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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 25490 |
VAERS Form: | |
Age: | |
Sex: | Female |
Location: | Unknown |
Vaccinated: | 1990-06-06 |
Onset: | 1990-06-12 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-18 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: UNK. DTP / UNCLASSIFIED | - / - | - / IM |
OPV: UNK. POLIOVIRUS LIVE ORAL TRIVALENT / UNCLASSIFIED | - / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: CONVULS
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:
Write-up: Generalized seizure within 48 hrs
Vaccinated: | 1990-06-06 |
Onset: | 1990-06-12 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-18 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: UNK. DTP DTP (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER | - / - | - / IM |
OPV: UNK. POLIOVIRUS LIVE ORAL TRIVALENT POLIO VIRUS, ORAL (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER | - / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, CONVULS
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:
Write-up: Generalized seizure within 48 hrs
Vaccinated: | 1990-06-06 |
Onset: | 1990-06-12 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / - | - / IM |
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion
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:
Write-up: Generalized seizure within 48 hrs
Vaccinated: | 1990-06-06 |
Onset: | 1990-06-12 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / - UNK | - / IM |
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / - UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion
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:
Write-up: Generalized seizure within 48 hrs
Vaccinated: | 1990-06-06 |
Onset: | 1990-06-12 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / IM |
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion
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:
Write-up: Generalized seizure within 48 hrs
Vaccinated: | 1990-06-06 |
Onset: | 1990-06-12 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / IM |
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion
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:
Write-up: Generalized seizure within 48 hrs
Vaccinated: | 1990-06-06 |
Onset: | 1990-06-12 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / IM |
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion
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:
Write-up: Generalized seizure within 48 hrs
Vaccinated: | 1990-06-06 |
Onset: | 1990-06-12 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / IM |
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion
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:
Write-up: Generalized seizure within 48 hrs
Vaccinated: | 1990-06-06 |
Onset: | 1990-06-12 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / IM |
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion
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:
Write-up: Generalized seizure within 48 hrs
Vaccinated: | 1990-06-06 |
Onset: | 1990-06-12 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / IM |
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion
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:
Write-up: Generalized seizure within 48 hrs
Vaccinated: | 1990-06-06 |
Onset: | 1990-06-12 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / IM |
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion
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:
Write-up: Generalized seizure within 48 hrs
Link To This Search Result:
https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=25490&WAYBACKHISTORY=ON
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