National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 43824

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 43824
VAERS Form:
Age:1.3
Sex:Female
Location:Kentucky
Vaccinated:1992-07-02
Onset:1992-07-02
Submitted:1992-07-20
Entered:1992-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 326913 / 3 RL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M575HJ / 3 LL / IM
IPV: IPV / MERIEUX INST G0103 / 0 LA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: FEVER

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

Write-up: pt started having elevated temperature about 2 hrs p/DTP; temp went to 105.7 mom reports say gave APAP & sponge bath; had fever x 12 hrs; temp went to 101 p/about 3 hrs; pt was fine p/12 hrs;


Changed on 12/8/2009

VAERS ID: 43824 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Kentucky
Vaccinated:1992-07-02
Onset:1992-07-02
Submitted:1992-07-20
Entered:1992-07-31 1992-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 326913 / 3 RL / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M575HJ / 3 LL / IM
IPV: IPV POLIO VIRUS, INACT. (NO BRAND NAME) / MERIEUX INST PASTEUR MERIEUX INST. G0103 / 0 LA / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Pyrexia, FEVER

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: Proventil
Current Illness: NONE
Preexisting Conditions: poss asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) KY920027

Write-up: pt started having elevated temperature about 2 hrs p/DTP; temp went to 105.7 mom reports say gave APAP & sponge bath; had fever x 12 hrs; temp went to 101 p/about 3 hrs; pt was fine p/12 hrs;


Changed on 5/14/2017

VAERS ID: 43824 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Kentucky
Vaccinated:1992-07-02
Onset:1992-07-02
Submitted:1992-07-20
Entered:1992-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 326913 / 3 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M575HJ / 3 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 0 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Pyrexia

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: Proventil
Current Illness: NONE
Preexisting Conditions: poss asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': KY920027

Write-up: pt started having elevated temperature about 2 hrs p/DTP; temp went to 105.7 mom reports say gave APAP & sponge bath; had fever x 12 hrs; temp went to 101 p/about 3 hrs; pt was fine p/12 hrs;


Changed on 9/14/2017

VAERS ID: 43824 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Female
Location:Kentucky
Vaccinated:1992-07-02
Onset:1992-07-02
Submitted:1992-07-20
Entered:1992-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 326913 / 3 4 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 3 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 0 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Pyrexia

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: Proventil
Current Illness: NONE
Preexisting Conditions: poss asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': KY920027

Write-up: pt started having elevated temperature about 2 hrs p/DTP; temp went to 105.7 mom reports say gave APAP & sponge bath; had fever x 12 hrs; temp went to 101 p/about 3 hrs; pt was fine p/12 hrs;


Changed on 2/14/2018

VAERS ID: 43824 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Kentucky
Vaccinated:1992-07-02
Onset:1992-07-02
Submitted:1992-07-20
Entered:1992-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 326913 / 4 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Pyrexia

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: Proventil
Current Illness: NONE
Preexisting Conditions: poss asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': KY920027

Write-up: pt started having elevated temperature about 2 hrs p/DTP; temp went to 105.7 mom reports say gave APAP & sponge bath; had fever x 12 hrs; temp went to 101 p/about 3 hrs; pt was fine p/12 hrs;


Changed on 6/14/2018

VAERS ID: 43824 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Kentucky
Vaccinated:1992-07-02
Onset:1992-07-02
Submitted:1992-07-20
Entered:1992-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 326913 / 4 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Pyrexia

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: Proventil
Current Illness: NONE
Preexisting Conditions: poss asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': KY920027

Write-up: pt started having elevated temperature about 2 hrs p/DTP; temp went to 105.7 mom reports say gave APAP & sponge bath; had fever x 12 hrs; temp went to 101 p/about 3 hrs; pt was fine p/12 hrs;


Changed on 8/14/2018

VAERS ID: 43824 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Kentucky
Vaccinated:1992-07-02
Onset:1992-07-02
Submitted:1992-07-20
Entered:1992-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 326913 / 4 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Pyrexia

