

VAERS ID: 80688 Before After
VAERS Form:1
Age:14.0
Sex:Male
Location:Alabama
Vaccinated:1995-12-15
Onset:1995-12-22
Submitted:1995-12-24
Entered:1996-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
CHOL: CHOLERA (USP) / PFIZER/WYETH 4958031 / 1 LA / SC
FLU3: INFLUENZA (SEASONAL) (FLUSHIELD) / PFIZER/WYETH 4958114 / 1 RA / IM
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM 165A2 / 1 LA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / CONNAUGHT LABORATORIES K1160 / 1 RA / IM

Administered by: Public      Purchased by: Public
Symptoms: Convulsion, Encephalopathy, 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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CT neg, LP neg
CDC 'Split Type': AL9539

Write-up: 22DEC95 fever x 12k; 28DEC95 sz 9PM-fever encephalopathy

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=80688&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166