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This is VAERS ID 44539

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 44539
VAERS Form:
Age:0.6
Sex:Female
Location:Texas
Vaccinated:1992-07-27
Onset:1992-07-28
Submitted:1992-07-28
Entered:1992-08-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 2H31039 / 1 LL / -
HEP: ENGERIX-B / SMITHKLINE 821B2 / 1 LL / -
HIBV: HIBTITER / LEDERLE(PRAXIS) M525JB / 1 LL / -
OPV: ORIMUNE / LEDERLE 0653D / 1 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, EDEMA FACE, URTICARIA

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: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: CBC, sed rate;
CDC 'Split Type': NKA

Write-up: febrile 105, face edematous, urticaria on face, ears, upper & lower extremities;


Changed on 12/8/2009

VAERS ID: 44539 Before After
VAERS Form:
Age:0.6
Sex:Female
Location:Texas
Vaccinated:1992-07-27
Onset:1992-07-28
Submitted:1992-07-28
Entered:1992-08-26 1992-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 2H31039 / 1 LL / -
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 821B2 / 1 LL / -
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M525JB / 1 LL / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 0653D / 1 - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Face oedema, Pyrexia, Urticaria, FEVER, EDEMA FACE, URTICARIA

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: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: CBC, sed rate;
CDC 'Split Type': NKA (blank)

Write-up: febrile 105, face edematous, urticaria on face, ears, upper & lower extremities;


Changed on 5/14/2017

VAERS ID: 44539 Before After
VAERS Form:
Age:0.6
Sex:Female
Location:Texas
Vaccinated:1992-07-27
Onset:1992-07-28
Submitted:1992-07-28
Entered:1992-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2H31039 / 1 LL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 821B2 / 1 LL / -
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M525JB / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 0653D / 1 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Urticaria

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: NONE NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: CBC, sed rate;
CDC 'Split Type':

Write-up: febrile 105, face edematous, urticaria on face, ears, upper & lower extremities;


Changed on 9/14/2017

VAERS ID: 44539 Before After
VAERS Form:(blank) 1
Age:0.6
Sex:Female
Location:Texas
Vaccinated:1992-07-27
Onset:1992-07-28
Submitted:1992-07-28
Entered:1992-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2H31039 / 1 2 LL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 821B2 / 1 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M525JB / 1 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0653D / 1 2 - MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Urticaria

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: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: CBC, sed rate;
CDC 'Split Type':

Write-up: febrile 105, face edematous, urticaria on face, ears, upper & lower extremities;


Changed on 2/14/2018

VAERS ID: 44539 Before After
VAERS Form:1
Age:0.6
Sex:Female
Location:Texas
Vaccinated:1992-07-27
Onset:1992-07-28
Submitted:1992-07-28
Entered:1992-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2H31039 / 2 LL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 821B2 / 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M525JB / 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0653D / 2 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Urticaria

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: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: CBC, sed rate;
CDC 'Split Type':

Write-up: febrile 105, face edematous, urticaria on face, ears, upper & lower extremities;


Changed on 6/14/2018

VAERS ID: 44539 Before After
VAERS Form:1
Age:0.6
Sex:Female
Location:Texas
Vaccinated:1992-07-27
Onset:1992-07-28
Submitted:1992-07-28
Entered:1992-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2H31039 / 2 LL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 821B2 / 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M525JB / 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0653D / 2 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Urticaria

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: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: CBC, sed rate;
CDC 'Split Type':

Write-up: febrile 105, face edematous, urticaria on face, ears, upper & lower extremities;


Changed on 8/14/2018

VAERS ID: 44539 Before After
VAERS Form:1
Age:0.6
Sex:Female
Location:Texas
Vaccinated:1992-07-27
Onset:1992-07-28
Submitted:1992-07-28
Entered:1992-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2H31039 / 2 LL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 821B2 / 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M525JB / 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0653D / 2 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Urticaria

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: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: CBC, sed rate;
CDC 'Split Type':

Write-up: febrile 105, face edematous, urticaria on face, ears, upper & lower extremities;


Changed on 9/14/2018

VAERS ID: 44539 Before After
VAERS Form:1
Age:0.6
Sex:Female
Location:Texas
Vaccinated:1992-07-27
Onset:1992-07-28
Submitted:1992-07-28
Entered:1992-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2H31039 / 2 LL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 821B2 / 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M525JB / 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0653D / 2 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Urticaria

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: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: CBC, sed rate;
CDC 'Split Type':

Write-up: febrile 105, face edematous, urticaria on face, ears, upper & lower extremities;


Changed on 10/14/2018

VAERS ID: 44539 Before After
VAERS Form:1
Age:0.6
Sex:Female
Location:Texas
Vaccinated:1992-07-27
Onset:1992-07-28
Submitted:1992-07-28
Entered:1992-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2H31039 / 2 LL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 821B2 / 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M525JB / 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0653D / 2 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Face oedema, Pyrexia, Urticaria

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: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: NKA
Allergies:
Diagnostic Lab Data: CBC, sed rate;
CDC 'Split Type':

Write-up: febrile 105, face edematous, urticaria on face, ears, upper & lower extremities;

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