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: Proventil
Current Illness: NONE
Preexisting Conditions: poss asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': KY920027

Write-up: pt started having elevated temperature about 2 hrs p/DTP; temp went to 105.7 mom reports say gave APAP & sponge bath; had fever x 12 hrs; temp went to 101 p/about 3 hrs; pt was fine p/12 hrs;


Changed on 9/14/2018

VAERS ID: 43824 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Kentucky
Vaccinated:1992-07-02
Onset:1992-07-02
Submitted:1992-07-20
Entered:1992-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 326913 / 4 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Pyrexia

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: Proventil
Current Illness: NONE
Preexisting Conditions: poss asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': KY920027

Write-up: pt started having elevated temperature about 2 hrs p/DTP; temp went to 105.7 mom reports say gave APAP & sponge bath; had fever x 12 hrs; temp went to 101 p/about 3 hrs; pt was fine p/12 hrs;


Changed on 10/14/2018

VAERS ID: 43824 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Kentucky
Vaccinated:1992-07-02
Onset:1992-07-02
Submitted:1992-07-20
Entered:1992-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 326913 / 4 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Pyrexia

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: Proventil
Current Illness: NONE
Preexisting Conditions: poss asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': KY920027

Write-up: pt started having elevated temperature about 2 hrs p/DTP; temp went to 105.7 mom reports say gave APAP & sponge bath; had fever x 12 hrs; temp went to 101 p/about 3 hrs; pt was fine p/12 hrs;


Changed on 12/24/2020

VAERS ID: 43824 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Kentucky
Vaccinated:1992-07-02
Onset:1992-07-02
Submitted:1992-07-20
Entered:1992-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 326913 / 4 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Pyrexia

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: Proventil
Current Illness: NONE
Preexisting Conditions: poss asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': KY920027

Write-up: pt started having elevated temperature about 2 hrs p/DTP; temp went to 105.7 mom reports say gave APAP & sponge bath; had fever x 12 hrs; temp went to 101 p/about 3 hrs; pt was fine p/12 hrs;


Changed on 12/30/2020

VAERS ID: 43824 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Kentucky
Vaccinated:1992-07-02
Onset:1992-07-02
Submitted:1992-07-20
Entered:1992-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 326913 / 4 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Pyrexia

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: Proventil
Current Illness: NONE
Preexisting Conditions: poss asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': KY920027

Write-up: pt started having elevated temperature about 2 hrs p/DTP; temp went to 105.7 mom reports say gave APAP & sponge bath; had fever x 12 hrs; temp went to 101 p/about 3 hrs; pt was fine p/12 hrs;


Changed on 5/7/2021

VAERS ID: 43824 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Kentucky
Vaccinated:1992-07-02
Onset:1992-07-02
Submitted:1992-07-20
Entered:1992-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 326913 / 4 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Pyrexia

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: Proventil
Current Illness: NONE
Preexisting Conditions: poss asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': KY920027

Write-up: pt started having elevated temperature about 2 hrs p/DTP; temp went to 105.7 mom reports say gave APAP & sponge bath; had fever x 12 hrs; temp went to 101 p/about 3 hrs; pt was fine p/12 hrs;


Changed on 5/21/2021

VAERS ID: 43824 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Kentucky
Vaccinated:1992-07-02
Onset:1992-07-02
Submitted:1992-07-20
Entered:1992-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 326913 / 4 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0103 / 1 LA / SC

Administered by: Public      Purchased by: Public
Symptoms: Pyrexia

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: Proventil
Current Illness: NONE
Preexisting Conditions: poss asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': KY920027

Write-up: pt started having elevated temperature about 2 hrs p/DTP; temp went to 105.7 mom reports say gave APAP & sponge bath; had fever x 12 hrs; temp went to 101 p/about 3 hrs; pt was fine p/12 hrs;

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=43824&WAYBACKHISTORY=ON


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166