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This is VAERS ID 44997

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 44997
VAERS Form:
Age:1.3
Sex:Male
Location:Idaho
Vaccinated:1992-07-29
Onset:1992-07-29
Submitted:1992-08-10
Entered:1992-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER / LEDERLE(PRAXIS) M575HJ / 3 LL / IM
IPV: IPV / MERIEUX INST G0100 / 2 RL / SC
MMR: MMR II / MSD 0975T / 0 LA / SC

Administered by: Unknown      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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt devel t102-104 ax; APAP used to keep fever down; elevated temp lasted for 24-48 hrs;


Changed on 12/8/2009

VAERS ID: 44997 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:Idaho
Vaccinated:1992-07-29
Onset:1992-07-29
Submitted:1992-08-10
Entered:1992-09-17 1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
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. G0100 / 2 RL / SC
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0975T / 0 LA / SC

Administered by: Unknown      Purchased by: Unknown
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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) ID92056

Write-up: pt devel t102-104 ax; APAP used to keep fever down; elevated temp lasted for 24-48 hrs;


Changed on 5/14/2017

VAERS ID: 44997 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:Idaho
Vaccinated:1992-07-29
Onset:1992-07-29
Submitted:1992-08-10
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M575HJ / 3 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0100 / 2 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0975T / 0 LA / SC

Administered by: Unknown      Purchased by: Unknown
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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID92056

Write-up: pt devel t102-104 ax; APAP used to keep fever down; elevated temp lasted for 24-48 hrs;


Changed on 9/14/2017

VAERS ID: 44997 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Male
Location:Idaho
Vaccinated:1992-07-29
Onset:1992-07-29
Submitted:1992-08-10
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 3 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0100 / 2 3 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0975T / 0 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID92056

Write-up: pt devel t102-104 ax; APAP used to keep fever down; elevated temp lasted for 24-48 hrs;


Changed on 2/14/2018

VAERS ID: 44997 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Idaho
Vaccinated:1992-07-29
Onset:1992-07-29
Submitted:1992-08-10
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0100 / 3 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0975T / 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID92056

Write-up: pt devel t102-104 ax; APAP used to keep fever down; elevated temp lasted for 24-48 hrs;


Changed on 6/14/2018

VAERS ID: 44997 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Idaho
Vaccinated:1992-07-29
Onset:1992-07-29
Submitted:1992-08-10
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0100 / 3 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0975T / 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID92056

Write-up: pt devel t102-104 ax; APAP used to keep fever down; elevated temp lasted for 24-48 hrs;


Changed on 8/14/2018

VAERS ID: 44997 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Idaho
Vaccinated:1992-07-29
Onset:1992-07-29
Submitted:1992-08-10
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0100 / 3 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0975T / 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID92056

Write-up: pt devel t102-104 ax; APAP used to keep fever down; elevated temp lasted for 24-48 hrs;


Changed on 9/14/2018

VAERS ID: 44997 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Idaho
Vaccinated:1992-07-29
Onset:1992-07-29
Submitted:1992-08-10
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0100 / 3 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0975T / 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID92056

Write-up: pt devel t102-104 ax; APAP used to keep fever down; elevated temp lasted for 24-48 hrs;


Changed on 10/14/2018

VAERS ID: 44997 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Idaho
Vaccinated:1992-07-29
Onset:1992-07-29
Submitted:1992-08-10
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0100 / 3 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0975T / 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID92056

Write-up: pt devel t102-104 ax; APAP used to keep fever down; elevated temp lasted for 24-48 hrs;


Changed on 12/24/2020

VAERS ID: 44997 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Idaho
Vaccinated:1992-07-29
Onset:1992-07-29
Submitted:1992-08-10
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0100 / 3 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0975T / 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID92056

Write-up: pt devel t102-104 ax; APAP used to keep fever down; elevated temp lasted for 24-48 hrs;


Changed on 12/30/2020

VAERS ID: 44997 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Idaho
Vaccinated:1992-07-29
Onset:1992-07-29
Submitted:1992-08-10
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0100 / 3 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0975T / 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID92056

Write-up: pt devel t102-104 ax; APAP used to keep fever down; elevated temp lasted for 24-48 hrs;


Changed on 5/7/2021

VAERS ID: 44997 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Idaho
Vaccinated:1992-07-29
Onset:1992-07-29
Submitted:1992-08-10
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0100 / 3 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0975T / 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID92056

Write-up: pt devel t102-104 ax; APAP used to keep fever down; elevated temp lasted for 24-48 hrs;


Changed on 5/21/2021

VAERS ID: 44997 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Idaho
Vaccinated:1992-07-29
Onset:1992-07-29
Submitted:1992-08-10
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M575HJ / 4 LL / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0100 / 3 RL / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0975T / 1 LA / SC

Administered by: Unknown      Purchased by: Unknown
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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ID92056

Write-up: pt devel t102-104 ax; APAP used to keep fever down; elevated temp lasted for 24-48 hrs;

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