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This is VAERS ID 82176

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 82176
VAERS Form:
Age:63.7
Sex:Male
Location:Kansas
Vaccinated:1996-01-30
Onset:1996-01-31
Submitted:1996-02-05
Entered:1996-02-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE - / 0 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: BRAIN SYND ACUTE, FEVER, DYSPNEA, HEPATITIS, ABSCESS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: 51     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: hospitalized w/fever 103;tx & temp D/C 1FEB96 AM,temp up to 104;HD has no addl info;2FEB96 blood test indicated elevated enzymes;


Changed on 12/8/2009

VAERS ID: 82176 Before After
VAERS Form:
Age:63.7
Sex:Male
Location:Kansas
Vaccinated:1996-01-30
Onset:1996-01-31
Submitted:1996-02-05
Entered:1996-02-13 1996-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM - / 0 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: Abscess, Delirium, Dyspnoea, Hepatic function abnormal, Hepatitis, Jaundice, Pyrexia, Renal failure, Thrombocytopenia, BRAIN SYND ACUTE, FEVER, DYSPNEA, HEPATITIS, ABSCESS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: 51     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) CO6460

Write-up: hospitalized w/fever 103;tx & temp D/C 1FEB96 AM,temp up to 104;HD has no addl info;2FEB96 blood test indicated elevated enzymes;


Changed on 7/14/2016

VAERS ID: 82176 Before After
VAERS Form:
Age:63.7 63.0
Sex:Male
Location:Kansas
Vaccinated:1996-01-30
Onset:1996-01-31
Submitted:1996-02-05
Entered:1996-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 - / -

Administered by: Public Unknown      Purchased by: Unknown
Symptoms: Abscess, Delirium, Dyspnoea, Hepatic function abnormal, Hepatitis, Jaundice, Pyrexia, Renal failure, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: 51     Extended hospital stay? No
Previous Vaccinations: ~ ()~ ~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO6460

Write-up: hospitalized w/fever 103;tx & temp D/C 1FEB96 AM,temp up to 104;HD has no addl info;2FEB96 blood test indicated elevated enzymes;


Changed on 2/14/2017

VAERS ID: 82176 Before After
VAERS Form:
Age:63.0
Sex:Male
Location:Kansas
Vaccinated:1996-01-30
Onset:1996-01-31
Submitted:1996-02-05
Entered:1996-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 - / -

Administered by: Unknown Public      Purchased by: Unknown
Symptoms: Abscess, Delirium, Dyspnoea, Hepatic function abnormal, Hepatitis, Jaundice, Pyrexia, Renal failure, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: 51     Extended hospital stay? No
Previous Vaccinations: ~ ()~ ~~In ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO6460

Write-up: hospitalized w/fever 103;tx & temp D/C 1FEB96 AM,temp up to 104;HD has no addl info;2FEB96 blood test indicated elevated enzymes;


Changed on 9/14/2017

VAERS ID: 82176 Before After
VAERS Form:(blank) 1
Age:63.0
Sex:Male
Location:Kansas
Vaccinated:1996-01-30
Onset:1996-01-31
Submitted:1996-02-05
Entered:1996-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 0 1 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: Abscess, Delirium, Dyspnoea, Hepatic function abnormal, Hepatitis, Jaundice, Pyrexia, Renal failure, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: 51     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO6460

Write-up: hospitalized w/fever 103;tx & temp D/C 1FEB96 AM,temp up to 104;HD has no addl info;2FEB96 blood test indicated elevated enzymes;


Changed on 2/14/2018

VAERS ID: 82176 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Kansas
Vaccinated:1996-01-30
Onset:1996-01-31
Submitted:1996-02-05
Entered:1996-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: Abscess, Delirium, Dyspnoea, Hepatic function abnormal, Hepatitis, Jaundice, Pyrexia, Renal failure, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: 51     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO6460

Write-up: hospitalized w/fever 103;tx & temp D/C 1FEB96 AM,temp up to 104;HD has no addl info;2FEB96 blood test indicated elevated enzymes;


