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This is VAERS ID 45323

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 45323
VAERS Form:
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-20
Onset:1992-08-26
Submitted:1992-09-03
Entered:1992-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 330912 / 2 LL / IM
HEP: HEPTAVAX / MSD 0856V / 0 RL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M695HL / 2 RL / IM
OPV: ORIMUNE / LEDERLE 332969 / 2 - / PO

Administered by: Public      Purchased by: Unknown
Symptoms: CONVULS, FEVER, EDEMA BRAIN

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up: devel t104.5 & sz 26AGU92; seen in ER & adm ti ICU for 2 1/2 days; rx seizure medicine; grandma states had some fluid on brian;


Changed on 12/8/2009

VAERS ID: 45323 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-20
Onset:1992-08-26
Submitted:1992-09-03
Entered:1992-09-23 1992-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 330912 / 2 LL / IM
HEP: HEPTAVAX HEP B (HEPTAVAX) / MSD MERCK & CO. INC. 0856V / 0 RL / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M695HL / 2 RL / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 332969 / 2 - / PO

Administered by: Public      Purchased by: Unknown Public
Symptoms: Convulsion, Pyrexia, Brain oedema, CONVULS, FEVER, EDEMA BRAIN

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) SC92114

Write-up: devel t104.5 & sz 26AGU92; seen in ER & adm ti ICU for 2 1/2 days; rx seizure medicine; grandma states had some fluid on brian;


Changed on 8/31/2010

VAERS ID: 45323 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-20
Onset:1992-08-26
Submitted:1992-09-03
Entered:1992-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 2 LL / IM
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. 0856V / 0 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M695HL / 2 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 332969 / 2 - / PO

Administered by: Public      Purchased by: Public
Symptoms: Convulsion, Pyrexia, Brain oedema

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': SC92114

Write-up: devel t104.5 & sz 26AGU92; seen in ER & adm ti ICU for 2 1/2 days; rx seizure medicine; grandma states had some fluid on brian;


Changed on 2/13/2013

VAERS ID: 45323 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-20
Onset:1992-08-26
Submitted:1992-09-03
Entered:1992-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 2 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0856V / 0 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M695HL / 2 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 332969 / 2 - / PO

Administered by: Public Unknown      Purchased by: Public Unknown
Symptoms: Convulsion, Pyrexia, Brain oedema

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': SC92114

Write-up: devel t104.5 & sz 26AGU92; seen in ER & adm ti ICU for 2 1/2 days; rx seizure medicine; grandma states had some fluid on brian; brain;


Changed on 6/14/2014

VAERS ID: 45323 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-20
Onset:1992-08-26
Submitted:1992-09-03
Entered:1992-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 2 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0856V / 0 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 332969 / 2 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia, Brain oedema

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': SC92114

Write-up: devel t104.5 & sz 26AGU92; seen in ER & adm ti ICU for 2 1/2 days; rx seizure medicine; grandma states had some fluid on brain;


Changed on 3/14/2015

VAERS ID: 45323 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:South Carolina
Vaccinated:1992-08-20
Onset:1992-08-26
Submitted:1992-09-03
Entered:1992-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 2 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0856V / 0 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 332969 / 2 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia, Brain oedema

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': SC92114

Write-up: devel t104.5 & sz 26AGU92; seen in ER & adm ti ICU for 2 1/2 days; rx seizure medicine; grandma states had some fluid on brain;


Changed on 2/14/2017

VAERS ID: 45323 Before After
VAERS Form:
Age:0.5 0.51
Sex:Female
Location:South Carolina
Vaccinated:1992-08-20
Onset:1992-08-26
Submitted:1992-09-03
Entered:1992-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 2 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0856V / 0 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 332969 / 2 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia, Brain oedema

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': SC92114

Write-up: devel t104.5 & sz 26AGU92; seen in ER & adm ti ICU for 2 1/2 days; rx seizure medicine; grandma states had some fluid on brain;


Changed on 9/14/2017

VAERS ID: 45323 Before After
VAERS Form:(blank) 1
Age:0.51
Sex:Female
Location:South Carolina
Vaccinated:1992-08-20
Onset:1992-08-26
Submitted:1992-09-03
Entered:1992-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 2 3 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0856V / 0 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 2 3 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 332969 / 2 3 - MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia, Brain oedema

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': SC92114

Write-up: devel t104.5 & sz 26AGU92; seen in ER & adm ti ICU for 2 1/2 days; rx seizure medicine; grandma states had some fluid on brain;


Changed on 2/14/2018

VAERS ID: 45323 Before After
VAERS Form:1
Age:0.51
Sex:Female
Location:South Carolina
Vaccinated:1992-08-20
Onset:1992-08-26
Submitted:1992-09-03
Entered:1992-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 3 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0856V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 3 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 332969 / 3 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia, Brain oedema

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': SC92114

Write-up: devel t104.5 & sz 26AGU92; seen in ER & adm ti ICU for 2 1/2 days; rx seizure medicine; grandma states had some fluid on brain;


Changed on 6/14/2018

VAERS ID: 45323 Before After
VAERS Form:1
Age:0.51
Sex:Female
Location:South Carolina
Vaccinated:1992-08-20
Onset:1992-08-26
Submitted:1992-09-03
Entered:1992-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 3 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0856V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 3 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 332969 / 3 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia, Brain oedema

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': SC92114

Write-up: devel t104.5 & sz 26AGU92; seen in ER & adm ti ICU for 2 1/2 days; rx seizure medicine; grandma states had some fluid on brain;


Changed on 8/14/2018

VAERS ID: 45323 Before After
VAERS Form:1
Age:0.51
Sex:Female
Location:South Carolina
Vaccinated:1992-08-20
Onset:1992-08-26
Submitted:1992-09-03
Entered:1992-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 3 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0856V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 3 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 332969 / 3 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia, Brain oedema

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': SC92114

Write-up: devel t104.5 & sz 26AGU92; seen in ER & adm ti ICU for 2 1/2 days; rx seizure medicine; grandma states had some fluid on brain;


Changed on 9/14/2018

VAERS ID: 45323 Before After
VAERS Form:1
Age:0.51
Sex:Female
Location:South Carolina
Vaccinated:1992-08-20
Onset:1992-08-26
Submitted:1992-09-03
Entered:1992-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 3 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0856V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 3 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 332969 / 3 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia, Brain oedema

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': SC92114

Write-up: devel t104.5 & sz 26AGU92; seen in ER & adm ti ICU for 2 1/2 days; rx seizure medicine; grandma states had some fluid on brain;


Changed on 10/14/2018

VAERS ID: 45323 Before After
VAERS Form:1
Age:0.51
Sex:Female
Location:South Carolina
Vaccinated:1992-08-20
Onset:1992-08-26
Submitted:1992-09-03
Entered:1992-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 330912 / 3 LL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 0856V / 1 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M695HL / 3 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 332969 / 3 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia, Brain oedema

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': SC92114

Write-up: devel t104.5 & sz 26AGU92; seen in ER & adm ti ICU for 2 1/2 days; rx seizure medicine; grandma states had some fluid on brain;

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