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This is VAERS ID 29991

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29991
VAERS Form:
Age:1.3
Sex:Male
Location:California
Vaccinated:1991-02-07
Onset:1991-02-08
Submitted:1991-04-02
Entered:1991-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER / LEDERLE(PRAXIS) MC507B / 0 - / IM
MMR: MMR II / MSD 0899S / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: FEVER, MENTAL RETARD, SOMNOLENCE, INFECT, CSF ABNORM

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': NA

Write-up: 15mo child rec''d vax 7FEB91; Had fever on 8FEB; High fever & lethargy on 9FEB on 10FEb positive sp tap which grew H. influenzae; Child was walking before event, now crawling;


Changed on 12/8/2009

VAERS ID: 29991 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:California
Vaccinated:1991-02-07
Onset:1991-02-08
Submitted:1991-04-02
Entered:1991-04-24 1991-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS MC507B / 0 - / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0899S / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Infection, Mental retardation severity unspecified, Pyrexia, Somnolence, CSF test abnormal, FEVER, MENTAL RETARD, SOMNOLENCE, INFECT, CSF ABNORM

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': NA 910071201

Write-up: 15mo child rec''d vax 7FEB91; Had fever on 8FEB; High fever & lethargy on 9FEB on 10FEb positive sp tap which grew H. influenzae; Child was walking before event, now crawling;


Changed on 5/14/2017

VAERS ID: 29991 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:California
Vaccinated:1991-02-07
Onset:1991-02-08
Submitted:1991-04-02
Entered:1991-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH MC507B / 0 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0899S / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Infection, Mental retardation severity unspecified, Pyrexia, Somnolence, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA NA~ ()~~~In patient
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 910071201

Write-up: 15mo child rec''d vax 7FEB91; Had fever on 8FEB; High fever & lethargy on 9FEB on 10FEb positive sp tap which grew H. influenzae; Child was walking before event, now crawling;


Changed on 9/14/2017

VAERS ID: 29991 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Male
Location:California
Vaccinated:1991-02-07
Onset:1991-02-08
Submitted:1991-04-02
Entered:1991-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH MC507B / 0 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0899S / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Infection, Mental retardation severity unspecified, Pyrexia, Somnolence, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 910071201

Write-up: 15mo child rec''d vax 7FEB91; Had fever on 8FEB; High fever & lethargy on 9FEB on 10FEb positive sp tap which grew H. influenzae; Child was walking before event, now crawling;


Changed on 2/14/2018

VAERS ID: 29991 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:California
Vaccinated:1991-02-07
Onset:1991-02-08
Submitted:1991-04-02
Entered:1991-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH MC507B / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0899S / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Infection, Mental retardation severity unspecified, Pyrexia, Somnolence, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 910071201

Write-up: 15mo child rec''d vax 7FEB91; Had fever on 8FEB; High fever & lethargy on 9FEB on 10FEb positive sp tap which grew H. influenzae; Child was walking before event, now crawling;


Changed on 6/14/2018

VAERS ID: 29991 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:California
Vaccinated:1991-02-07
Onset:1991-02-08
Submitted:1991-04-02
Entered:1991-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH MC507B / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0899S / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Infection, Mental retardation severity unspecified, Pyrexia, Somnolence, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 910071201

Write-up: 15mo child rec''d vax 7FEB91; Had fever on 8FEB; High fever & lethargy on 9FEB on 10FEb positive sp tap which grew H. influenzae; Child was walking before event, now crawling;


Changed on 8/14/2018

VAERS ID: 29991 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:California
Vaccinated:1991-02-07
Onset:1991-02-08
Submitted:1991-04-02
Entered:1991-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH MC507B / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0899S / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Infection, Mental retardation severity unspecified, Pyrexia, Somnolence, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 910071201

Write-up: 15mo child rec''d vax 7FEB91; Had fever on 8FEB; High fever & lethargy on 9FEB on 10FEb positive sp tap which grew H. influenzae; Child was walking before event, now crawling;


Changed on 9/14/2018

VAERS ID: 29991 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:California
Vaccinated:1991-02-07
Onset:1991-02-08
Submitted:1991-04-02
Entered:1991-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH MC507B / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0899S / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Infection, Mental retardation severity unspecified, Pyrexia, Somnolence, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 910071201

Write-up: 15mo child rec''d vax 7FEB91; Had fever on 8FEB; High fever & lethargy on 9FEB on 10FEb positive sp tap which grew H. influenzae; Child was walking before event, now crawling;


Changed on 10/14/2018

VAERS ID: 29991 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:California
Vaccinated:1991-02-07
Onset:1991-02-08
Submitted:1991-04-02
Entered:1991-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH MC507B / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0899S / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Infection, Mental retardation severity unspecified, Pyrexia, Somnolence, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NA
Current Illness: NA
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': 910071201

Write-up: 15mo child rec''d vax 7FEB91; Had fever on 8FEB; High fever & lethargy on 9FEB on 10FEb positive sp tap which grew H. influenzae; Child was walking before event, now crawling;

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