National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 28434

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 28434
VAERS Form:
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:1990-12-17
Onset:1990-12-30
Submitted:1991-01-22
Entered:1991-03-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER / LEDERLE(PRAXIS) M030FC / 0 - / -
MMR: MMR II / MSD 0896S / 0 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: INFECT, CELLULITIS, EYE DIS, CONJUNCTIVITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: none
Other Medications:
Current Illness: none
Preexisting Conditions: hx of recurring otitis;croup
Allergies:
Diagnostic Lab Data: blood cultures
CDC 'Split Type': hx of recurring otitis;croup

Write-up: Lt eye swelling /w rapid progression on 31Dec. Taken to ER & subsequently hospitalized /w orbital cellulitis. Blood cultures showed hemophaelis influenzae


Changed on 12/8/2009

VAERS ID: 28434 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:1990-12-17
Onset:1990-12-30
Submitted:1991-01-22
Entered:1991-03-05 1991-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M030FC / 0 - / -
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0896S / 0 - / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Cellulitis, Conjunctivitis, Eye disorder, Infection, INFECT, CELLULITIS, EYE DIS, CONJUNCTIVITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: none
Other Medications:
Current Illness: none
Preexisting Conditions: hx of recurring otitis;croup
Allergies:
Diagnostic Lab Data: blood cultures
CDC 'Split Type': hx of recurring otitis;croup CO916

Write-up: Lt eye swelling /w rapid progression on 31Dec. Taken to ER & subsequently hospitalized /w orbital cellulitis. Blood cultures showed hemophaelis influenzae


Changed on 5/14/2017

VAERS ID: 28434 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:1990-12-17
Onset:1990-12-30
Submitted:1991-01-22
Entered:1991-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M030FC / 0 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0896S / 0 - / -

Administered by: Public      Purchased by: Public
Symptoms: Cellulitis, Conjunctivitis, Eye disorder, Infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: none none~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: hx of recurring otitis;croup
Allergies:
Diagnostic Lab Data: blood cultures
CDC 'Split Type': CO916

Write-up: Lt eye swelling /w rapid progression on 31Dec. Taken to ER & subsequently hospitalized /w orbital cellulitis. Blood cultures showed hemophaelis influenzae


Changed on 9/14/2017

VAERS ID: 28434 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:1990-12-17
Onset:1990-12-30
Submitted:1991-01-22
Entered:1991-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 0 1 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0896S / 0 1 - / -

Administered by: Public      Purchased by: Public
Symptoms: Cellulitis, Conjunctivitis, Eye disorder, Infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: hx of recurring otitis;croup
Allergies:
Diagnostic Lab Data: blood cultures
CDC 'Split Type': CO916

Write-up: Lt eye swelling /w rapid progression on 31Dec. Taken to ER & subsequently hospitalized /w orbital cellulitis. Blood cultures showed hemophaelis influenzae


Changed on 2/14/2018

VAERS ID: 28434 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:1990-12-17
Onset:1990-12-30
Submitted:1991-01-22
Entered:1991-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0896S / 1 - / -

Administered by: Public      Purchased by: Public
Symptoms: Cellulitis, Conjunctivitis, Eye disorder, Infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: hx of recurring otitis;croup
Allergies:
Diagnostic Lab Data: blood cultures
CDC 'Split Type': CO916

Write-up: Lt eye swelling /w rapid progression on 31Dec. Taken to ER & subsequently hospitalized /w orbital cellulitis. Blood cultures showed hemophaelis influenzae


Changed on 6/14/2018

VAERS ID: 28434 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:1990-12-17
Onset:1990-12-30
Submitted:1991-01-22
Entered:1991-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0896S / 1 - / -

Administered by: Public      Purchased by: Public
Symptoms: Cellulitis, Conjunctivitis, Eye disorder, Infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: hx of recurring otitis;croup
Allergies:
Diagnostic Lab Data: blood cultures
CDC 'Split Type': CO916

Write-up: Lt eye swelling /w rapid progression on 31Dec. Taken to ER & subsequently hospitalized /w orbital cellulitis. Blood cultures showed hemophaelis influenzae


Changed on 8/14/2018

VAERS ID: 28434 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:1990-12-17
Onset:1990-12-30
Submitted:1991-01-22
Entered:1991-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0896S / 1 - / -

Administered by: Public      Purchased by: Public
Symptoms: Cellulitis, Conjunctivitis, Eye disorder, Infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: hx of recurring otitis;croup
Allergies:
Diagnostic Lab Data: blood cultures
CDC 'Split Type': CO916

Write-up: Lt eye swelling /w rapid progression on 31Dec. Taken to ER & subsequently hospitalized /w orbital cellulitis. Blood cultures showed hemophaelis influenzae


Changed on 9/14/2018

VAERS ID: 28434 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:1990-12-17
Onset:1990-12-30
Submitted:1991-01-22
Entered:1991-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0896S / 1 - / -

Administered by: Public      Purchased by: Public
Symptoms: Cellulitis, Conjunctivitis, Eye disorder, Infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: hx of recurring otitis;croup
Allergies:
Diagnostic Lab Data: blood cultures
CDC 'Split Type': CO916

Write-up: Lt eye swelling /w rapid progression on 31Dec. Taken to ER & subsequently hospitalized /w orbital cellulitis. Blood cultures showed hemophaelis influenzae


Changed on 10/14/2018

VAERS ID: 28434 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:1990-12-17
Onset:1990-12-30
Submitted:1991-01-22
Entered:1991-02-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0896S / 1 - / -

Administered by: Public      Purchased by: Public
Symptoms: Cellulitis, Conjunctivitis, Eye disorder, Infection

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: hx of recurring otitis;croup
Allergies:
Diagnostic Lab Data: blood cultures
CDC 'Split Type': CO916

Write-up: Lt eye swelling /w rapid progression on 31Dec. Taken to ER & subsequently hospitalized /w orbital cellulitis. Blood cultures showed hemophaelis influenzae

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=28434&WAYBACKHISTORY=ON


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