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This is VAERS ID 81018

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 81018
VAERS Form:
Age:38.8
Sex:Male
Location:Florida
Vaccinated:1995-06-07
Onset:1995-06-15
Submitted:1995-09-15
Entered:1996-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA427A6 / 0 RA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: CONVULS, LAB TEST ABNORM, CREATINE PK INC, HYPERGLYCEM, HYPERURICEM

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt recvd vax; 8 days later exp sz & was hosp; tx w/ anti convulsants including dilantin; sxs resolved w/in 24 hrs;


Changed on 12/8/2009

VAERS ID: 81018 Before After
VAERS Form:
Age:38.8
Sex:Male
Location:Florida
Vaccinated:1995-06-07
Onset:1995-06-15
Submitted:1995-09-15
Entered:1996-01-24 1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA427A6 / 0 RA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Blood creatine phosphokinase increased, Convulsion, Hyperglycaemia, Hyperuricaemia, Laboratory test abnormal, CONVULS, LAB TEST ABNORM, CREATINE PK INC, HYPERGLYCEM, HYPERURICEM

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 950056831

Write-up: pt recvd vax; 8 days later exp sz & was hosp; tx w/ anti convulsants including dilantin; sxs resolved w/in 24 hrs;


Changed on 2/14/2017

VAERS ID: 81018 Before After
VAERS Form:
Age:38.8 38.0
Sex:Male
Location:Florida
Vaccinated:1995-06-07
Onset:1995-06-15
Submitted:1995-09-15
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA427A6 / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase increased, Convulsion, Hyperglycaemia, Hyperuricaemia, Laboratory test abnormal

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950056831

Write-up: pt recvd vax; 8 days later exp sz & was hosp; tx w/ anti convulsants including dilantin; sxs resolved w/in 24 hrs;


Changed on 5/14/2017

VAERS ID: 81018 Before After
VAERS Form:
Age:38.0
Sex:Male
Location:Florida
Vaccinated:1995-06-07
Onset:1995-06-15
Submitted:1995-09-15
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA427A6 / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase increased, Convulsion, Hyperglycaemia, Hyperuricaemia, Laboratory test abnormal

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950056831

Write-up: pt recvd vax; 8 days later exp sz & was hosp; tx w/ anti convulsants including dilantin; sxs resolved w/in 24 hrs;


Changed on 9/14/2017

VAERS ID: 81018 Before After
VAERS Form:(blank) 1
Age:38.0
Sex:Male
Location:Florida
Vaccinated:1995-06-07
Onset:1995-06-15
Submitted:1995-09-15
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA427A6 / 0 1 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase increased, Convulsion, Hyperglycaemia, Hyperuricaemia, Laboratory test abnormal

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950056831

Write-up: pt recvd vax; 8 days later exp sz & was hosp; tx w/ anti convulsants including dilantin; sxs resolved w/in 24 hrs;


Changed on 2/14/2018

VAERS ID: 81018 Before After
VAERS Form:1
Age:38.0
Sex:Male
Location:Florida
Vaccinated:1995-06-07
Onset:1995-06-15
Submitted:1995-09-15
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA427A6 / 1 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase increased, Convulsion, Hyperglycaemia, Hyperuricaemia, Laboratory test abnormal

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950056831

Write-up: pt recvd vax; 8 days later exp sz & was hosp; tx w/ anti convulsants including dilantin; sxs resolved w/in 24 hrs;


Changed on 6/14/2018

VAERS ID: 81018 Before After
VAERS Form:1
Age:38.0
Sex:Male
Location:Florida
Vaccinated:1995-06-07
Onset:1995-06-15
Submitted:1995-09-15
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA427A6 / 1 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase increased, Convulsion, Hyperglycaemia, Hyperuricaemia, Laboratory test abnormal

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950056831

Write-up: pt recvd vax; 8 days later exp sz & was hosp; tx w/ anti convulsants including dilantin; sxs resolved w/in 24 hrs;


Changed on 8/14/2018

VAERS ID: 81018 Before After
VAERS Form:1
Age:38.0
Sex:Male
Location:Florida
Vaccinated:1995-06-07
Onset:1995-06-15
Submitted:1995-09-15
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA427A6 / 1 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase increased, Convulsion, Hyperglycaemia, Hyperuricaemia, Laboratory test abnormal

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950056831

Write-up: pt recvd vax; 8 days later exp sz & was hosp; tx w/ anti convulsants including dilantin; sxs resolved w/in 24 hrs;


Changed on 9/14/2018

VAERS ID: 81018 Before After
VAERS Form:1
Age:38.0
Sex:Male
Location:Florida
Vaccinated:1995-06-07
Onset:1995-06-15
Submitted:1995-09-15
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA427A6 / 1 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase increased, Convulsion, Hyperglycaemia, Hyperuricaemia, Laboratory test abnormal

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950056831

Write-up: pt recvd vax; 8 days later exp sz & was hosp; tx w/ anti convulsants including dilantin; sxs resolved w/in 24 hrs;


Changed on 10/14/2018

VAERS ID: 81018 Before After
VAERS Form:1
Age:38.0
Sex:Male
Location:Florida
Vaccinated:1995-06-07
Onset:1995-06-15
Submitted:1995-09-15
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA427A6 / 1 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase increased, Convulsion, Hyperglycaemia, Hyperuricaemia, Laboratory test abnormal

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950056831

Write-up: pt recvd vax; 8 days later exp sz & was hosp; tx w/ anti convulsants including dilantin; sxs resolved w/in 24 hrs;


Changed on 12/24/2020

VAERS ID: 81018 Before After
VAERS Form:1
Age:38.0
Sex:Male
Location:Florida
Vaccinated:1995-06-07
Onset:1995-06-15
Submitted:1995-09-15
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA427A6 / 1 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase increased, Convulsion, Hyperglycaemia, Hyperuricaemia, Laboratory test abnormal

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950056831

Write-up: pt recvd vax; 8 days later exp sz & was hosp; tx w/ anti convulsants including dilantin; sxs resolved w/in 24 hrs;


Changed on 12/30/2020

VAERS ID: 81018 Before After
VAERS Form:1
Age:38.0
Sex:Male
Location:Florida
Vaccinated:1995-06-07
Onset:1995-06-15
Submitted:1995-09-15
Entered:1995-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA427A6 / 1 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood creatine phosphokinase increased, Convulsion, Hyperglycaemia, Hyperuricaemia, Laboratory test abnormal

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 950056831

Write-up: pt recvd vax; 8 days later exp sz & was hosp; tx w/ anti convulsants including dilantin; sxs resolved w/in 24 hrs;

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