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This is VAERS ID 41735

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 41735
VAERS Form:
Age:0.3
Sex:Female
Location:New Jersey
Vaccinated:1992-04-10
Onset:1992-04-10
Submitted:1992-05-01
Entered:1992-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 1F31022 / 0 LL / -
HEP: HEPTAVAX / MSD 0230V / 0 RL / -

Administered by: Private      Purchased by: Unknown
Symptoms: HYPOKINESIA, HYPOTONIA, CYANOSIS, APNEA

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: one loose stool/day x 3 wks
Preexisting Conditions: changing formula to soy
Allergies:
Diagnostic Lab Data: EEG, CAT Scan both normal; CA, Mg PO2, sugar-nl;
CDC 'Split Type': changing formula to soy

Write-up: 3 hrs p/1st DTP pt devel hypotonic, hyporesponsive lapses turned limp & blue for few seconds mom gave mouth to mouth breathing responded well;


Changed on 12/8/2009

VAERS ID: 41735 Before After
VAERS Form:
Age:0.3
Sex:Female
Location:New Jersey
Vaccinated:1992-04-10
Onset:1992-04-10
Submitted:1992-05-01
Entered:1992-05-08 1992-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 1F31022 / 0 LL / -
HEP: HEPTAVAX HEP B (HEPTAVAX) / MSD MERCK & CO. INC. 0230V / 0 RL / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Apnoea, Cyanosis, Hypokinesia, Hypotonia, HYPOKINESIA, HYPOTONIA, CYANOSIS, APNEA

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: one loose stool/day x 3 wks
Preexisting Conditions: changing formula to soy
Allergies:
Diagnostic Lab Data: EEG, CAT Scan both normal; CA, Mg PO2, sugar-nl;
CDC 'Split Type': changing formula to soy (blank)

Write-up: 3 hrs p/1st DTP pt devel hypotonic, hyporesponsive lapses turned limp & blue for few seconds mom gave mouth to mouth breathing responded well;


Changed on 8/31/2010

VAERS ID: 41735 Before After
VAERS Form:
Age:0.3
Sex:Female
Location:New Jersey
Vaccinated:1992-04-10
Onset:1992-04-10
Submitted:1992-05-01
Entered:1992-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 0 LL / -
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. 0230V / 0 RL / -

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cyanosis, Hypokinesia, Hypotonia

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NA
Other Medications: NONE
Current Illness: one loose stool/day x 3 wks
Preexisting Conditions: changing formula to soy
Allergies:
Diagnostic Lab Data: EEG, CAT Scan both normal; CA, Mg PO2, sugar-nl;
CDC 'Split Type':

Write-up: 3 hrs p/1st DTP pt devel hypotonic, hyporesponsive lapses turned limp & blue for few seconds mom gave mouth to mouth breathing responded well;


Changed on 5/14/2017

VAERS ID: 41735 Before After
VAERS Form:
Age:0.3
Sex:Female
Location:New Jersey
Vaccinated:1992-04-10
Onset:1992-04-10
Submitted:1992-05-01
Entered:1992-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 0 LL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0230V / 0 RL / -

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cyanosis, Hypokinesia, Hypotonia

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NA NA~ ()~~~In patient
Other Medications: NONE
Current Illness: one loose stool/day x 3 wks
Preexisting Conditions: changing formula to soy
Allergies:
Diagnostic Lab Data: EEG, CAT Scan both normal; CA, Mg PO2, sugar-nl;
CDC 'Split Type':

Write-up: 3 hrs p/1st DTP pt devel hypotonic, hyporesponsive lapses turned limp & blue for few seconds mom gave mouth to mouth breathing responded well;


Changed on 9/14/2017

VAERS ID: 41735 Before After
VAERS Form:(blank) 1
Age:0.3
Sex:Female
Location:New Jersey
Vaccinated:1992-04-10
Onset:1992-04-10
Submitted:1992-05-01
Entered:1992-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 0 1 LL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0230V / 0 1 RL / -

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cyanosis, Hypokinesia, Hypotonia

