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This is VAERS ID 29529

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29529
VAERS Form:
Age:1.3
Sex:Male
Location:New Jersey
Vaccinated:1991-03-15
Onset:1991-03-15
Submitted:1991-03-22
Entered:1991-04-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 0C21045 / 2 LL / IM
MMR: MMR II / MSD 1901S / 0 RL / IM

Administered by: Other      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? Yes
Previous Vaccinations: none
Other Medications:
Current Illness: well child
Preexisting Conditions: RAD @ 6 mos
Allergies:
Diagnostic Lab Data: cardiac monitoring / CBC /w diff/UA/Blood cultures/EKG/Chest Xray
CDC 'Split Type': RAD @ 6 mos

Write-up: Fever-febrile seizure, seen in ER & admitted


Changed on 12/8/2009

VAERS ID: 29529 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:New Jersey
Vaccinated:1991-03-15
Onset:1991-03-15
Submitted:1991-03-22
Entered:1991-04-08 1991-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0C21045 / 2 LL / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1901S / 0 RL / IM

Administered by: Other      Purchased by: Unknown Other
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? Yes
Previous Vaccinations: none
Other Medications:
Current Illness: well child
Preexisting Conditions: RAD @ 6 mos
Allergies:
Diagnostic Lab Data: cardiac monitoring / CBC /w diff/UA/Blood cultures/EKG/Chest Xray
CDC 'Split Type': RAD @ 6 mos (blank)

Write-up: Fever-febrile seizure, seen in ER & admitted


Changed on 5/14/2017

VAERS ID: 29529 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:New Jersey
Vaccinated:1991-03-15
Onset:1991-03-15
Submitted:1991-03-22
Entered:1991-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0C21045 / 2 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1901S / 0 RL / IM

Administered by: Other      Purchased by: Other
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? Yes
Previous Vaccinations: none none~ ()~~~In patient
Other Medications:
Current Illness: well child
Preexisting Conditions: RAD @ 6 mos
Allergies:
Diagnostic Lab Data: cardiac monitoring / CBC /w diff/UA/Blood cultures/EKG/Chest Xray
CDC 'Split Type':

Write-up: Fever-febrile seizure, seen in ER & admitted


Changed on 9/14/2017

VAERS ID: 29529 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Male
Location:New Jersey
Vaccinated:1991-03-15
Onset:1991-03-15
Submitted:1991-03-22
Entered:1991-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0C21045 / 2 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1901S / 0 1 RL / IM

Administered by: Other      Purchased by: Other
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? Yes
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: well child
Preexisting Conditions: RAD @ 6 mos
Allergies:
Diagnostic Lab Data: cardiac monitoring / CBC /w diff/UA/Blood cultures/EKG/Chest Xray
CDC 'Split Type':

Write-up: Fever-febrile seizure, seen in ER & admitted


Changed on 2/14/2018

VAERS ID: 29529 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:New Jersey
Vaccinated:1991-03-15
Onset:1991-03-15
Submitted:1991-03-22
Entered:1991-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0C21045 / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1901S / 1 RL / IM

Administered by: Other      Purchased by: Other
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? Yes
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: well child
Preexisting Conditions: RAD @ 6 mos
Allergies:
Diagnostic Lab Data: cardiac monitoring / CBC /w diff/UA/Blood cultures/EKG/Chest Xray
CDC 'Split Type':

Write-up: Fever-febrile seizure, seen in ER & admitted


Changed on 6/14/2018

VAERS ID: 29529 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:New Jersey
Vaccinated:1991-03-15
Onset:1991-03-15
Submitted:1991-03-22
Entered:1991-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0C21045 / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1901S / 1 RL / IM

Administered by: Other      Purchased by: Other
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? Yes
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: well child
Preexisting Conditions: RAD @ 6 mos
Allergies:
Diagnostic Lab Data: cardiac monitoring / CBC /w diff/UA/Blood cultures/EKG/Chest Xray
CDC 'Split Type':

Write-up: Fever-febrile seizure, seen in ER & admitted


Changed on 8/14/2018

VAERS ID: 29529 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:New Jersey
Vaccinated:1991-03-15
Onset:1991-03-15
Submitted:1991-03-22
Entered:1991-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0C21045 / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1901S / 1 RL / IM

Administered by: Other      Purchased by: Other
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? Yes
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: well child
Preexisting Conditions: RAD @ 6 mos
Allergies:
Diagnostic Lab Data: cardiac monitoring / CBC /w diff/UA/Blood cultures/EKG/Chest Xray
CDC 'Split Type':

Write-up: Fever-febrile seizure, seen in ER & admitted


Changed on 9/14/2018

VAERS ID: 29529 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:New Jersey
Vaccinated:1991-03-15
Onset:1991-03-15
Submitted:1991-03-22
Entered:1991-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0C21045 / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1901S / 1 RL / IM

Administered by: Other      Purchased by: Other
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? Yes
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: well child
Preexisting Conditions: RAD @ 6 mos
Allergies:
Diagnostic Lab Data: cardiac monitoring / CBC /w diff/UA/Blood cultures/EKG/Chest Xray
CDC 'Split Type':

Write-up: Fever-febrile seizure, seen in ER & admitted


Changed on 10/14/2018

VAERS ID: 29529 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:New Jersey
Vaccinated:1991-03-15
Onset:1991-03-15
Submitted:1991-03-22
Entered:1991-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0C21045 / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1901S / 1 RL / IM

Administered by: Other      Purchased by: Other
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? Yes
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: well child
Preexisting Conditions: RAD @ 6 mos
Allergies:
Diagnostic Lab Data: cardiac monitoring / CBC /w diff/UA/Blood cultures/EKG/Chest Xray
CDC 'Split Type':

Write-up: Fever-febrile seizure, seen in ER & admitted

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=29529&WAYBACKHISTORY=ON


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