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This is VAERS ID 90660

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 90660
VAERS Form:
Age:20.8
Sex:Female
Location:Pennsylvania
Vaccinated:1996-07-22
Onset:1996-07-23
Submitted:1996-08-28
Entered:1996-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX / SMITHKLINE VHA488A6 / 0 L / -
TYP: TYPHOID / WYETH 4958044 / 1 L / -

Administered by: Public      Purchased by: Unknown
Symptoms: VOMIT, PAIN ABDO, DEHYDRAT

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: labs nl
CDC 'Split Type':

Write-up: abd pain, vomiting, p/vax & a/adm to hosp;4 days later IV hydration much improved-hosp for 2 days;


Changed on 12/8/2009

VAERS ID: 90660 Before After
VAERS Form:
Age:20.8
Sex:Female
Location:Pennsylvania
Vaccinated:1996-07-22
Onset:1996-07-23
Submitted:1996-08-28
Entered:1996-10-15 1996-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HAVRIX HEP A (HAVRIX) / SMITHKLINE SMITHKLINE BEECHAM VHA488A6 / 0 L / -
TYP: TYPHOID TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / WYETH WYETH PHARMACEUTICALS, INC 4958044 / 1 L / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Abdominal pain, Dehydration, Vomiting, VOMIT, PAIN ABDO, DEHYDRAT

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: labs nl
CDC 'Split Type': (blank) PA9650

Write-up: abd pain, vomiting, p/vax & a/adm to hosp;4 days later IV hydration much improved-hosp for 2 days;


Changed on 8/31/2010

VAERS ID: 90660 Before After
VAERS Form:
Age:20.8
Sex:Female
Location:Pennsylvania
Vaccinated:1996-07-22
Onset:1996-07-23
Submitted:1996-08-28
Entered:1996-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA488A6 / 0 L / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 4958044 / 1 L / -

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Dehydration, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: labs nl
CDC 'Split Type': PA9650

Write-up: abd pain, vomiting, p/vax & a/adm to hosp;4 days later IV hydration much improved-hosp for 2 days;


Changed on 2/14/2017

VAERS ID: 90660 Before After
VAERS Form:
Age:20.8 20.0
Sex:Female
Location:Pennsylvania
Vaccinated:1996-07-22
Onset:1996-07-23
Submitted:1996-08-28
Entered:1996-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA488A6 / 0 L / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4958044 / 1 L / -

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Dehydration, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: labs nl
CDC 'Split Type': PA9650

Write-up: abd pain, vomiting, p/vax & a/adm to hosp;4 days later IV hydration much improved-hosp for 2 days;


Changed on 5/14/2017

VAERS ID: 90660 Before After
VAERS Form:
Age:20.0
Sex:Female
Location:Pennsylvania
Vaccinated:1996-07-22
Onset:1996-07-23
Submitted:1996-08-28
Entered:1996-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA488A6 / 0 L - / - L
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4958044 / 1 L - / - L

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Dehydration, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: labs nl
CDC 'Split Type': PA9650

Write-up: abd pain, vomiting, p/vax & a/adm to hosp;4 days later IV hydration much improved-hosp for 2 days;


Changed on 9/14/2017

VAERS ID: 90660 Before After
VAERS Form:(blank) 1
Age:20.0
Sex:Female
Location:Pennsylvania
Vaccinated:1996-07-22
Onset:1996-07-23
Submitted:1996-08-28
Entered:1996-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA488A6 / 0 1 - / L
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4958044 / 1 2 - / L

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Dehydration, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: labs nl
CDC 'Split Type': PA9650

Write-up: abd pain, vomiting, p/vax & a/adm to hosp;4 days later IV hydration much improved-hosp for 2 days;


Changed on 2/14/2018

VAERS ID: 90660 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Pennsylvania
Vaccinated:1996-07-22
Onset:1996-07-23
Submitted:1996-08-28
Entered:1996-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA488A6 / 1 - / L
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4958044 / 2 - / L

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Dehydration, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: labs nl
CDC 'Split Type': PA9650

