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This is VAERS ID 30955

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 30955
VAERS Form:
Age:2.3
Sex:Female
Location:Colorado
Vaccinated:1991-04-30
Onset:1991-05-01
Submitted:1991-05-23
Entered:1991-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 0789S / 1 - / -
TYP: TYPHOID / WYETH 490840 / 1 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, PNEUMONIA, PURPURA, OTITIS MED, THROMBOCYTOPENIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ceclor
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 10MAY platelet coutn 73,000; 12MAY platelet 111,000, 14MAY palte 127,000
CDC 'Split Type':

Write-up: 1MAY mom noted inc bruising; given Ceclor for otitis; t102, platelets dec est 73,000, 12MAY platelet 111,000; 14-15MAY hospitalized for pneumonia;


Changed on 12/8/2009

VAERS ID: 30955 Before After
VAERS Form:
Age:2.3
Sex:Female
Location:Colorado
Vaccinated:1991-04-30
Onset:1991-05-01
Submitted:1991-05-23
Entered:1991-06-06 1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 0789S / 1 - / -
TYP: TYPHOID TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / WYETH WYETH PHARMACEUTICALS, INC 490840 / 1 - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Otitis media, Pneumonia, Purpura, Pyrexia, Thrombocytopenia, FEVER, PNEUMONIA, PURPURA, OTITIS MED, THROMBOCYTOPENIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ceclor
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 10MAY platelet coutn 73,000; 12MAY platelet 111,000, 14MAY palte 127,000
CDC 'Split Type':

Write-up: 1MAY mom noted inc bruising; given Ceclor for otitis; t102, platelets dec est 73,000, 12MAY platelet 111,000; 14-15MAY hospitalized for pneumonia;


Changed on 8/31/2010

VAERS ID: 30955 Before After
VAERS Form:
Age:2.3
Sex:Female
Location:Colorado
Vaccinated:1991-04-30
Onset:1991-05-01
Submitted:1991-05-23
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0789S / 1 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 490840 / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Otitis media, Pneumonia, Purpura, Pyrexia, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ceclor
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 10MAY platelet coutn 73,000; 12MAY platelet 111,000, 14MAY palte 127,000
CDC 'Split Type':

Write-up: 1MAY mom noted inc bruising; given Ceclor for otitis; t102, platelets dec est 73,000, 12MAY platelet 111,000; 14-15MAY hospitalized for pneumonia;


Changed on 2/14/2017

VAERS ID: 30955 Before After
VAERS Form:
Age:2.3 2.0
Sex:Female
Location:Colorado
Vaccinated:1991-04-30
Onset:1991-05-01
Submitted:1991-05-23
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0789S / 1 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 490840 / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Otitis media, Pneumonia, Purpura, Pyrexia, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ceclor
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 10MAY platelet coutn 73,000; 12MAY platelet 111,000, 14MAY palte 127,000
CDC 'Split Type':

Write-up: 1MAY mom noted inc bruising; given Ceclor for otitis; t102, platelets dec est 73,000, 12MAY platelet 111,000; 14-15MAY hospitalized for pneumonia;


Changed on 5/14/2017

VAERS ID: 30955 Before After
VAERS Form:
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1991-04-30
Onset:1991-05-01
Submitted:1991-05-23
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0789S / 1 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 490840 / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Otitis media, Pneumonia, Purpura, Pyrexia, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ceclor
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 10MAY platelet coutn 73,000; 12MAY platelet 111,000, 14MAY palte 127,000
CDC 'Split Type':

Write-up: 1MAY mom noted inc bruising; given Ceclor for otitis; t102, platelets dec est 73,000, 12MAY platelet 111,000; 14-15MAY hospitalized for pneumonia;


Changed on 9/14/2017

VAERS ID: 30955 Before After
VAERS Form:(blank) 1
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1991-04-30
Onset:1991-05-01
Submitted:1991-05-23
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0789S / 1 2 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 490840 / 1 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Otitis media, Pneumonia, Purpura, Pyrexia, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ceclor
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 10MAY platelet coutn 73,000; 12MAY platelet 111,000, 14MAY palte 127,000
CDC 'Split Type':

Write-up: 1MAY mom noted inc bruising; given Ceclor for otitis; t102, platelets dec est 73,000, 12MAY platelet 111,000; 14-15MAY hospitalized for pneumonia;


Changed on 2/14/2018

VAERS ID: 30955 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1991-04-30
Onset:1991-05-01
Submitted:1991-05-23
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0789S / 2 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 490840 / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Otitis media, Pneumonia, Purpura, Pyrexia, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ceclor
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 10MAY platelet coutn 73,000; 12MAY platelet 111,000, 14MAY palte 127,000
CDC 'Split Type':

Write-up: 1MAY mom noted inc bruising; given Ceclor for otitis; t102, platelets dec est 73,000, 12MAY platelet 111,000; 14-15MAY hospitalized for pneumonia;


Changed on 6/14/2018

VAERS ID: 30955 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1991-04-30
Onset:1991-05-01
Submitted:1991-05-23
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0789S / 2 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 490840 / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Otitis media, Pneumonia, Purpura, Pyrexia, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ceclor
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 10MAY platelet coutn 73,000; 12MAY platelet 111,000, 14MAY palte 127,000
CDC 'Split Type':

Write-up: 1MAY mom noted inc bruising; given Ceclor for otitis; t102, platelets dec est 73,000, 12MAY platelet 111,000; 14-15MAY hospitalized for pneumonia;


Changed on 8/14/2018

VAERS ID: 30955 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1991-04-30
Onset:1991-05-01
Submitted:1991-05-23
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0789S / 2 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 490840 / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Otitis media, Pneumonia, Purpura, Pyrexia, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ceclor
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 10MAY platelet coutn 73,000; 12MAY platelet 111,000, 14MAY palte 127,000
CDC 'Split Type':

Write-up: 1MAY mom noted inc bruising; given Ceclor for otitis; t102, platelets dec est 73,000, 12MAY platelet 111,000; 14-15MAY hospitalized for pneumonia;


Changed on 9/14/2018

VAERS ID: 30955 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1991-04-30
Onset:1991-05-01
Submitted:1991-05-23
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0789S / 2 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 490840 / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Otitis media, Pneumonia, Purpura, Pyrexia, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ceclor
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 10MAY platelet coutn 73,000; 12MAY platelet 111,000, 14MAY palte 127,000
CDC 'Split Type':

Write-up: 1MAY mom noted inc bruising; given Ceclor for otitis; t102, platelets dec est 73,000, 12MAY platelet 111,000; 14-15MAY hospitalized for pneumonia;


Changed on 10/14/2018

VAERS ID: 30955 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1991-04-30
Onset:1991-05-01
Submitted:1991-05-23
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0789S / 2 - / -
TYP: TYPHOID VI POLYSACCHARIDE (NO BRAND NAME) / PFIZER/WYETH 490840 / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Otitis media, Pneumonia, Purpura, Pyrexia, Thrombocytopenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Ceclor
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: 10MAY platelet coutn 73,000; 12MAY platelet 111,000, 14MAY palte 127,000
CDC 'Split Type':

Write-up: 1MAY mom noted inc bruising; given Ceclor for otitis; t102, platelets dec est 73,000, 12MAY platelet 111,000; 14-15MAY hospitalized for pneumonia;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=30955&WAYBACKHISTORY=ON


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