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This is VAERS ID 43186

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 43186
VAERS Form:
Age:1.3
Sex:Female
Location:New York
Vaccinated:1992-06-08
Onset:1992-06-19
Submitted:1992-06-23
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER / LEDERLE(PRAXIS) M180HB / 3 LL / IM
MMR: MMR II / MSD 0765T / 0 RL / SC
OPV: ORIMUNE / LEDERLE 312918 / 2 - / PO

Administered by: Other      Purchased by: Unknown
Symptoms: CONVULS, FEBRILE SEIZURE

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

Write-up: seizure activity, no apnea; febrile seizure lasted 5 minutes;


Changed on 12/8/2009

VAERS ID: 43186 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:New York
Vaccinated:1992-06-08
Onset:1992-06-19
Submitted:1992-06-23
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M180HB / 3 LL / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0765T / 0 RL / SC
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 312918 / 2 - / PO

Administered by: Other      Purchased by: Unknown Public
Symptoms: Convulsion, Febrile convulsion, CONVULS, FEBRILE SEIZURE

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: 1     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NONE (blank)

Write-up: seizure activity, no apnea; febrile seizure lasted 5 minutes;


Changed on 5/14/2017

VAERS ID: 43186 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:New York
Vaccinated:1992-06-08
Onset:1992-06-19
Submitted:1992-06-23
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M180HB / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0765T / 0 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 312918 / 2 - / PO

Administered by: Other      Purchased by: Public
Symptoms: Convulsion, Febrile convulsion

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

Write-up: seizure activity, no apnea; febrile seizure lasted 5 minutes;


Changed on 9/14/2017

VAERS ID: 43186 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Female
Location:New York
Vaccinated:1992-06-08
Onset:1992-06-19
Submitted:1992-06-23
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M180HB / 3 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0765T / 0 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 312918 / 2 3 - MO / PO

Administered by: Other      Purchased by: Public
Symptoms: Convulsion, Febrile convulsion

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

Write-up: seizure activity, no apnea; febrile seizure lasted 5 minutes;


Changed on 2/14/2018

VAERS ID: 43186 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:New York
Vaccinated:1992-06-08
Onset:1992-06-19
Submitted:1992-06-23
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M180HB / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0765T / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 312918 / 3 MO / PO

Administered by: Other      Purchased by: Public
Symptoms: Convulsion, Febrile convulsion

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

Write-up: seizure activity, no apnea; febrile seizure lasted 5 minutes;


Changed on 6/14/2018

VAERS ID: 43186 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:New York
Vaccinated:1992-06-08
Onset:1992-06-19
Submitted:1992-06-23
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M180HB / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0765T / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 312918 / 3 MO / PO

Administered by: Other      Purchased by: Public
Symptoms: Convulsion, Febrile convulsion

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

Write-up: seizure activity, no apnea; febrile seizure lasted 5 minutes;


Changed on 8/14/2018

VAERS ID: 43186 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:New York
Vaccinated:1992-06-08
Onset:1992-06-19
Submitted:1992-06-23
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M180HB / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0765T / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 312918 / 3 MO / PO

Administered by: Other      Purchased by: Public
Symptoms: Convulsion, Febrile convulsion

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

Write-up: seizure activity, no apnea; febrile seizure lasted 5 minutes;


Changed on 9/14/2018

VAERS ID: 43186 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:New York
Vaccinated:1992-06-08
Onset:1992-06-19
Submitted:1992-06-23
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M180HB / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0765T / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 312918 / 3 MO / PO

Administered by: Other      Purchased by: Public
Symptoms: Convulsion, Febrile convulsion

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

Write-up: seizure activity, no apnea; febrile seizure lasted 5 minutes;


Changed on 10/14/2018

VAERS ID: 43186 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:New York
Vaccinated:1992-06-08
Onset:1992-06-19
Submitted:1992-06-23
Entered:1992-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M180HB / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0765T / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 312918 / 3 MO / PO

Administered by: Other      Purchased by: Public
Symptoms: Convulsion, Febrile convulsion

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

Write-up: seizure activity, no apnea; febrile seizure lasted 5 minutes;

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