Write-up: abd pain, vomiting, p/vax & a/adm to hosp;4 days later IV hydration much improved-hosp for 2 days;


Changed on 6/14/2018

VAERS ID: 90660 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Pennsylvania
Vaccinated:1996-07-22
Onset:1996-07-23
Submitted:1996-08-28
Entered:1996-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA488A6 / 1 - / L
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4958044 / 2 - / L

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Dehydration, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: labs nl
CDC 'Split Type': PA9650

Write-up: abd pain, vomiting, p/vax & a/adm to hosp;4 days later IV hydration much improved-hosp for 2 days;


Changed on 8/14/2018

VAERS ID: 90660 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Pennsylvania
Vaccinated:1996-07-22
Onset:1996-07-23
Submitted:1996-08-28
Entered:1996-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA488A6 / 1 - / L
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4958044 / 2 - / L

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Dehydration, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: labs nl
CDC 'Split Type': PA9650

Write-up: abd pain, vomiting, p/vax & a/adm to hosp;4 days later IV hydration much improved-hosp for 2 days;


Changed on 9/14/2018

VAERS ID: 90660 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Pennsylvania
Vaccinated:1996-07-22
Onset:1996-07-23
Submitted:1996-08-28
Entered:1996-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA488A6 / 1 - / L
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4958044 / 2 - / L

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Dehydration, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: labs nl
CDC 'Split Type': PA9650

Write-up: abd pain, vomiting, p/vax & a/adm to hosp;4 days later IV hydration much improved-hosp for 2 days;


Changed on 10/14/2018

VAERS ID: 90660 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Pennsylvania
Vaccinated:1996-07-22
Onset:1996-07-23
Submitted:1996-08-28
Entered:1996-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA488A6 / 1 - / L
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4958044 / 2 - / L

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Dehydration, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: labs nl
CDC 'Split Type': PA9650

Write-up: abd pain, vomiting, p/vax & a/adm to hosp;4 days later IV hydration much improved-hosp for 2 days;


Changed on 12/24/2020

VAERS ID: 90660 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Pennsylvania
Vaccinated:1996-07-22
Onset:1996-07-23
Submitted:1996-08-28
Entered:1996-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA488A6 / 1 - / L
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4958044 / 2 - / L

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Dehydration, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: labs nl
CDC 'Split Type': PA9650

Write-up: abd pain, vomiting, p/vax & a/adm to hosp;4 days later IV hydration much improved-hosp for 2 days;


Changed on 12/30/2020

VAERS ID: 90660 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Pennsylvania
Vaccinated:1996-07-22
Onset:1996-07-23
Submitted:1996-08-28
Entered:1996-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA488A6 / 1 - / L
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4958044 / 2 - / L

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Dehydration, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: labs nl
CDC 'Split Type': PA9650

Write-up: abd pain, vomiting, p/vax & a/adm to hosp;4 days later IV hydration much improved-hosp for 2 days;


Changed on 5/7/2021

VAERS ID: 90660 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Pennsylvania
Vaccinated:1996-07-22
Onset:1996-07-23
Submitted:1996-08-28
Entered:1996-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA488A6 / 1 - / L
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4958044 / 2 - / L

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Dehydration, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: labs nl
CDC 'Split Type': PA9650

Write-up: abd pain, vomiting, p/vax & a/adm to hosp;4 days later IV hydration much improved-hosp for 2 days;


Changed on 5/21/2021

VAERS ID: 90660 Before After
VAERS Form:1
Age:20.0
Sex:Female
Location:Pennsylvania
Vaccinated:1996-07-22
Onset:1996-07-23
Submitted:1996-08-28
Entered:1996-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / SMITHKLINE BEECHAM VHA488A6 / 1 - / L
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 4958044 / 2 - / L

Administered by: Public      Purchased by: Public
Symptoms: Abdominal pain, Dehydration, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: labs nl
CDC 'Split Type': PA9650

Write-up: abd pain, vomiting, p/vax & a/adm to hosp;4 days later IV hydration much improved-hosp for 2 days;

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