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This is VAERS ID 28334

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 28334
VAERS Form:
Age:1.4
Sex:Male
Location:Missouri
Vaccinated:1991-01-18
Onset:1991-01-24
Submitted:1991-02-05
Entered:1991-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 285920 / 3 LL / IM
MMR: MMR II / MSD 1481S / 0 RL / SC
OPV: ORIMUNE / LEDERLE 287951 / 2 - / PO

Administered by: Public      Purchased by: Unknown
Symptoms: CONVULS, FEVER, INFECT, ANEMIA, MARROW DEPRESS

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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lab results. U of mo hosital, MD feels child had virus infect 2+ mos ago which caused marrow shutdown
CDC 'Split Type':

Write-up: 7 days p/vax, T up to 102 relieved by Tylenol 25JAN91, sz 26JAN91 seen in ER. Extremely low red count, seen by MD 28JAN91. Red count low-bone marrow shutdown. Result viral infect 2-3 mos ago.


Changed on 12/8/2009

VAERS ID: 28334 Before After
VAERS Form:
Age:1.4
Sex:Male
Location:Missouri
Vaccinated:1991-01-18
Onset:1991-01-24
Submitted:1991-02-05
Entered:1991-02-21 1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 285920 / 3 LL / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1481S / 0 RL / SC
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 287951 / 2 - / PO

Administered by: Public      Purchased by: Unknown Public
Symptoms: Anaemia, Bone marrow depression, Convulsion, Infection, Pyrexia, CONVULS, FEVER, INFECT, ANEMIA, MARROW DEPRESS

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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lab results. U of mo hosital, MD feels child had virus infect 2+ mos ago which caused marrow shutdown
CDC 'Split Type': (blank) MO918

Write-up: 7 days p/vax, T up to 102 relieved by Tylenol 25JAN91, sz 26JAN91 seen in ER. Extremely low red count, seen by MD 28JAN91. Red count low-bone marrow shutdown. Result viral infect 2-3 mos ago.


Changed on 5/14/2017

VAERS ID: 28334 Before After
VAERS Form:
Age:1.4
Sex:Male
Location:Missouri
Vaccinated:1991-01-18
Onset:1991-01-24
Submitted:1991-02-05
Entered:1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285920 / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1481S / 0 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 287951 / 2 - / PO

Administered by: Public      Purchased by: Public
Symptoms: Anaemia, Bone marrow depression, Convulsion, Infection, 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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lab results. U of mo hosital, MD feels child had virus infect 2+ mos ago which caused marrow shutdown
CDC 'Split Type': MO918

Write-up: 7 days p/vax, T up to 102 relieved by Tylenol 25JAN91, sz 26JAN91 seen in ER. Extremely low red count, seen by MD 28JAN91. Red count low-bone marrow shutdown. Result viral infect 2-3 mos ago.


Changed on 9/14/2017

VAERS ID: 28334 Before After
VAERS Form:(blank) 1
Age:1.4
Sex:Male
Location:Missouri
Vaccinated:1991-01-18
Onset:1991-01-24
Submitted:1991-02-05
Entered:1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285920 / 3 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1481S / 0 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 287951 / 2 3 - MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Anaemia, Bone marrow depression, Convulsion, Infection, 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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lab results. U of mo hosital, MD feels child had virus infect 2+ mos ago which caused marrow shutdown
CDC 'Split Type': MO918

Write-up: 7 days p/vax, T up to 102 relieved by Tylenol 25JAN91, sz 26JAN91 seen in ER. Extremely low red count, seen by MD 28JAN91. Red count low-bone marrow shutdown. Result viral infect 2-3 mos ago.


Changed on 2/14/2018

VAERS ID: 28334 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Missouri
Vaccinated:1991-01-18
Onset:1991-01-24
Submitted:1991-02-05
Entered:1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285920 / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1481S / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 287951 / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Anaemia, Bone marrow depression, Convulsion, Infection, 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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lab results. U of mo hosital, MD feels child had virus infect 2+ mos ago which caused marrow shutdown
CDC 'Split Type': MO918

Write-up: 7 days p/vax, T up to 102 relieved by Tylenol 25JAN91, sz 26JAN91 seen in ER. Extremely low red count, seen by MD 28JAN91. Red count low-bone marrow shutdown. Result viral infect 2-3 mos ago.


Changed on 6/14/2018

VAERS ID: 28334 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Missouri
Vaccinated:1991-01-18
Onset:1991-01-24
Submitted:1991-02-05
Entered:1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285920 / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1481S / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 287951 / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Anaemia, Bone marrow depression, Convulsion, Infection, 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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lab results. U of mo hosital, MD feels child had virus infect 2+ mos ago which caused marrow shutdown
CDC 'Split Type': MO918

Write-up: 7 days p/vax, T up to 102 relieved by Tylenol 25JAN91, sz 26JAN91 seen in ER. Extremely low red count, seen by MD 28JAN91. Red count low-bone marrow shutdown. Result viral infect 2-3 mos ago.


Changed on 8/14/2018

VAERS ID: 28334 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Missouri
Vaccinated:1991-01-18
Onset:1991-01-24
Submitted:1991-02-05
Entered:1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285920 / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1481S / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 287951 / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Anaemia, Bone marrow depression, Convulsion, Infection, 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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lab results. U of mo hosital, MD feels child had virus infect 2+ mos ago which caused marrow shutdown
CDC 'Split Type': MO918

Write-up: 7 days p/vax, T up to 102 relieved by Tylenol 25JAN91, sz 26JAN91 seen in ER. Extremely low red count, seen by MD 28JAN91. Red count low-bone marrow shutdown. Result viral infect 2-3 mos ago.


Changed on 9/14/2018

VAERS ID: 28334 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Missouri
Vaccinated:1991-01-18
Onset:1991-01-24
Submitted:1991-02-05
Entered:1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285920 / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1481S / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 287951 / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Anaemia, Bone marrow depression, Convulsion, Infection, 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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lab results. U of mo hosital, MD feels child had virus infect 2+ mos ago which caused marrow shutdown
CDC 'Split Type': MO918

Write-up: 7 days p/vax, T up to 102 relieved by Tylenol 25JAN91, sz 26JAN91 seen in ER. Extremely low red count, seen by MD 28JAN91. Red count low-bone marrow shutdown. Result viral infect 2-3 mos ago.


Changed on 10/14/2018

VAERS ID: 28334 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Missouri
Vaccinated:1991-01-18
Onset:1991-01-24
Submitted:1991-02-05
Entered:1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 285920 / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1481S / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 287951 / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Anaemia, Bone marrow depression, Convulsion, Infection, 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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Lab results. U of mo hosital, MD feels child had virus infect 2+ mos ago which caused marrow shutdown
CDC 'Split Type': MO918

Write-up: 7 days p/vax, T up to 102 relieved by Tylenol 25JAN91, sz 26JAN91 seen in ER. Extremely low red count, seen by MD 28JAN91. Red count low-bone marrow shutdown. Result viral infect 2-3 mos ago.

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