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This is VAERS ID 46019

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 46019
VAERS Form:
Age:1.3
Sex:Female
Location:Illinois
Vaccinated:1992-07-30
Onset:1992-08-02
Submitted:1992-09-28
Entered:1992-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER / LEDERLE(PRAXIS) M665HH / 3 RL / -
MMR: MMR II / MSD 0495V / 0 LL / -

Administered by: Private      Purchased by: Unknown
Symptoms: PHARYNGITIS, OTITIS MED, FEBRILE SEIZURE

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: prior hx of febrile seizure 31MAR92
Allergies:
Diagnostic Lab Data: EEG
CDC 'Split Type': prior hx of febrile seizure 31MAR92

Write-up: Pt had febrile seizure x 2; also had OM & pharyngitis @ same time; adm to hosp for further rx & dx complex febrile seizure about 12 minutes in duration;


Changed on 12/8/2009

VAERS ID: 46019 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Illinois
Vaccinated:1992-07-30
Onset:1992-08-02
Submitted:1992-09-28
Entered:1992-10-08 1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M665HH / 3 RL / -
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0495V / 0 LL / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Febrile convulsion, Otitis media, Pharyngitis, PHARYNGITIS, OTITIS MED, FEBRILE SEIZURE

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: prior hx of febrile seizure 31MAR92
Allergies:
Diagnostic Lab Data: EEG
CDC 'Split Type': prior hx of febrile seizure 31MAR92 (blank)

Write-up: Pt had febrile seizure x 2; also had OM & pharyngitis @ same time; adm to hosp for further rx & dx complex febrile seizure about 12 minutes in duration;


Changed on 5/14/2017

VAERS ID: 46019 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Illinois
Vaccinated:1992-07-30
Onset:1992-08-02
Submitted:1992-09-28
Entered:1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M665HH / 3 RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0495V / 0 LL / -

Administered by: Private      Purchased by: Private
Symptoms: Febrile convulsion, Otitis media, Pharyngitis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: prior hx of febrile seizure 31MAR92
Allergies:
Diagnostic Lab Data: EEG
CDC 'Split Type':

Write-up: Pt had febrile seizure x 2; also had OM & pharyngitis @ same time; adm to hosp for further rx & dx complex febrile seizure about 12 minutes in duration;


Changed on 9/14/2017

VAERS ID: 46019 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Female
Location:Illinois
Vaccinated:1992-07-30
Onset:1992-08-02
Submitted:1992-09-28
Entered:1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 3 4 RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0495V / 0 1 LL / -

Administered by: Private      Purchased by: Private
Symptoms: Febrile convulsion, Otitis media, Pharyngitis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: prior hx of febrile seizure 31MAR92
Allergies:
Diagnostic Lab Data: EEG
CDC 'Split Type':

Write-up: Pt had febrile seizure x 2; also had OM & pharyngitis @ same time; adm to hosp for further rx & dx complex febrile seizure about 12 minutes in duration;


Changed on 2/14/2018

VAERS ID: 46019 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Illinois
Vaccinated:1992-07-30
Onset:1992-08-02
Submitted:1992-09-28
Entered:1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 4 RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0495V / 1 LL / -

Administered by: Private      Purchased by: Private
Symptoms: Febrile convulsion, Otitis media, Pharyngitis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: prior hx of febrile seizure 31MAR92
Allergies:
Diagnostic Lab Data: EEG
CDC 'Split Type':

Write-up: Pt had febrile seizure x 2; also had OM & pharyngitis @ same time; adm to hosp for further rx & dx complex febrile seizure about 12 minutes in duration;


Changed on 6/14/2018

VAERS ID: 46019 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Illinois
Vaccinated:1992-07-30
Onset:1992-08-02
Submitted:1992-09-28
Entered:1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 4 RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0495V / 1 LL / -

Administered by: Private      Purchased by: Private
Symptoms: Febrile convulsion, Otitis media, Pharyngitis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: prior hx of febrile seizure 31MAR92
Allergies:
Diagnostic Lab Data: EEG
CDC 'Split Type':

Write-up: Pt had febrile seizure x 2; also had OM & pharyngitis @ same time; adm to hosp for further rx & dx complex febrile seizure about 12 minutes in duration;


Changed on 8/14/2018

VAERS ID: 46019 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Illinois
Vaccinated:1992-07-30
Onset:1992-08-02
Submitted:1992-09-28
Entered:1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 4 RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0495V / 1 LL / -

Administered by: Private      Purchased by: Private
Symptoms: Febrile convulsion, Otitis media, Pharyngitis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: prior hx of febrile seizure 31MAR92
Allergies:
Diagnostic Lab Data: EEG
CDC 'Split Type':

Write-up: Pt had febrile seizure x 2; also had OM & pharyngitis @ same time; adm to hosp for further rx & dx complex febrile seizure about 12 minutes in duration;


Changed on 9/14/2018

VAERS ID: 46019 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Illinois
Vaccinated:1992-07-30
Onset:1992-08-02
Submitted:1992-09-28
Entered:1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 4 RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0495V / 1 LL / -

Administered by: Private      Purchased by: Private
Symptoms: Febrile convulsion, Otitis media, Pharyngitis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: prior hx of febrile seizure 31MAR92
Allergies:
Diagnostic Lab Data: EEG
CDC 'Split Type':

Write-up: Pt had febrile seizure x 2; also had OM & pharyngitis @ same time; adm to hosp for further rx & dx complex febrile seizure about 12 minutes in duration;


Changed on 10/14/2018

VAERS ID: 46019 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Illinois
Vaccinated:1992-07-30
Onset:1992-08-02
Submitted:1992-09-28
Entered:1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 4 RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0495V / 1 LL / -

Administered by: Private      Purchased by: Private
Symptoms: Febrile convulsion, Otitis media, Pharyngitis

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: prior hx of febrile seizure 31MAR92
Allergies:
Diagnostic Lab Data: EEG
CDC 'Split Type':

Write-up: Pt had febrile seizure x 2; also had OM & pharyngitis @ same time; adm to hosp for further rx & dx complex febrile seizure about 12 minutes in duration;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=46019&WAYBACKHISTORY=ON


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