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This is VAERS ID 45943

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 45943
VAERS Form:
Age:6.3
Sex:Male
Location:Arkansas
Vaccinated:1992-03-02
Onset:1992-03-02
Submitted:1992-05-18
Entered:1992-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 318909 / 1 RA / IM
IPV: IPV / MERIEUX INST G0102 / 0 LA / SC

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: NONE
CDC 'Split Type': NONE

Write-up: about 3 hrs p/shot pt had fever of 104.8-ran high fever all noc; had already given APAP & continued;


Changed on 12/8/2009

VAERS ID: 45943 Before After
VAERS Form:
Age:6.3
Sex:Male
Location:Arkansas
Vaccinated:1992-03-02
Onset:1992-03-02
Submitted:1992-05-18
Entered:1992-10-06 1992-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 318909 / 1 RA / IM
IPV: IPV POLIO VIRUS, INACT. (NO BRAND NAME) / MERIEUX INST PASTEUR MERIEUX INST. G0102 / 0 LA / SC

Administered by: Public      Purchased by: Unknown Public
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: NONE
CDC 'Split Type': NONE AR9229

Write-up: about 3 hrs p/shot pt had fever of 104.8-ran high fever all noc; had already given APAP & continued;


Changed on 2/14/2017

VAERS ID: 45943 Before After
VAERS Form:
Age:6.3 6.0
Sex:Male
Location:Arkansas
Vaccinated:1992-03-02
Onset:1992-03-02
Submitted:1992-05-18
Entered:1992-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 318909 / 1 RA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0102 / 0 LA / SC

Administered by: Public      Purchased by: Public
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: NONE
CDC 'Split Type': AR9229

Write-up: about 3 hrs p/shot pt had fever of 104.8-ran high fever all noc; had already given APAP & continued;


Changed on 5/14/2017

VAERS ID: 45943 Before After
VAERS Form:
Age:6.0
Sex:Male
Location:Arkansas
Vaccinated:1992-03-02
Onset:1992-03-02
Submitted:1992-05-18
Entered:1992-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 318909 / 1 RA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0102 / 0 LA / SC

Administered by: Public      Purchased by: Public
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: NONE
CDC 'Split Type': AR9229

Write-up: about 3 hrs p/shot pt had fever of 104.8-ran high fever all noc; had already given APAP & continued;


Changed on 9/14/2017

VAERS ID: 45943 Before After
VAERS Form:(blank) 1
Age:6.0
Sex:Male
Location:Arkansas
Vaccinated:1992-03-02
Onset:1992-03-02
Submitted:1992-05-18
Entered:1992-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 318909 / 1 2 RA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0102 / 0 1 LA / SC

Administered by: Public      Purchased by: Public
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: NONE
CDC 'Split Type': AR9229

Write-up: about 3 hrs p/shot pt had fever of 104.8-ran high fever all noc; had already given APAP & continued;


Changed on 2/14/2018

VAERS ID: 45943 Before After
VAERS Form:1
Age:6.0
Sex:Male
Location:Arkansas
Vaccinated:1992-03-02
Onset:1992-03-02
Submitted:1992-05-18
Entered:1992-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 318909 / 2 RA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0102 / 1 LA / SC

Administered by: Public      Purchased by: Public
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: NONE
CDC 'Split Type': AR9229

Write-up: about 3 hrs p/shot pt had fever of 104.8-ran high fever all noc; had already given APAP & continued;


Changed on 6/14/2018

VAERS ID: 45943 Before After
VAERS Form:1
Age:6.0
Sex:Male
Location:Arkansas
Vaccinated:1992-03-02
Onset:1992-03-02
Submitted:1992-05-18
Entered:1992-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 318909 / 2 RA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0102 / 1 LA / SC

Administered by: Public      Purchased by: Public
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: NONE
CDC 'Split Type': AR9229

