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This is VAERS ID 25152

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25152
VAERS Form:
Age:0.5
Gender:Female
Location:Texas
Vaccinated:1989-10-25
Onset:1989-10-25
Submitted:0000-00-00
Entered:1990-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 256963 / - - / IM
M: ATTENUVAX / MSD - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, FEVER, CYANOSIS, STUPOR, PLAT ABNORM

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: ACETAMINOPHEN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ON ER ARRIVAL,WBC 28,300;PLATELET COUNT 783,000, SERUM SODIUM 130. OTHER LAB NORMAL. THESE LABS NORMALIZED WITHIN 24 HRS.CHILD FEBRILE 18 HRS. NO FURTHER NEUROLOGIC ABNORMALTIES.
CDC 'Split Type':

Write-up: 4 HOURS AFTER DTP/MEASLES VAX, BECAME VERY IRRITABLE, THEN UNRESPONSIVE AND CYANOTIC. AFTER 1 MUN, BREATHING SEEMED TO RESUME,CONSCIOUSNESS GRADUALLY RETURNED NORM OVER SEV HRS.HOSPLZD: ABNORMAL WBC, PLATELETS AND SERUM SODIUM,FEBRILE 18HRS


Changed on 12/8/2009

VAERS ID: 25152 Before After
VAERS Form:
Age:0.5
Gender:Female
Location:Texas
Vaccinated:1989-10-25
Onset:1989-10-25
Submitted:0000-00-00
Entered:1990-07-18 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 256963 / - - / IM
M: ATTENUVAX / MSD - / - - / -
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Agitation, Cyanosis, Platelet disorder, Pyrexia, Stupor, Thrombocythaemia, White blood cell disorder, AGITATION, FEVER, CYANOSIS, STUPOR, PLAT ABNORM

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: ACETAMINOPHEN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ON ER ARRIVAL,WBC 28,300;PLATELET COUNT 783,000, SERUM SODIUM 130. OTHER LAB NORMAL. THESE LABS NORMALIZED WITHIN 24 HRS.CHILD FEBRILE 18 HRS. NO FURTHER NEUROLOGIC ABNORMALTIES.
CDC 'Split Type': (blank) 8902659.01

Write-up: 4 HOURS AFTER DTP/MEASLES VAX, BECAME VERY IRRITABLE, THEN UNRESPONSIVE AND CYANOTIC. AFTER 1 MUN, BREATHING SEEMED TO RESUME,CONSCIOUSNESS GRADUALLY RETURNED NORM OVER SEV HRS.HOSPLZD: ABNORMAL WBC, PLATELETS AND SERUM SODIUM,FEBRILE 18HRS


Changed on 5/14/2017

VAERS ID: 25152 Before After
VAERS Form:
Age:0.5
Gender:Female
Location:Texas
Vaccinated:1989-10-25
Onset:1989-10-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 256963 / - - / IM
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Cyanosis, Platelet disorder, Pyrexia, Stupor, Thrombocythaemia, White blood cell disorder

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: ACETAMINOPHEN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ON ER ARRIVAL,WBC 28,300;PLATELET COUNT 783,000, SERUM SODIUM 130. OTHER LAB NORMAL. THESE LABS NORMALIZED WITHIN 24 HRS.CHILD FEBRILE 18 HRS. NO FURTHER NEUROLOGIC ABNORMALTIES.
CDC 'Split Type': 8902659.01

Write-up: 4 HOURS AFTER DTP/MEASLES VAX, BECAME VERY IRRITABLE, THEN UNRESPONSIVE AND CYANOTIC. AFTER 1 MUN, BREATHING SEEMED TO RESUME,CONSCIOUSNESS GRADUALLY RETURNED NORM OVER SEV HRS.HOSPLZD: ABNORMAL WBC, PLATELETS AND SERUM SODIUM,FEBRILE 18HRS


Changed on 9/14/2017

VAERS ID: 25152 Before After
VAERS Form:(blank) 1
Age:0.5
Gender:Female
Location:Texas
Vaccinated:1989-10-25
Onset:1989-10-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 256963 / - UNK - / IM
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / - UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Cyanosis, Platelet disorder, Pyrexia, Stupor, Thrombocythaemia, White blood cell disorder

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: ACETAMINOPHEN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ON ER ARRIVAL,WBC 28,300;PLATELET COUNT 783,000, SERUM SODIUM 130. OTHER LAB NORMAL. THESE LABS NORMALIZED WITHIN 24 HRS.CHILD FEBRILE 18 HRS. NO FURTHER NEUROLOGIC ABNORMALTIES.
CDC 'Split Type': 8902659.01

Write-up: 4 HOURS AFTER DTP/MEASLES VAX, BECAME VERY IRRITABLE, THEN UNRESPONSIVE AND CYANOTIC. AFTER 1 MUN, BREATHING SEEMED TO RESUME,CONSCIOUSNESS GRADUALLY RETURNED NORM OVER SEV HRS.HOSPLZD: ABNORMAL WBC, PLATELETS AND SERUM SODIUM,FEBRILE 18HRS


Changed on 2/14/2018

VAERS ID: 25152 Before After
VAERS Form:1
Age:0.5
Gender:Female
Location:Texas
Vaccinated:1989-10-25
Onset:1989-10-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 256963 / UNK - / IM
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Cyanosis, Platelet disorder, Pyrexia, Stupor, Thrombocythaemia, White blood cell disorder

