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This is VAERS ID 117593

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 117593
VAERS Form:
Age:2.1
Sex:Female
Location:Texas
Vaccinated:1998-08-28
Onset:1998-08-29
Submitted:1998-11-10
Entered:1998-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: ACEL-IMUNE / LEDERLE 453846 / 2 LL / -
HEPA: VAQTA / MSD 0720H / 0 RL / -

Administered by: Public      Purchased by: Unknown
Symptoms: RASH, MYASTHENIA, RASH VESIC BULL

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: 2     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NONE

Write-up: pt recv vax 28AUG98 & next day woke up w/a blister/redness about an adult closed hand size & weakness to lt leg pt was eval by MD;adm to hosp;


Changed on 12/8/2009

VAERS ID: 117593 Before After
VAERS Form:
Age:2.1
Sex:Female
Location:Texas
Vaccinated:1998-08-28
Onset:1998-08-29
Submitted:1998-11-10
Entered:1998-12-23 1998-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: ACEL-IMUNE DTAP (ACEL-IMUNE) / LEDERLE LEDERLE LABORATORIES 453846 / 2 LL / -
HEPA: VAQTA HEP A (VAQTA) / MSD MERCK & CO. INC. 0720H / 0 RL / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Dermatitis bullous, Myasthenic syndrome, Rash, RASH, MYASTHENIA, RASH VESIC BULL

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: 2     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NONE TX98176

Write-up: pt recv vax 28AUG98 & next day woke up w/a blister/redness about an adult closed hand size & weakness to lt leg pt was eval by MD;adm to hosp;


Changed on 2/14/2017

VAERS ID: 117593 Before After
VAERS Form:
Age:2.1 2.0
Sex:Female
Location:Texas
Vaccinated:1998-08-28
Onset:1998-08-29
Submitted:1998-11-10
Entered:1998-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / LEDERLE LABORATORIES 453846 / 2 LL / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0720H / 0 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Myasthenic syndrome, Rash

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: 2     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98176

Write-up: pt recv vax 28AUG98 & next day woke up w/a blister/redness about an adult closed hand size & weakness to lt leg pt was eval by MD;adm to hosp;


Changed on 5/14/2017

VAERS ID: 117593 Before After
VAERS Form:
Age:2.0
Sex:Female
Location:Texas
Vaccinated:1998-08-28
Onset:1998-08-29
Submitted:1998-11-10
Entered:1998-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 453846 / 2 LL / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0720H / 0 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Myasthenic syndrome, Rash

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: 2     Extended hospital stay? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98176

Write-up: pt recv vax 28AUG98 & next day woke up w/a blister/redness about an adult closed hand size & weakness to lt leg pt was eval by MD;adm to hosp;


Changed on 9/14/2017

VAERS ID: 117593 Before After
VAERS Form:(blank) 1
Age:2.0
Sex:Female
Location:Texas
Vaccinated:1998-08-28
Onset:1998-08-29
Submitted:1998-11-10
Entered:1998-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 453846 / 2 3 LL / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0720H / 0 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Myasthenic syndrome, Rash

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: 2     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98176

Write-up: pt recv vax 28AUG98 & next day woke up w/a blister/redness about an adult closed hand size & weakness to lt leg pt was eval by MD;adm to hosp;


Changed on 2/14/2018

VAERS ID: 117593 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Texas
Vaccinated:1998-08-28
Onset:1998-08-29
Submitted:1998-11-10
Entered:1998-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 453846 / 3 LL / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0720H / 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Myasthenic syndrome, Rash

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: 2     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98176

Write-up: pt recv vax 28AUG98 & next day woke up w/a blister/redness about an adult closed hand size & weakness to lt leg pt was eval by MD;adm to hosp;


Changed on 6/14/2018

VAERS ID: 117593 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Texas
Vaccinated:1998-08-28
Onset:1998-08-29
Submitted:1998-11-10
Entered:1998-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 453846 / 3 LL / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0720H / 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Myasthenic syndrome, Rash

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: 2     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98176

Write-up: pt recv vax 28AUG98 & next day woke up w/a blister/redness about an adult closed hand size & weakness to lt leg pt was eval by MD;adm to hosp;


Changed on 8/14/2018

VAERS ID: 117593 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Texas
Vaccinated:1998-08-28
Onset:1998-08-29
Submitted:1998-11-10
Entered:1998-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 453846 / 3 LL / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0720H / 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Myasthenic syndrome, Rash

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: 2     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98176

Write-up: pt recv vax 28AUG98 & next day woke up w/a blister/redness about an adult closed hand size & weakness to lt leg pt was eval by MD;adm to hosp;


Changed on 9/14/2018

VAERS ID: 117593 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Texas
Vaccinated:1998-08-28
Onset:1998-08-29
Submitted:1998-11-10
Entered:1998-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 453846 / 3 LL / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0720H / 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Myasthenic syndrome, Rash

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: 2     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98176

Write-up: pt recv vax 28AUG98 & next day woke up w/a blister/redness about an adult closed hand size & weakness to lt leg pt was eval by MD;adm to hosp;


Changed on 10/14/2018

VAERS ID: 117593 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Texas
Vaccinated:1998-08-28
Onset:1998-08-29
Submitted:1998-11-10
Entered:1998-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 453846 / 3 LL / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0720H / 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Myasthenic syndrome, Rash

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: 2     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98176

Write-up: pt recv vax 28AUG98 & next day woke up w/a blister/redness about an adult closed hand size & weakness to lt leg pt was eval by MD;adm to hosp;


Changed on 12/24/2020

VAERS ID: 117593 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Texas
Vaccinated:1998-08-28
Onset:1998-08-29
Submitted:1998-11-10
Entered:1998-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 453846 / 3 LL / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0720H / 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Myasthenic syndrome, Rash

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: 2     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98176

Write-up: pt recv vax 28AUG98 & next day woke up w/a blister/redness about an adult closed hand size & weakness to lt leg pt was eval by MD;adm to hosp;


Changed on 12/30/2020

VAERS ID: 117593 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Texas
Vaccinated:1998-08-28
Onset:1998-08-29
Submitted:1998-11-10
Entered:1998-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 453846 / 3 LL / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0720H / 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Myasthenic syndrome, Rash

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: 2     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98176

Write-up: pt recv vax 28AUG98 & next day woke up w/a blister/redness about an adult closed hand size & weakness to lt leg pt was eval by MD;adm to hosp;


Changed on 5/7/2021

VAERS ID: 117593 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Texas
Vaccinated:1998-08-28
Onset:1998-08-29
Submitted:1998-11-10
Entered:1998-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 453846 / 3 LL / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0720H / 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Myasthenic syndrome, Rash

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: 2     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98176

Write-up: pt recv vax 28AUG98 & next day woke up w/a blister/redness about an adult closed hand size & weakness to lt leg pt was eval by MD;adm to hosp;


Changed on 5/21/2021

VAERS ID: 117593 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Texas
Vaccinated:1998-08-28
Onset:1998-08-29
Submitted:1998-11-10
Entered:1998-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (ACEL-IMUNE) / PFIZER/WYETH 453846 / 3 LL / -
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0720H / 1 RL / -

Administered by: Public      Purchased by: Public
Symptoms: Dermatitis bullous, Myasthenic syndrome, Rash

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: 2     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': TX98176

Write-up: pt recv vax 28AUG98 & next day woke up w/a blister/redness about an adult closed hand size & weakness to lt leg pt was eval by MD;adm to hosp;

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