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This is VAERS ID 27300

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27300
VAERS Form:
Age:1.4
Sex:Female
Location:Louisiana
Vaccinated:1990-12-13
Onset:1990-12-18
Submitted:1990-12-20
Entered:1991-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 275970 / 3 RL / IM
HIBV: PROHIBIT / CONNAUGHT LABS 0J11070 / 0 RA / IM
MMR: MMR II / MSD 1569S / 0 RA / SC
OPV: ORIMUNE / LEDERLE 0613D / 2 - / PO

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Keflex
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: U/A - normal; Chest x-ray - normal; CBC - normal
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV/MMR/HIB developed fever of 106, febrile seizure, no other illness reported. MD states received too many vaccines at one time & caused adverse reaction. Possible viral seizure but not r/o possible reaction to vax.


Changed on 12/8/2009

VAERS ID: 27300 Before After
VAERS Form:
Age:1.4
Sex:Female
Location:Louisiana
Vaccinated:1990-12-13
Onset:1990-12-18
Submitted:1990-12-20
Entered:1991-01-08 1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 275970 / 3 RL / IM
HIBV: PROHIBIT HIB (PROHIBIT) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0J11070 / 0 RA / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1569S / 0 RA / SC
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 0613D / 2 - / PO

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Keflex
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: U/A - normal; Chest x-ray - normal; CBC - normal
CDC 'Split Type': (blank) LA901210

Write-up: Pt vaccinated with DTP/OPV/MMR/HIB developed fever of 106, febrile seizure, no other illness reported. MD states received too many vaccines at one time & caused adverse reaction. Possible viral seizure but not r/o possible reaction to vax.


Changed on 5/14/2017

VAERS ID: 27300 Before After
VAERS Form:
Age:1.4
Sex:Female
Location:Louisiana
Vaccinated:1990-12-13
Onset:1990-12-18
Submitted:1990-12-20
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 275970 / 3 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J11070 / 0 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1569S / 0 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 0613D / 2 - / PO

Administered by: Public      Purchased by: Unknown
Symptoms: Febrile convulsion, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Keflex
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: U/A - normal; Chest x-ray - normal; CBC - normal
CDC 'Split Type': LA901210

Write-up: Pt vaccinated with DTP/OPV/MMR/HIB developed fever of 106, febrile seizure, no other illness reported. MD states received too many vaccines at one time & caused adverse reaction. Possible viral seizure but not r/o possible reaction to vax.


Changed on 9/14/2017

VAERS ID: 27300 Before After
VAERS Form:(blank) 1
Age:1.4
Sex:Female
Location:Louisiana
Vaccinated:1990-12-13
Onset:1990-12-18
Submitted:1990-12-20
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 275970 / 3 4 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J11070 / 0 1 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1569S / 0 1 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0613D / 2 3 - MO / PO

Administered by: Public      Purchased by: Unknown
Symptoms: Febrile convulsion, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Keflex
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: U/A - normal; Chest x-ray - normal; CBC - normal
CDC 'Split Type': LA901210

Write-up: Pt vaccinated with DTP/OPV/MMR/HIB developed fever of 106, febrile seizure, no other illness reported. MD states received too many vaccines at one time & caused adverse reaction. Possible viral seizure but not r/o possible reaction to vax.


Changed on 2/14/2018

VAERS ID: 27300 Before After
VAERS Form:1
Age:1.4
Sex:Female
Location:Louisiana
Vaccinated:1990-12-13
Onset:1990-12-18
Submitted:1990-12-20
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 275970 / 4 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J11070 / 1 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1569S / 1 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0613D / 3 MO / PO

Administered by: Public      Purchased by: Unknown
Symptoms: Febrile convulsion, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Keflex
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: U/A - normal; Chest x-ray - normal; CBC - normal
CDC 'Split Type': LA901210

Write-up: Pt vaccinated with DTP/OPV/MMR/HIB developed fever of 106, febrile seizure, no other illness reported. MD states received too many vaccines at one time & caused adverse reaction. Possible viral seizure but not r/o possible reaction to vax.


Changed on 6/14/2018

VAERS ID: 27300 Before After
VAERS Form:1
Age:1.4
Sex:Female
Location:Louisiana
Vaccinated:1990-12-13
Onset:1990-12-18
Submitted:1990-12-20
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 275970 / 4 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J11070 / 1 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1569S / 1 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0613D / 3 MO / PO

Administered by: Public      Purchased by: Unknown
Symptoms: Febrile convulsion, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Keflex
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: U/A - normal; Chest x-ray - normal; CBC - normal
CDC 'Split Type': LA901210

Write-up: Pt vaccinated with DTP/OPV/MMR/HIB developed fever of 106, febrile seizure, no other illness reported. MD states received too many vaccines at one time & caused adverse reaction. Possible viral seizure but not r/o possible reaction to vax.


Changed on 8/14/2018

VAERS ID: 27300 Before After
VAERS Form:1
Age:1.4
Sex:Female
Location:Louisiana
Vaccinated:1990-12-13
Onset:1990-12-18
Submitted:1990-12-20
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 275970 / 4 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J11070 / 1 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1569S / 1 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0613D / 3 MO / PO

Administered by: Public      Purchased by: Unknown
Symptoms: Febrile convulsion, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Keflex
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: U/A - normal; Chest x-ray - normal; CBC - normal
CDC 'Split Type': LA901210

Write-up: Pt vaccinated with DTP/OPV/MMR/HIB developed fever of 106, febrile seizure, no other illness reported. MD states received too many vaccines at one time & caused adverse reaction. Possible viral seizure but not r/o possible reaction to vax.


Changed on 9/14/2018

VAERS ID: 27300 Before After
VAERS Form:1
Age:1.4
Sex:Female
Location:Louisiana
Vaccinated:1990-12-13
Onset:1990-12-18
Submitted:1990-12-20
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 275970 / 4 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J11070 / 1 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1569S / 1 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0613D / 3 MO / PO

Administered by: Public      Purchased by: Unknown
Symptoms: Febrile convulsion, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Keflex
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: U/A - normal; Chest x-ray - normal; CBC - normal
CDC 'Split Type': LA901210

Write-up: Pt vaccinated with DTP/OPV/MMR/HIB developed fever of 106, febrile seizure, no other illness reported. MD states received too many vaccines at one time & caused adverse reaction. Possible viral seizure but not r/o possible reaction to vax.


Changed on 10/14/2018

VAERS ID: 27300 Before After
VAERS Form:1
Age:1.4
Sex:Female
Location:Louisiana
Vaccinated:1990-12-13
Onset:1990-12-18
Submitted:1990-12-20
Entered:1991-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 275970 / 4 RL / IM
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J11070 / 1 RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1569S / 1 RA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0613D / 3 MO / PO

Administered by: Public      Purchased by: Unknown
Symptoms: Febrile convulsion, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Keflex
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: U/A - normal; Chest x-ray - normal; CBC - normal
CDC 'Split Type': LA901210

Write-up: Pt vaccinated with DTP/OPV/MMR/HIB developed fever of 106, febrile seizure, no other illness reported. MD states received too many vaccines at one time & caused adverse reaction. Possible viral seizure but not r/o possible reaction to vax.

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