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: ACETAMINOPHEN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ON ER ARRIVAL,WBC 28,300;PLATELET COUNT 783,000, SERUM SODIUM 130. OTHER LAB NORMAL. THESE LABS NORMALIZED WITHIN 24 HRS.CHILD FEBRILE 18 HRS. NO FURTHER NEUROLOGIC ABNORMALTIES.
CDC 'Split Type': 8902659.01

Write-up: 4 HOURS AFTER DTP/MEASLES VAX, BECAME VERY IRRITABLE, THEN UNRESPONSIVE AND CYANOTIC. AFTER 1 MUN, BREATHING SEEMED TO RESUME,CONSCIOUSNESS GRADUALLY RETURNED NORM OVER SEV HRS.HOSPLZD: ABNORMAL WBC, PLATELETS AND SERUM SODIUM,FEBRILE 18HRS


Changed on 6/14/2018

VAERS ID: 25152 Before After
VAERS Form:1
Age:0.5
Gender:Female
Location:Texas
Vaccinated:1989-10-25
Onset:1989-10-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 256963 / UNK - / IM
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Cyanosis, Platelet disorder, Pyrexia, Stupor, Thrombocythaemia, White blood cell disorder

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: ACETAMINOPHEN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ON ER ARRIVAL,WBC 28,300;PLATELET COUNT 783,000, SERUM SODIUM 130. OTHER LAB NORMAL. THESE LABS NORMALIZED WITHIN 24 HRS.CHILD FEBRILE 18 HRS. NO FURTHER NEUROLOGIC ABNORMALTIES.
CDC 'Split Type': 8902659.01

Write-up: 4 HOURS AFTER DTP/MEASLES VAX, BECAME VERY IRRITABLE, THEN UNRESPONSIVE AND CYANOTIC. AFTER 1 MUN, BREATHING SEEMED TO RESUME,CONSCIOUSNESS GRADUALLY RETURNED NORM OVER SEV HRS.HOSPLZD: ABNORMAL WBC, PLATELETS AND SERUM SODIUM,FEBRILE 18HRS


Changed on 8/14/2018

VAERS ID: 25152 Before After
VAERS Form:1
Age:0.5
Gender:Female
Location:Texas
Vaccinated:1989-10-25
Onset:1989-10-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 256963 / UNK - / IM
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Cyanosis, Platelet disorder, Pyrexia, Stupor, Thrombocythaemia, White blood cell disorder

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: ACETAMINOPHEN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ON ER ARRIVAL,WBC 28,300;PLATELET COUNT 783,000, SERUM SODIUM 130. OTHER LAB NORMAL. THESE LABS NORMALIZED WITHIN 24 HRS.CHILD FEBRILE 18 HRS. NO FURTHER NEUROLOGIC ABNORMALTIES.
CDC 'Split Type': 8902659.01

Write-up: 4 HOURS AFTER DTP/MEASLES VAX, BECAME VERY IRRITABLE, THEN UNRESPONSIVE AND CYANOTIC. AFTER 1 MUN, BREATHING SEEMED TO RESUME,CONSCIOUSNESS GRADUALLY RETURNED NORM OVER SEV HRS.HOSPLZD: ABNORMAL WBC, PLATELETS AND SERUM SODIUM,FEBRILE 18HRS


Changed on 9/14/2018

VAERS ID: 25152 Before After
VAERS Form:1
Age:0.5
Gender:Female
Location:Texas
Vaccinated:1989-10-25
Onset:1989-10-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 256963 / UNK - / IM
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Cyanosis, Platelet disorder, Pyrexia, Stupor, Thrombocythaemia, White blood cell disorder

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: ACETAMINOPHEN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ON ER ARRIVAL,WBC 28,300;PLATELET COUNT 783,000, SERUM SODIUM 130. OTHER LAB NORMAL. THESE LABS NORMALIZED WITHIN 24 HRS.CHILD FEBRILE 18 HRS. NO FURTHER NEUROLOGIC ABNORMALTIES.
CDC 'Split Type': 8902659.01

Write-up: 4 HOURS AFTER DTP/MEASLES VAX, BECAME VERY IRRITABLE, THEN UNRESPONSIVE AND CYANOTIC. AFTER 1 MUN, BREATHING SEEMED TO RESUME,CONSCIOUSNESS GRADUALLY RETURNED NORM OVER SEV HRS.HOSPLZD: ABNORMAL WBC, PLATELETS AND SERUM SODIUM,FEBRILE 18HRS


Changed on 10/14/2018

VAERS ID: 25152 Before After
VAERS Form:1
Age:0.5
Gender:Female
Location:Texas
Vaccinated:1989-10-25
Onset:1989-10-25
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 256963 / UNK - / IM
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Cyanosis, Platelet disorder, Pyrexia, Stupor, Thrombocythaemia, White blood cell disorder

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: ACETAMINOPHEN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ON ER ARRIVAL,WBC 28,300;PLATELET COUNT 783,000, SERUM SODIUM 130. OTHER LAB NORMAL. THESE LABS NORMALIZED WITHIN 24 HRS.CHILD FEBRILE 18 HRS. NO FURTHER NEUROLOGIC ABNORMALTIES.
CDC 'Split Type': 8902659.01

Write-up: 4 HOURS AFTER DTP/MEASLES VAX, BECAME VERY IRRITABLE, THEN UNRESPONSIVE AND CYANOTIC. AFTER 1 MUN, BREATHING SEEMED TO RESUME,CONSCIOUSNESS GRADUALLY RETURNED NORM OVER SEV HRS.HOSPLZD: ABNORMAL WBC, PLATELETS AND SERUM SODIUM,FEBRILE 18HRS

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