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This is VAERS ID 43597

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 43597
VAERS Form:
Age:0.4
Sex:Male
Location:California
Vaccinated:1991-10-08
Onset:1991-10-08
Submitted:1992-07-10
Entered:1992-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 0522V / 1 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, SEPSIS

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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: mom said felt sl warm noc a/
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: culture of blood, urine, CSF;
CDC 'Split Type':

Write-up: fever 104 hosp for r/o sepsis;


Changed on 12/8/2009

VAERS ID: 43597 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:California
Vaccinated:1991-10-08
Onset:1991-10-08
Submitted:1992-07-10
Entered:1992-07-22 1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 0522V / 1 LL / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Pyrexia, Sepsis, FEVER, SEPSIS

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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: mom said felt sl warm noc a/
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: culture of blood, urine, CSF;
CDC 'Split Type':

Write-up: fever 104 hosp for r/o sepsis;


Changed on 5/14/2017

VAERS ID: 43597 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:California
Vaccinated:1991-10-08
Onset:1991-10-08
Submitted:1992-07-10
Entered:1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0522V / 1 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Pyrexia, Sepsis

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: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: mom said felt sl warm noc a/
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: culture of blood, urine, CSF;
CDC 'Split Type':

Write-up: fever 104 hosp for r/o sepsis;


Changed on 9/14/2017

VAERS ID: 43597 Before After
VAERS Form:(blank) 1
Age:0.4
Sex:Male
Location:California
Vaccinated:1991-10-08
Onset:1991-10-08
Submitted:1992-07-10
Entered:1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0522V / 1 2 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Pyrexia, Sepsis

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: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: mom said felt sl warm noc a/
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: culture of blood, urine, CSF;
CDC 'Split Type':

Write-up: fever 104 hosp for r/o sepsis;


Changed on 2/14/2018

VAERS ID: 43597 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:California
Vaccinated:1991-10-08
Onset:1991-10-08
Submitted:1992-07-10
Entered:1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0522V / 2 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Pyrexia, Sepsis

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: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: mom said felt sl warm noc a/
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: culture of blood, urine, CSF;
CDC 'Split Type':

Write-up: fever 104 hosp for r/o sepsis;


Changed on 6/14/2018

VAERS ID: 43597 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:California
Vaccinated:1991-10-08
Onset:1991-10-08
Submitted:1992-07-10
Entered:1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0522V / 2 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Pyrexia, Sepsis

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: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: mom said felt sl warm noc a/
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: culture of blood, urine, CSF;
CDC 'Split Type':

Write-up: fever 104 hosp for r/o sepsis;


Changed on 8/14/2018

VAERS ID: 43597 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:California
Vaccinated:1991-10-08
Onset:1991-10-08
Submitted:1992-07-10
Entered:1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0522V / 2 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Pyrexia, Sepsis

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: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: mom said felt sl warm noc a/
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: culture of blood, urine, CSF;
CDC 'Split Type':

Write-up: fever 104 hosp for r/o sepsis;


Changed on 9/14/2018

VAERS ID: 43597 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:California
Vaccinated:1991-10-08
Onset:1991-10-08
Submitted:1992-07-10
Entered:1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0522V / 2 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Pyrexia, Sepsis

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: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: mom said felt sl warm noc a/
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: culture of blood, urine, CSF;
CDC 'Split Type':

Write-up: fever 104 hosp for r/o sepsis;


Changed on 10/14/2018

VAERS ID: 43597 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:California
Vaccinated:1991-10-08
Onset:1991-10-08
Submitted:1992-07-10
Entered:1992-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0522V / 2 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Pyrexia, Sepsis

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: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: mom said felt sl warm noc a/
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: culture of blood, urine, CSF;
CDC 'Split Type':

Write-up: fever 104 hosp for r/o sepsis;

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