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This is VAERS ID 41617

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 41617
VAERS Form:
Age:0.1
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-21
Onset:1992-04-21
Submitted:1992-04-23
Entered:1992-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 1B31125 / 0 LL / IM
HEP: RECOMBIVAX HB / MSD 0230V / 0 RL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M665HH / 0 RL / IM
OPV: ORIMUNE / LEDERLE 0649C12 / 0 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, SCREAMING SYND, CRY ABNORMAL

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

Write-up: Devel fever to 102 & high screeching cry, starting about 2PM on 21APR until 10PM 21APR; Pt recvd vax about 10AM DTP/HIB/OPV/Recomb; fever resolved 10PM 22APR;


Changed on 12/8/2009

VAERS ID: 41617 Before After
VAERS Form:
Age:0.1
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-21
Onset:1992-04-21
Submitted:1992-04-23
Entered:1992-05-06 1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 1B31125 / 0 LL / IM
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 0230V / 0 RL / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M665HH / 0 RL / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 0649C12 / 0 - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Crying, Pyrexia, Screaming, FEVER, SCREAMING SYND, CRY ABNORMAL

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

Write-up: Devel fever to 102 & high screeching cry, starting about 2PM on 21APR until 10PM 21APR; Pt recvd vax about 10AM DTP/HIB/OPV/Recomb; fever resolved 10PM 22APR;


Changed on 5/14/2017

VAERS ID: 41617 Before After
VAERS Form:
Age:0.1
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-21
Onset:1992-04-21
Submitted:1992-04-23
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1B31125 / 0 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0230V / 0 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M665HH / 0 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 0649C12 / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Crying, Pyrexia, Screaming

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

Write-up: Devel fever to 102 & high screeching cry, starting about 2PM on 21APR until 10PM 21APR; Pt recvd vax about 10AM DTP/HIB/OPV/Recomb; fever resolved 10PM 22APR;


Changed on 9/14/2017

VAERS ID: 41617 Before After
VAERS Form:(blank) 1
Age:0.1
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-21
Onset:1992-04-21
Submitted:1992-04-23
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1B31125 / 0 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0230V / 0 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 0 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0649C12 / 0 1 - MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Crying, Pyrexia, Screaming

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

Write-up: Devel fever to 102 & high screeching cry, starting about 2PM on 21APR until 10PM 21APR; Pt recvd vax about 10AM DTP/HIB/OPV/Recomb; fever resolved 10PM 22APR;


Changed on 2/14/2018

VAERS ID: 41617 Before After
VAERS Form:1
Age:0.1
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-21
Onset:1992-04-21
Submitted:1992-04-23
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1B31125 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0230V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0649C12 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Crying, Pyrexia, Screaming

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

Write-up: Devel fever to 102 & high screeching cry, starting about 2PM on 21APR until 10PM 21APR; Pt recvd vax about 10AM DTP/HIB/OPV/Recomb; fever resolved 10PM 22APR;


Changed on 6/14/2018

VAERS ID: 41617 Before After
VAERS Form:1
Age:0.1
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-21
Onset:1992-04-21
Submitted:1992-04-23
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1B31125 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0230V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0649C12 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Crying, Pyrexia, Screaming

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

Write-up: Devel fever to 102 & high screeching cry, starting about 2PM on 21APR until 10PM 21APR; Pt recvd vax about 10AM DTP/HIB/OPV/Recomb; fever resolved 10PM 22APR;


Changed on 8/14/2018

VAERS ID: 41617 Before After
VAERS Form:1
Age:0.1
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-21
Onset:1992-04-21
Submitted:1992-04-23
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1B31125 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0230V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0649C12 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Crying, Pyrexia, Screaming

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

Write-up: Devel fever to 102 & high screeching cry, starting about 2PM on 21APR until 10PM 21APR; Pt recvd vax about 10AM DTP/HIB/OPV/Recomb; fever resolved 10PM 22APR;


Changed on 9/14/2018

VAERS ID: 41617 Before After
VAERS Form:1
Age:0.1
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-21
Onset:1992-04-21
Submitted:1992-04-23
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1B31125 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0230V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0649C12 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Crying, Pyrexia, Screaming

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

Write-up: Devel fever to 102 & high screeching cry, starting about 2PM on 21APR until 10PM 21APR; Pt recvd vax about 10AM DTP/HIB/OPV/Recomb; fever resolved 10PM 22APR;


Changed on 10/14/2018

VAERS ID: 41617 Before After
VAERS Form:1
Age:0.1
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-21
Onset:1992-04-21
Submitted:1992-04-23
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1B31125 / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0230V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0649C12 / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Crying, Pyrexia, Screaming

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

Write-up: Devel fever to 102 & high screeching cry, starting about 2PM on 21APR until 10PM 21APR; Pt recvd vax about 10AM DTP/HIB/OPV/Recomb; fever resolved 10PM 22APR;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=41617&WAYBACKHISTORY=ON


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