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This is VAERS ID 40817

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 40817
VAERS Form:
Age:0.5
Sex:Female
Location:Ohio
Vaccinated:1992-03-13
Onset:1992-03-21
Submitted:1992-03-25
Entered:1992-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 312935 / 2 LL / IM
HEP: HEPTAVAX / MSD 1955T / 0 RL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M660HH / 2 RL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: EDEMA INJECT SITE

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Had DTP lt thigh 13MAR; noticed swelling of leg on 21MAR; no edema, erythema, tenderness; no evidence of swelling on 25MAR92;


Changed on 12/8/2009

VAERS ID: 40817 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:Ohio
Vaccinated:1992-03-13
Onset:1992-03-21
Submitted:1992-03-25
Entered:1992-04-03 1992-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 312935 / 2 LL / IM
HEP: HEPTAVAX HEP B (HEPTAVAX) / MSD MERCK & CO. INC. 1955T / 0 RL / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M660HH / 2 RL / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Injection site oedema, EDEMA INJECT SITE

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Had DTP lt thigh 13MAR; noticed swelling of leg on 21MAR; no edema, erythema, tenderness; no evidence of swelling on 25MAR92;


Changed on 8/31/2010

VAERS ID: 40817 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:Ohio
Vaccinated:1992-03-13
Onset:1992-03-21
Submitted:1992-03-25
Entered:1992-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 312935 / 2 LL / IM
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. 1955T / 0 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M660HH / 2 RL / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site oedema

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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Had DTP lt thigh 13MAR; noticed swelling of leg on 21MAR; no edema, erythema, tenderness; no evidence of swelling on 25MAR92;


Changed on 5/14/2017

VAERS ID: 40817 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:Ohio
Vaccinated:1992-03-13
Onset:1992-03-21
Submitted:1992-03-25
Entered:1992-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 312935 / 2 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1955T / 0 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M660HH / 2 RL / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site oedema

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Had DTP lt thigh 13MAR; noticed swelling of leg on 21MAR; no edema, erythema, tenderness; no evidence of swelling on 25MAR92;


Changed on 9/14/2017

VAERS ID: 40817 Before After
VAERS Form:(blank) 1
Age:0.5
Sex:Female
Location:Ohio
Vaccinated:1992-03-13
Onset:1992-03-21
Submitted:1992-03-25
Entered:1992-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 312935 / 2 3 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1955T / 0 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M660HH / 2 3 RL / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site oedema

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Had DTP lt thigh 13MAR; noticed swelling of leg on 21MAR; no edema, erythema, tenderness; no evidence of swelling on 25MAR92;


Changed on 2/14/2018

VAERS ID: 40817 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Ohio
Vaccinated:1992-03-13
Onset:1992-03-21
Submitted:1992-03-25
Entered:1992-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 312935 / 3 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1955T / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M660HH / 3 RL / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site oedema

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Had DTP lt thigh 13MAR; noticed swelling of leg on 21MAR; no edema, erythema, tenderness; no evidence of swelling on 25MAR92;


Changed on 6/14/2018

VAERS ID: 40817 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Ohio
Vaccinated:1992-03-13
Onset:1992-03-21
Submitted:1992-03-25
Entered:1992-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 312935 / 3 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1955T / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M660HH / 3 RL / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site oedema

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Had DTP lt thigh 13MAR; noticed swelling of leg on 21MAR; no edema, erythema, tenderness; no evidence of swelling on 25MAR92;


Changed on 8/14/2018

VAERS ID: 40817 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Ohio
Vaccinated:1992-03-13
Onset:1992-03-21
Submitted:1992-03-25
Entered:1992-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 312935 / 3 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1955T / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M660HH / 3 RL / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site oedema

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Had DTP lt thigh 13MAR; noticed swelling of leg on 21MAR; no edema, erythema, tenderness; no evidence of swelling on 25MAR92;


Changed on 9/14/2018

VAERS ID: 40817 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Ohio
Vaccinated:1992-03-13
Onset:1992-03-21
Submitted:1992-03-25
Entered:1992-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 312935 / 3 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1955T / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M660HH / 3 RL / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site oedema

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Had DTP lt thigh 13MAR; noticed swelling of leg on 21MAR; no edema, erythema, tenderness; no evidence of swelling on 25MAR92;


Changed on 10/14/2018

VAERS ID: 40817 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Ohio
Vaccinated:1992-03-13
Onset:1992-03-21
Submitted:1992-03-25
Entered:1992-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 312935 / 3 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1955T / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M660HH / 3 RL / IM

Administered by: Private      Purchased by: Private
Symptoms: Injection site oedema

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Had DTP lt thigh 13MAR; noticed swelling of leg on 21MAR; no edema, erythema, tenderness; no evidence of swelling on 25MAR92;

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