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This is VAERS ID 45010

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 45010
VAERS Form:
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1992-07-14
Onset:1992-07-14
Submitted:1992-09-09
Entered:1992-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 330912 / 1 RL / IM
HEP: HEPTAVAX / MSD 0104V / 0 LL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M695HL / 1 LL / IM
OPV: ORIMUNE / LEDERLE 324939 / 1 - / PO

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

Write-up: mom states beginning 14JUL92 PM pt had t103 R; APAP given w/mild relief of temp but elevated again w/in 4 hrs to 103; temp stable by day #2 PM; MD advised to withold Pertussis;


Changed on 12/8/2009

VAERS ID: 45010 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1992-07-14
Onset:1992-07-14
Submitted:1992-09-09
Entered:1992-09-17 1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 330912 / 1 RL / IM
HEP: HEPTAVAX HEP B (HEPTAVAX) / MSD MERCK & CO. INC. 0104V / 0 LL / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M695HL / 1 LL / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 324939 / 1 - / PO

Administered by: Public      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)? 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:
CDC 'Split Type': NONE SC92109

Write-up: mom states beginning 14JUL92 PM pt had t103 R; APAP given w/mild relief of temp but elevated again w/in 4 hrs to 103; temp stable by day #2 PM; MD advised to withold Pertussis;


Changed on 8/31/2010

VAERS ID: 45010 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1992-07-14
Onset:1992-07-14
Submitted:1992-09-09
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 1 RL / IM
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. 0104V / 0 LL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M695HL / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 324939 / 1 - / PO

Administered by: Public      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)? 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:
CDC 'Split Type': SC92109

Write-up: mom states beginning 14JUL92 PM pt had t103 R; APAP given w/mild relief of temp but elevated again w/in 4 hrs to 103; temp stable by day #2 PM; MD advised to withold Pertussis;


Changed on 5/14/2017

VAERS ID: 45010 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1992-07-14
Onset:1992-07-14
Submitted:1992-09-09
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 1 RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0104V / 0 LL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M695HL / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 324939 / 1 - / PO

Administered by: Public      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)? 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:
CDC 'Split Type': SC92109

Write-up: mom states beginning 14JUL92 PM pt had t103 R; APAP given w/mild relief of temp but elevated again w/in 4 hrs to 103; temp stable by day #2 PM; MD advised to withold Pertussis;


Changed on 9/14/2017

VAERS ID: 45010 Before After
VAERS Form:(blank) 1
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1992-07-14
Onset:1992-07-14
Submitted:1992-09-09
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 1 2 RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0104V / 0 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 1 2 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324939 / 1 2 - MO / PO

Administered by: Public      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)? 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:
CDC 'Split Type': SC92109

Write-up: mom states beginning 14JUL92 PM pt had t103 R; APAP given w/mild relief of temp but elevated again w/in 4 hrs to 103; temp stable by day #2 PM; MD advised to withold Pertussis;


Changed on 2/14/2018

VAERS ID: 45010 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1992-07-14
Onset:1992-07-14
Submitted:1992-09-09
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 2 RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0104V / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324939 / 2 MO / PO

Administered by: Public      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)? 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:
CDC 'Split Type': SC92109

Write-up: mom states beginning 14JUL92 PM pt had t103 R; APAP given w/mild relief of temp but elevated again w/in 4 hrs to 103; temp stable by day #2 PM; MD advised to withold Pertussis;


Changed on 6/14/2018

VAERS ID: 45010 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1992-07-14
Onset:1992-07-14
Submitted:1992-09-09
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 2 RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0104V / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324939 / 2 MO / PO

Administered by: Public      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)? 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:
CDC 'Split Type': SC92109

Write-up: mom states beginning 14JUL92 PM pt had t103 R; APAP given w/mild relief of temp but elevated again w/in 4 hrs to 103; temp stable by day #2 PM; MD advised to withold Pertussis;


Changed on 8/14/2018

VAERS ID: 45010 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1992-07-14
Onset:1992-07-14
Submitted:1992-09-09
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 2 RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0104V / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324939 / 2 MO / PO

Administered by: Public      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)? 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:
CDC 'Split Type': SC92109

Write-up: mom states beginning 14JUL92 PM pt had t103 R; APAP given w/mild relief of temp but elevated again w/in 4 hrs to 103; temp stable by day #2 PM; MD advised to withold Pertussis;


Changed on 9/14/2018

VAERS ID: 45010 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1992-07-14
Onset:1992-07-14
Submitted:1992-09-09
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 2 RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0104V / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324939 / 2 MO / PO

Administered by: Public      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)? 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:
CDC 'Split Type': SC92109

Write-up: mom states beginning 14JUL92 PM pt had t103 R; APAP given w/mild relief of temp but elevated again w/in 4 hrs to 103; temp stable by day #2 PM; MD advised to withold Pertussis;


Changed on 10/14/2018

VAERS ID: 45010 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1992-07-14
Onset:1992-07-14
Submitted:1992-09-09
Entered:1992-09-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 2 RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0104V / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324939 / 2 MO / PO

Administered by: Public      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)? 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:
CDC 'Split Type': SC92109

Write-up: mom states beginning 14JUL92 PM pt had t103 R; APAP given w/mild relief of temp but elevated again w/in 4 hrs to 103; temp stable by day #2 PM; MD advised to withold Pertussis;

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