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: one loose stool/day x 3 wks
Preexisting Conditions: changing formula to soy
Allergies:
Diagnostic Lab Data: EEG, CAT Scan both normal; CA, Mg PO2, sugar-nl;
CDC 'Split Type':

Write-up: 3 hrs p/1st DTP pt devel hypotonic, hyporesponsive lapses turned limp & blue for few seconds mom gave mouth to mouth breathing responded well;


Changed on 2/14/2018

VAERS ID: 41735 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:New Jersey
Vaccinated:1992-04-10
Onset:1992-04-10
Submitted:1992-05-01
Entered:1992-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 1 LL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0230V / 1 RL / -

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cyanosis, Hypokinesia, Hypotonia

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: one loose stool/day x 3 wks
Preexisting Conditions: changing formula to soy
Allergies:
Diagnostic Lab Data: EEG, CAT Scan both normal; CA, Mg PO2, sugar-nl;
CDC 'Split Type':

Write-up: 3 hrs p/1st DTP pt devel hypotonic, hyporesponsive lapses turned limp & blue for few seconds mom gave mouth to mouth breathing responded well;


Changed on 6/14/2018

VAERS ID: 41735 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:New Jersey
Vaccinated:1992-04-10
Onset:1992-04-10
Submitted:1992-05-01
Entered:1992-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 1 LL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0230V / 1 RL / -

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cyanosis, Hypokinesia, Hypotonia

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: one loose stool/day x 3 wks
Preexisting Conditions: changing formula to soy
Allergies:
Diagnostic Lab Data: EEG, CAT Scan both normal; CA, Mg PO2, sugar-nl;
CDC 'Split Type':

Write-up: 3 hrs p/1st DTP pt devel hypotonic, hyporesponsive lapses turned limp & blue for few seconds mom gave mouth to mouth breathing responded well;


Changed on 8/14/2018

VAERS ID: 41735 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:New Jersey
Vaccinated:1992-04-10
Onset:1992-04-10
Submitted:1992-05-01
Entered:1992-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 1 LL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0230V / 1 RL / -

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cyanosis, Hypokinesia, Hypotonia

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: one loose stool/day x 3 wks
Preexisting Conditions: changing formula to soy
Allergies:
Diagnostic Lab Data: EEG, CAT Scan both normal; CA, Mg PO2, sugar-nl;
CDC 'Split Type':

Write-up: 3 hrs p/1st DTP pt devel hypotonic, hyporesponsive lapses turned limp & blue for few seconds mom gave mouth to mouth breathing responded well;


Changed on 9/14/2018

VAERS ID: 41735 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:New Jersey
Vaccinated:1992-04-10
Onset:1992-04-10
Submitted:1992-05-01
Entered:1992-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 1 LL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0230V / 1 RL / -

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cyanosis, Hypokinesia, Hypotonia

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: one loose stool/day x 3 wks
Preexisting Conditions: changing formula to soy
Allergies:
Diagnostic Lab Data: EEG, CAT Scan both normal; CA, Mg PO2, sugar-nl;
CDC 'Split Type':

Write-up: 3 hrs p/1st DTP pt devel hypotonic, hyporesponsive lapses turned limp & blue for few seconds mom gave mouth to mouth breathing responded well;


Changed on 10/14/2018

VAERS ID: 41735 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:New Jersey
Vaccinated:1992-04-10
Onset:1992-04-10
Submitted:1992-05-01
Entered:1992-05-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1F31022 / 1 LL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0230V / 1 RL / -

Administered by: Private      Purchased by: Private
Symptoms: Apnoea, Cyanosis, Hypokinesia, Hypotonia

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: one loose stool/day x 3 wks
Preexisting Conditions: changing formula to soy
Allergies:
Diagnostic Lab Data: EEG, CAT Scan both normal; CA, Mg PO2, sugar-nl;
CDC 'Split Type':

Write-up: 3 hrs p/1st DTP pt devel hypotonic, hyporesponsive lapses turned limp & blue for few seconds mom gave mouth to mouth breathing responded well;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=41735&WAYBACKHISTORY=ON


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