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This is VAERS ID 41629

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 41629
VAERS Form:
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-22
Onset:1992-04-22
Submitted:1992-04-23
Entered:1992-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 1F31022 / 0 LL / -
HEP: RECOMBIVAX HB / MSD 0229V / 0 RL / -
HIBV: PEDVAXHIB / MSD 0600593 / 0 RL / -
OPV: ORIMUNE / LEDERLE 651K5 / 0 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, VOMIT, SCREAMING SYND, PALLOR, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Noted to be pale p/nap (several hrs p/vax); Had high pitched cry off & on for several hrs; vomited p/nursing, t100.6;


Changed on 12/8/2009

VAERS ID: 41629 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-22
Onset:1992-04-22
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 1F31022 / 0 LL / -
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 0229V / 0 RL / -
HIBV: PEDVAXHIB HIB (PEDVAXHIB) / MSD MERCK & CO. INC. 0600593 / 0 RL / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 651K5 / 0 - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Crying, Pallor, Pyrexia, Screaming, Vomiting, FEVER, VOMIT, SCREAMING SYND, PALLOR, 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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Noted to be pale p/nap (several hrs p/vax); Had high pitched cry off & on for several hrs; vomited p/nursing, t100.6;


Changed on 5/14/2017

VAERS ID: 41629 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-22
Onset:1992-04-22
Submitted:1992-04-23
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 0 LL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0229V / 0 RL / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0600593 / 0 RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 651K5 / 0 - / PO

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

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Noted to be pale p/nap (several hrs p/vax); Had high pitched cry off & on for several hrs; vomited p/nursing, t100.6;


Changed on 9/14/2017

VAERS ID: 41629 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-22
Onset:1992-04-22
Submitted:1992-04-23
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 0 1 LL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0229V / 0 1 RL / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0600593 / 0 1 RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 651K5 / 0 1 - MO / PO

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

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Noted to be pale p/nap (several hrs p/vax); Had high pitched cry off & on for several hrs; vomited p/nursing, t100.6;


Changed on 2/14/2018

VAERS ID: 41629 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-22
Onset:1992-04-22
Submitted:1992-04-23
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 1 LL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0229V / 1 RL / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0600593 / 1 RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 651K5 / 1 MO / PO

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

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Noted to be pale p/nap (several hrs p/vax); Had high pitched cry off & on for several hrs; vomited p/nursing, t100.6;


Changed on 6/14/2018

VAERS ID: 41629 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-22
Onset:1992-04-22
Submitted:1992-04-23
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 1 LL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0229V / 1 RL / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0600593 / 1 RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 651K5 / 1 MO / PO

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

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Noted to be pale p/nap (several hrs p/vax); Had high pitched cry off & on for several hrs; vomited p/nursing, t100.6;


Changed on 8/14/2018

VAERS ID: 41629 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-22
Onset:1992-04-22
Submitted:1992-04-23
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 1 LL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0229V / 1 RL / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0600593 / 1 RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 651K5 / 1 MO / PO

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

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Noted to be pale p/nap (several hrs p/vax); Had high pitched cry off & on for several hrs; vomited p/nursing, t100.6;


Changed on 9/14/2018

VAERS ID: 41629 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-22
Onset:1992-04-22
Submitted:1992-04-23
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 1 LL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0229V / 1 RL / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0600593 / 1 RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 651K5 / 1 MO / PO

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

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Noted to be pale p/nap (several hrs p/vax); Had high pitched cry off & on for several hrs; vomited p/nursing, t100.6;


Changed on 10/14/2018

VAERS ID: 41629 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1992-04-22
Onset:1992-04-22
Submitted:1992-04-23
Entered:1992-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 1 LL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0229V / 1 RL / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0600593 / 1 RL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 651K5 / 1 MO / PO

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

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: Noted to be pale p/nap (several hrs p/vax); Had high pitched cry off & on for several hrs; vomited p/nursing, t100.6;

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