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This is VAERS ID 27289

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27289
VAERS Form:
Age:1.2
Sex:Female
Location:Ohio
Vaccinated:1990-10-02
Onset:1990-10-13
Submitted:1990-11-21
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER / LEDERLE(PRAXIS) M670FC / 0 LL / IM
MMR: MMR II / MSD 1488S / 0 LA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: FEBRILE SEIZURE

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with HIB/MMR developed febrile seizures - hospitalized 13OCT90 x 3 days for observation.


Changed on 12/8/2009

VAERS ID: 27289 Before After
VAERS Form:
Age:1.2
Sex:Female
Location:Ohio
Vaccinated:1990-10-02
Onset:1990-10-13
Submitted:1990-11-21
Entered:1991-01-08 1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M670FC / 0 LL / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1488S / 0 LA / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Febrile convulsion, FEBRILE SEIZURE

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) OH9054

Write-up: Pt vaccinated with HIB/MMR developed febrile seizures - hospitalized 13OCT90 x 3 days for observation.


Changed on 5/14/2017

VAERS ID: 27289 Before After
VAERS Form:
Age:1.2
Sex:Female
Location:Ohio
Vaccinated:1990-10-02
Onset:1990-10-13
Submitted:1990-11-21
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M670FC / 0 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1488S / 0 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Febrile 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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9054

Write-up: Pt vaccinated with HIB/MMR developed febrile seizures - hospitalized 13OCT90 x 3 days for observation.


Changed on 9/14/2017

VAERS ID: 27289 Before After
VAERS Form:(blank) 1
Age:1.2
Sex:Female
Location:Ohio
Vaccinated:1990-10-02
Onset:1990-10-13
Submitted:1990-11-21
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M670FC / 0 1 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1488S / 0 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Febrile 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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9054

Write-up: Pt vaccinated with HIB/MMR developed febrile seizures - hospitalized 13OCT90 x 3 days for observation.


Changed on 2/14/2018

VAERS ID: 27289 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Ohio
Vaccinated:1990-10-02
Onset:1990-10-13
Submitted:1990-11-21
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M670FC / 1 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1488S / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Febrile 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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9054

Write-up: Pt vaccinated with HIB/MMR developed febrile seizures - hospitalized 13OCT90 x 3 days for observation.


Changed on 6/14/2018

VAERS ID: 27289 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Ohio
Vaccinated:1990-10-02
Onset:1990-10-13
Submitted:1990-11-21
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M670FC / 1 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1488S / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Febrile 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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9054

Write-up: Pt vaccinated with HIB/MMR developed febrile seizures - hospitalized 13OCT90 x 3 days for observation.


Changed on 8/14/2018

VAERS ID: 27289 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Ohio
Vaccinated:1990-10-02
Onset:1990-10-13
Submitted:1990-11-21
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M670FC / 1 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1488S / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Febrile 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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9054

Write-up: Pt vaccinated with HIB/MMR developed febrile seizures - hospitalized 13OCT90 x 3 days for observation.


Changed on 9/14/2018

VAERS ID: 27289 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Ohio
Vaccinated:1990-10-02
Onset:1990-10-13
Submitted:1990-11-21
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M670FC / 1 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1488S / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Febrile 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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9054

Write-up: Pt vaccinated with HIB/MMR developed febrile seizures - hospitalized 13OCT90 x 3 days for observation.


Changed on 10/14/2018

VAERS ID: 27289 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Ohio
Vaccinated:1990-10-02
Onset:1990-10-13
Submitted:1990-11-21
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M670FC / 1 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1488S / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Febrile 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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': OH9054

Write-up: Pt vaccinated with HIB/MMR developed febrile seizures - hospitalized 13OCT90 x 3 days for observation.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=27289&WAYBACKHISTORY=ON


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