National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 25887

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25887
VAERS Form:
Age:2.0
Sex:Male
Location:Indiana
Vaccinated:1990-08-31
Onset:1990-09-01
Submitted:1990-09-07
Entered:1990-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT / CONNAUGHT LABS A021092 / - A / -
MMR: MMR II / MSD 1501S / - A / -
OPV: ORIMUNE / LEDERLE 0618L / 2 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: CONVULS

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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC normal except deficiency, glucose normal , electrolytes normal, cat normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIB/OPV developed febrile seizure requiring hospital admission approx 24 hrs after vax. /w HIB, MMR, & oral Polio. Released next day & only treament was observation.


Changed on 12/8/2009

VAERS ID: 25887 Before After
VAERS Form:
Age:2.0
Sex:Male
Location:Indiana
Vaccinated:1990-08-31
Onset:1990-09-01
Submitted:1990-09-07
Entered:1990-09-13 1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT HIB (PROHIBIT) / CONNAUGHT LABS CONNAUGHT LABORATORIES A021092 / - A / -
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1501S / - A / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 0618L / 2 - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Convulsion, CONVULS

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: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC normal except deficiency, glucose normal , electrolytes normal, cat normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIB/OPV developed febrile seizure requiring hospital admission approx 24 hrs after vax. /w HIB, MMR, & oral Polio. Released next day & only treament was observation.


Changed on 5/14/2017

VAERS ID: 25887 Before After
VAERS Form:
Age:2.0
Sex:Male
Location:Indiana
Vaccinated:1990-08-31
Onset:1990-09-01
Submitted:1990-09-07
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES A021092 / - A - / - A
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1501S / - A - / - A
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 0618L / 2 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC normal except deficiency, glucose normal , electrolytes normal, cat normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIB/OPV developed febrile seizure requiring hospital admission approx 24 hrs after vax. /w HIB, MMR, & oral Polio. Released next day & only treament was observation.


Changed on 9/14/2017

VAERS ID: 25887 Before After
VAERS Form:(blank) 1
Age:2.0
Sex:Male
Location:Indiana
Vaccinated:1990-08-31
Onset:1990-09-01
Submitted:1990-09-07
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES A021092 / - UNK - / A
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1501S / - UNK - / A
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0618L / 2 3 - MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC normal except deficiency, glucose normal , electrolytes normal, cat normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIB/OPV developed febrile seizure requiring hospital admission approx 24 hrs after vax. /w HIB, MMR, & oral Polio. Released next day & only treament was observation.


Changed on 2/14/2018

VAERS ID: 25887 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:Indiana
Vaccinated:1990-08-31
Onset:1990-09-01
Submitted:1990-09-07
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES A021092 / UNK - / A
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1501S / UNK - / A
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0618L / 3 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC normal except deficiency, glucose normal , electrolytes normal, cat normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIB/OPV developed febrile seizure requiring hospital admission approx 24 hrs after vax. /w HIB, MMR, & oral Polio. Released next day & only treament was observation.


Changed on 6/14/2018

VAERS ID: 25887 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:Indiana
Vaccinated:1990-08-31
Onset:1990-09-01
Submitted:1990-09-07
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES A021092 / UNK - / A
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1501S / UNK - / A
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0618L / 3 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC normal except deficiency, glucose normal , electrolytes normal, cat normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIB/OPV developed febrile seizure requiring hospital admission approx 24 hrs after vax. /w HIB, MMR, & oral Polio. Released next day & only treament was observation.


Changed on 8/14/2018

VAERS ID: 25887 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:Indiana
Vaccinated:1990-08-31
Onset:1990-09-01
Submitted:1990-09-07
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES A021092 / UNK - / A
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1501S / UNK - / A
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0618L / 3 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC normal except deficiency, glucose normal , electrolytes normal, cat normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIB/OPV developed febrile seizure requiring hospital admission approx 24 hrs after vax. /w HIB, MMR, & oral Polio. Released next day & only treament was observation.


Changed on 9/14/2018

VAERS ID: 25887 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:Indiana
Vaccinated:1990-08-31
Onset:1990-09-01
Submitted:1990-09-07
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES A021092 / UNK - / A
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1501S / UNK - / A
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0618L / 3 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC normal except deficiency, glucose normal , electrolytes normal, cat normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIB/OPV developed febrile seizure requiring hospital admission approx 24 hrs after vax. /w HIB, MMR, & oral Polio. Released next day & only treament was observation.


Changed on 10/14/2018

VAERS ID: 25887 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:Indiana
Vaccinated:1990-08-31
Onset:1990-09-01
Submitted:1990-09-07
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES A021092 / UNK - / A
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1501S / UNK - / A
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0618L / 3 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC normal except deficiency, glucose normal , electrolytes normal, cat normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIB/OPV developed febrile seizure requiring hospital admission approx 24 hrs after vax. /w HIB, MMR, & oral Polio. Released next day & only treament was observation.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=25887&WAYBACKHISTORY=ON


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166