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This is VAERS ID 45007

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 45007
VAERS Form:
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-06
Onset:1992-08-06
Submitted:1992-09-04
Entered:1992-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 320905 / 2 RL / -
HEP: HEPTAVAX / MSD 2024T / 0 LL / -
HIBV: HIBTITER / LEDERLE(PRAXIS) M695HL / 2 LL / -

Administered by: Public      Purchased by: Unknown
Symptoms: AGITATION, FEVER, SCREAMING SYND

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

Write-up: morning of 6AUG92 pt recvd DTP/HIB/Hep B vax & 2 hrs p/returning home pt cont crying w/fever of 101; mom notified MD; no office visit; vigorous crying & t101 cont x 2 days;


Changed on 12/8/2009

VAERS ID: 45007 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-06
Onset:1992-08-06
Submitted:1992-09-04
Entered:1992-09-17 1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 320905 / 2 RL / -
HEP: HEPTAVAX HEP B (HEPTAVAX) / MSD MERCK & CO. INC. 2024T / 0 LL / -
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M695HL / 2 LL / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Agitation, Pyrexia, Screaming, AGITATION, FEVER, SCREAMING SYND

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': NONE SC92106

Write-up: morning of 6AUG92 pt recvd DTP/HIB/Hep B vax & 2 hrs p/returning home pt cont crying w/fever of 101; mom notified MD; no office visit; vigorous crying & t101 cont x 2 days;


Changed on 8/31/2010

VAERS ID: 45007 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-06
Onset:1992-08-06
Submitted:1992-09-04
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 2 RL / -
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. 2024T / 0 LL / -
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M695HL / 2 LL / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Pyrexia, Screaming

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': SC92106

Write-up: morning of 6AUG92 pt recvd DTP/HIB/Hep B vax & 2 hrs p/returning home pt cont crying w/fever of 101; mom notified MD; no office visit; vigorous crying & t101 cont x 2 days;


Changed on 5/14/2017

VAERS ID: 45007 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-06
Onset:1992-08-06
Submitted:1992-09-04
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 2 RL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2024T / 0 LL / -
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M695HL / 2 LL / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Pyrexia, Screaming

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': SC92106

Write-up: morning of 6AUG92 pt recvd DTP/HIB/Hep B vax & 2 hrs p/returning home pt cont crying w/fever of 101; mom notified MD; no office visit; vigorous crying & t101 cont x 2 days;


Changed on 9/14/2017

VAERS ID: 45007 Before After
VAERS Form:(blank) 1
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-06
Onset:1992-08-06
Submitted:1992-09-04
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 2 3 RL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2024T / 0 1 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 3 LL / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Pyrexia, Screaming

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': SC92106

Write-up: morning of 6AUG92 pt recvd DTP/HIB/Hep B vax & 2 hrs p/returning home pt cont crying w/fever of 101; mom notified MD; no office visit; vigorous crying & t101 cont x 2 days;


Changed on 2/14/2018

VAERS ID: 45007 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-06
Onset:1992-08-06
Submitted:1992-09-04
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 3 RL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2024T / 1 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 3 LL / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Pyrexia, Screaming

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': SC92106

Write-up: morning of 6AUG92 pt recvd DTP/HIB/Hep B vax & 2 hrs p/returning home pt cont crying w/fever of 101; mom notified MD; no office visit; vigorous crying & t101 cont x 2 days;


Changed on 6/14/2018

VAERS ID: 45007 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-06
Onset:1992-08-06
Submitted:1992-09-04
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 3 RL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2024T / 1 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 3 LL / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Pyrexia, Screaming

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': SC92106

Write-up: morning of 6AUG92 pt recvd DTP/HIB/Hep B vax & 2 hrs p/returning home pt cont crying w/fever of 101; mom notified MD; no office visit; vigorous crying & t101 cont x 2 days;


Changed on 8/14/2018

VAERS ID: 45007 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-06
Onset:1992-08-06
Submitted:1992-09-04
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 3 RL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2024T / 1 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 3 LL / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Pyrexia, Screaming

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': SC92106

Write-up: morning of 6AUG92 pt recvd DTP/HIB/Hep B vax & 2 hrs p/returning home pt cont crying w/fever of 101; mom notified MD; no office visit; vigorous crying & t101 cont x 2 days;


Changed on 9/14/2018

VAERS ID: 45007 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-06
Onset:1992-08-06
Submitted:1992-09-04
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 3 RL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2024T / 1 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 3 LL / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Pyrexia, Screaming

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': SC92106

Write-up: morning of 6AUG92 pt recvd DTP/HIB/Hep B vax & 2 hrs p/returning home pt cont crying w/fever of 101; mom notified MD; no office visit; vigorous crying & t101 cont x 2 days;


Changed on 10/14/2018

VAERS ID: 45007 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-06
Onset:1992-08-06
Submitted:1992-09-04
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 320905 / 3 RL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 2024T / 1 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 3 LL / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Pyrexia, Screaming

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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': SC92106

Write-up: morning of 6AUG92 pt recvd DTP/HIB/Hep B vax & 2 hrs p/returning home pt cont crying w/fever of 101; mom notified MD; no office visit; vigorous crying & t101 cont x 2 days;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=45007&WAYBACKHISTORY=ON


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