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This is VAERS ID 25033

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25033
VAERS Form:
Age:5.0
Sex:Male
Location:Illinois
Vaccinated:1990-06-25
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 271912 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, FEVER, VOMIT, HEADACHE

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: 16May90 Oral polio vaccine Lederle 265-927
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Elevated temp (as high as 104.3), headache, vomiting, irritable 40 hours.

Changed on 12/8/2009

VAERS ID: 25033 Before After
VAERS Form:
Age:5.0
Sex:Male
Location:Illinois
Vaccinated:1990-06-25
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-11 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 271912 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Headache, Pyrexia, Vomiting, AGITATION, FEVER, VOMIT, HEADACHE

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: 16May90 Oral polio vaccine Lederle 265-927
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Elevated temp (as high as 104.3), headache, vomiting, irritable 40 hours.

Changed on 5/14/2017

VAERS ID: 25033 Before After
VAERS Form:
Age:5.0
Sex:Male
Location:Illinois
Vaccinated:1990-06-25
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271912 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Headache, Pyrexia, Vomiting

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: ~ ()~~~In patient
Other Medications: 16May90 Oral polio vaccine Lederle 265-927
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Elevated temp (as high as 104.3), headache, vomiting, irritable 40 hours.

Changed on 9/14/2017

VAERS ID: 25033 Before After
VAERS Form:(blank) 1
Age:5.0
Sex:Male
Location:Illinois
Vaccinated:1990-06-25
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271912 / - UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Headache, Pyrexia, Vomiting

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: ~ ()~~~In patient
Other Medications: 16May90 Oral polio vaccine Lederle 265-927
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Elevated temp (as high as 104.3), headache, vomiting, irritable 40 hours.

Changed on 2/14/2018

VAERS ID: 25033 Before After
VAERS Form:1
Age:5.0
Sex:Male
Location:Illinois
Vaccinated:1990-06-25
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271912 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Headache, Pyrexia, Vomiting

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: ~ ()~~~In patient
Other Medications: 16May90 Oral polio vaccine Lederle 265-927
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Elevated temp (as high as 104.3), headache, vomiting, irritable 40 hours.

Changed on 6/14/2018

VAERS ID: 25033 Before After
VAERS Form:1
Age:5.0
Sex:Male
Location:Illinois
Vaccinated:1990-06-25
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271912 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Headache, Pyrexia, Vomiting

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: ~ ()~~~In patient
Other Medications: 16May90 Oral polio vaccine Lederle 265-927
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Elevated temp (as high as 104.3), headache, vomiting, irritable 40 hours.

Changed on 8/14/2018

VAERS ID: 25033 Before After
VAERS Form:1
Age:5.0
Sex:Male
Location:Illinois
Vaccinated:1990-06-25
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271912 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Headache, Pyrexia, Vomiting

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: ~ ()~~~In patient
Other Medications: 16May90 Oral polio vaccine Lederle 265-927
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Elevated temp (as high as 104.3), headache, vomiting, irritable 40 hours.

Changed on 9/14/2018

VAERS ID: 25033 Before After
VAERS Form:1
Age:5.0
Sex:Male
Location:Illinois
Vaccinated:1990-06-25
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271912 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Headache, Pyrexia, Vomiting

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: ~ ()~~~In patient
Other Medications: 16May90 Oral polio vaccine Lederle 265-927
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Elevated temp (as high as 104.3), headache, vomiting, irritable 40 hours.

Changed on 10/14/2018

VAERS ID: 25033 Before After
VAERS Form:1
Age:5.0
Sex:Male
Location:Illinois
Vaccinated:1990-06-25
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271912 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Headache, Pyrexia, Vomiting

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: ~ ()~~~In patient
Other Medications: 16May90 Oral polio vaccine Lederle 265-927
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Elevated temp (as high as 104.3), headache, vomiting, irritable 40 hours.

Changed on 12/24/2020

VAERS ID: 25033 Before After
VAERS Form:1
Age:5.0
Sex:Male
Location:Illinois
Vaccinated:1990-06-25
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271912 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Headache, Pyrexia, Vomiting

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: ~ ()~~~In patient
Other Medications: 16May90 Oral polio vaccine Lederle 265-927
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Elevated temp (as high as 104.3), headache, vomiting, irritable 40 hours.

Changed on 12/30/2020

VAERS ID: 25033 Before After
VAERS Form:1
Age:5.0
Sex:Male
Location:Illinois
Vaccinated:1990-06-25
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271912 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Headache, Pyrexia, Vomiting

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: ~ ()~~~In patient
Other Medications: 16May90 Oral polio vaccine Lederle 265-927
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Elevated temp (as high as 104.3), headache, vomiting, irritable 40 hours.

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