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This is VAERS ID 29856

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29856
VAERS Form:
Age:1.3
Sex:Female
Location:Vermont
Vaccinated:1991-01-21
Onset:1991-01-29
Submitted:1991-04-04
Entered:1991-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT / CONNAUGHT LABS 0A21133 / 0 - / IM
MMR: MMR II / MSD 1502S / 0 - / SC

Administered by: Private      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: bilat serous otitis media
Preexisting Conditions: 10m, 33 wks gestation, GER, PDA repaired, microcyst,develop-delay
Allergies:
Diagnostic Lab Data: EEG-nl
CDC 'Split Type':

Write-up: Febrile seizure 29Jan91, hospitalized, did well


Changed on 12/8/2009

VAERS ID: 29856 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Vermont
Vaccinated:1991-01-21
Onset:1991-01-29
Submitted:1991-04-04
Entered:1991-04-17 1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT HIB (PROHIBIT) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0A21133 / 0 - / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1502S / 0 - / SC

Administered by: Private      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: bilat serous otitis media
Preexisting Conditions: 10m, 33 wks gestation, GER, PDA repaired, microcyst,develop-delay
Allergies:
Diagnostic Lab Data: EEG-nl
CDC 'Split Type':

Write-up: Febrile seizure 29Jan91, hospitalized, did well


Changed on 5/14/2017

VAERS ID: 29856 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Vermont
Vaccinated:1991-01-21
Onset:1991-01-29
Submitted:1991-04-04
Entered:1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0A21133 / 0 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1502S / 0 - / SC

Administered by: Private      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness: bilat serous otitis media
Preexisting Conditions: 10m, 33 wks gestation, GER, PDA repaired, microcyst,develop-delay
Allergies:
Diagnostic Lab Data: EEG-nl
CDC 'Split Type':

Write-up: Febrile seizure 29Jan91, hospitalized, did well


Changed on 9/14/2017

VAERS ID: 29856 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Female
Location:Vermont
Vaccinated:1991-01-21
Onset:1991-01-29
Submitted:1991-04-04
Entered:1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0A21133 / 0 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1502S / 0 1 - / SC

Administered by: Private      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness: bilat serous otitis media
Preexisting Conditions: 10m, 33 wks gestation, GER, PDA repaired, microcyst,develop-delay
Allergies:
Diagnostic Lab Data: EEG-nl
CDC 'Split Type':

Write-up: Febrile seizure 29Jan91, hospitalized, did well


Changed on 2/14/2018

VAERS ID: 29856 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Vermont
Vaccinated:1991-01-21
Onset:1991-01-29
Submitted:1991-04-04
Entered:1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0A21133 / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1502S / 1 - / SC

Administered by: Private      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness: bilat serous otitis media
Preexisting Conditions: 10m, 33 wks gestation, GER, PDA repaired, microcyst,develop-delay
Allergies:
Diagnostic Lab Data: EEG-nl
CDC 'Split Type':

Write-up: Febrile seizure 29Jan91, hospitalized, did well


Changed on 6/14/2018

VAERS ID: 29856 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Vermont
Vaccinated:1991-01-21
Onset:1991-01-29
Submitted:1991-04-04
Entered:1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0A21133 / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1502S / 1 - / SC

Administered by: Private      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness: bilat serous otitis media
Preexisting Conditions: 10m, 33 wks gestation, GER, PDA repaired, microcyst,develop-delay
Allergies:
Diagnostic Lab Data: EEG-nl
CDC 'Split Type':

Write-up: Febrile seizure 29Jan91, hospitalized, did well


Changed on 8/14/2018

VAERS ID: 29856 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Vermont
Vaccinated:1991-01-21
Onset:1991-01-29
Submitted:1991-04-04
Entered:1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0A21133 / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1502S / 1 - / SC

Administered by: Private      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness: bilat serous otitis media
Preexisting Conditions: 10m, 33 wks gestation, GER, PDA repaired, microcyst,develop-delay
Allergies:
Diagnostic Lab Data: EEG-nl
CDC 'Split Type':

Write-up: Febrile seizure 29Jan91, hospitalized, did well


Changed on 9/14/2018

VAERS ID: 29856 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Vermont
Vaccinated:1991-01-21
Onset:1991-01-29
Submitted:1991-04-04
Entered:1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0A21133 / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1502S / 1 - / SC

Administered by: Private      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness: bilat serous otitis media
Preexisting Conditions: 10m, 33 wks gestation, GER, PDA repaired, microcyst,develop-delay
Allergies:
Diagnostic Lab Data: EEG-nl
CDC 'Split Type':

Write-up: Febrile seizure 29Jan91, hospitalized, did well


Changed on 10/14/2018

VAERS ID: 29856 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Vermont
Vaccinated:1991-01-21
Onset:1991-01-29
Submitted:1991-04-04
Entered:1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0A21133 / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1502S / 1 - / SC

Administered by: Private      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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness: bilat serous otitis media
Preexisting Conditions: 10m, 33 wks gestation, GER, PDA repaired, microcyst,develop-delay
Allergies:
Diagnostic Lab Data: EEG-nl
CDC 'Split Type':

Write-up: Febrile seizure 29Jan91, hospitalized, did well

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=29856&WAYBACKHISTORY=ON


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