Changed on 6/14/2018

VAERS ID: 82176 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Kansas
Vaccinated:1996-01-30
Onset:1996-01-31
Submitted:1996-02-05
Entered:1996-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: Abscess, Delirium, Dyspnoea, Hepatic function abnormal, Hepatitis, Jaundice, Pyrexia, Renal failure, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: 51     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO6460

Write-up: hospitalized w/fever 103;tx & temp D/C 1FEB96 AM,temp up to 104;HD has no addl info;2FEB96 blood test indicated elevated enzymes;


Changed on 8/14/2018

VAERS ID: 82176 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Kansas
Vaccinated:1996-01-30
Onset:1996-01-31
Submitted:1996-02-05
Entered:1996-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: Abscess, Delirium, Dyspnoea, Hepatic function abnormal, Hepatitis, Jaundice, Pyrexia, Renal failure, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: 51     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO6460

Write-up: hospitalized w/fever 103;tx & temp D/C 1FEB96 AM,temp up to 104;HD has no addl info;2FEB96 blood test indicated elevated enzymes;


Changed on 9/14/2018

VAERS ID: 82176 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Kansas
Vaccinated:1996-01-30
Onset:1996-01-31
Submitted:1996-02-05
Entered:1996-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: Abscess, Delirium, Dyspnoea, Hepatic function abnormal, Hepatitis, Jaundice, Pyrexia, Renal failure, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: 51     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO6460

Write-up: hospitalized w/fever 103;tx & temp D/C 1FEB96 AM,temp up to 104;HD has no addl info;2FEB96 blood test indicated elevated enzymes;


Changed on 10/14/2018

VAERS ID: 82176 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Kansas
Vaccinated:1996-01-30
Onset:1996-01-31
Submitted:1996-02-05
Entered:1996-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: Abscess, Delirium, Dyspnoea, Hepatic function abnormal, Hepatitis, Jaundice, Pyrexia, Renal failure, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: 51     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO6460

Write-up: hospitalized w/fever 103;tx & temp D/C 1FEB96 AM,temp up to 104;HD has no addl info;2FEB96 blood test indicated elevated enzymes;


Changed on 12/24/2020

VAERS ID: 82176 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Kansas
Vaccinated:1996-01-30
Onset:1996-01-31
Submitted:1996-02-05
Entered:1996-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: Abscess, Delirium, Dyspnoea, Hepatic function abnormal, Hepatitis, Jaundice, Pyrexia, Renal failure, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: 51     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO6460

Write-up: hospitalized w/fever 103;tx & temp D/C 1FEB96 AM,temp up to 104;HD has no addl info;2FEB96 blood test indicated elevated enzymes;


Changed on 12/30/2020

VAERS ID: 82176 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Kansas
Vaccinated:1996-01-30
Onset:1996-01-31
Submitted:1996-02-05
Entered:1996-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: Abscess, Delirium, Dyspnoea, Hepatic function abnormal, Hepatitis, Jaundice, Pyrexia, Renal failure, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: 51     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO6460

Write-up: hospitalized w/fever 103;tx & temp D/C 1FEB96 AM,temp up to 104;HD has no addl info;2FEB96 blood test indicated elevated enzymes;


Changed on 5/7/2021

VAERS ID: 82176 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Kansas
Vaccinated:1996-01-30
Onset:1996-01-31
Submitted:1996-02-05
Entered:1996-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: Abscess, Delirium, Dyspnoea, Hepatic function abnormal, Hepatitis, Jaundice, Pyrexia, Renal failure, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: 51     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO6460

Write-up: hospitalized w/fever 103;tx & temp D/C 1FEB96 AM,temp up to 104;HD has no addl info;2FEB96 blood test indicated elevated enzymes;


Changed on 5/21/2021

VAERS ID: 82176 Before After
VAERS Form:1
Age:63.0
Sex:Male
Location:Kansas
Vaccinated:1996-01-30
Onset:1996-01-31
Submitted:1996-02-05
Entered:1996-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM - / 1 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: Abscess, Delirium, Dyspnoea, Hepatic function abnormal, Hepatitis, Jaundice, Pyrexia, Renal failure, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: 51     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CO6460

Write-up: hospitalized w/fever 103;tx & temp D/C 1FEB96 AM,temp up to 104;HD has no addl info;2FEB96 blood test indicated elevated enzymes;

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