Write-up: about 3 hrs p/shot pt had fever of 104.8-ran high fever all noc; had already given APAP & continued;


Changed on 8/14/2018

VAERS ID: 45943 Before After
VAERS Form:1
Age:6.0
Sex:Male
Location:Arkansas
Vaccinated:1992-03-02
Onset:1992-03-02
Submitted:1992-05-18
Entered:1992-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 318909 / 2 RA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0102 / 1 LA / SC

Administered by: Public      Purchased by: Public
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: NONE
CDC 'Split Type': AR9229

Write-up: about 3 hrs p/shot pt had fever of 104.8-ran high fever all noc; had already given APAP & continued;


Changed on 9/14/2018

VAERS ID: 45943 Before After
VAERS Form:1
Age:6.0
Sex:Male
Location:Arkansas
Vaccinated:1992-03-02
Onset:1992-03-02
Submitted:1992-05-18
Entered:1992-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 318909 / 2 RA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0102 / 1 LA / SC

Administered by: Public      Purchased by: Public
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: NONE
CDC 'Split Type': AR9229

Write-up: about 3 hrs p/shot pt had fever of 104.8-ran high fever all noc; had already given APAP & continued;


Changed on 10/14/2018

VAERS ID: 45943 Before After
VAERS Form:1
Age:6.0
Sex:Male
Location:Arkansas
Vaccinated:1992-03-02
Onset:1992-03-02
Submitted:1992-05-18
Entered:1992-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 318909 / 2 RA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0102 / 1 LA / SC

Administered by: Public      Purchased by: Public
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: NONE
CDC 'Split Type': AR9229

Write-up: about 3 hrs p/shot pt had fever of 104.8-ran high fever all noc; had already given APAP & continued;


Changed on 12/24/2020

VAERS ID: 45943 Before After
VAERS Form:1
Age:6.0
Sex:Male
Location:Arkansas
Vaccinated:1992-03-02
Onset:1992-03-02
Submitted:1992-05-18
Entered:1992-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 318909 / 2 RA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0102 / 1 LA / SC

Administered by: Public      Purchased by: Public
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: NONE
CDC 'Split Type': AR9229

Write-up: about 3 hrs p/shot pt had fever of 104.8-ran high fever all noc; had already given APAP & continued;


Changed on 12/30/2020

VAERS ID: 45943 Before After
VAERS Form:1
Age:6.0
Sex:Male
Location:Arkansas
Vaccinated:1992-03-02
Onset:1992-03-02
Submitted:1992-05-18
Entered:1992-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 318909 / 2 RA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0102 / 1 LA / SC

Administered by: Public      Purchased by: Public
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: NONE
CDC 'Split Type': AR9229

Write-up: about 3 hrs p/shot pt had fever of 104.8-ran high fever all noc; had already given APAP & continued;


Changed on 5/7/2021

VAERS ID: 45943 Before After
VAERS Form:1
Age:6.0
Sex:Male
Location:Arkansas
Vaccinated:1992-03-02
Onset:1992-03-02
Submitted:1992-05-18
Entered:1992-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 318909 / 2 RA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0102 / 1 LA / SC

Administered by: Public      Purchased by: Public
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: NONE
CDC 'Split Type': AR9229

Write-up: about 3 hrs p/shot pt had fever of 104.8-ran high fever all noc; had already given APAP & continued;


Changed on 5/21/2021

VAERS ID: 45943 Before After
VAERS Form:1
Age:6.0
Sex:Male
Location:Arkansas
Vaccinated:1992-03-02
Onset:1992-03-02
Submitted:1992-05-18
Entered:1992-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 318909 / 2 RA / IM
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / PASTEUR MERIEUX INST. G0102 / 1 LA / SC

Administered by: Public      Purchased by: Public
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: NONE
CDC 'Split Type': AR9229

Write-up: about 3 hrs p/shot pt had fever of 104.8-ran high fever all noc; had already given APAP & continued;

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