National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 46020

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 46020
VAERS Form:
Age:0.2
Sex:Female
Location:New York
Vaccinated:1992-09-22
Onset:0000-00-00
Submitted:1992-10-01
Entered:1992-10-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 322914 / 0 RL / -
HEP: RECOMBIVAX HB / MSD 1062V / 1 RA / -
HIBV: HIBTITER / LEDERLE(PRAXIS) M605JD / 0 LL / -
OPV: ORIMUNE / LEDERLE 324938 / 0 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: REACT UNEVAL

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: ? unk notified by CPS of pt''s death;


Changed on 12/8/2009

VAERS ID: 46020 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:New York
Vaccinated:1992-09-22
Onset:0000-00-00
Submitted:1992-10-01
Entered:1992-10-08 1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 322914 / 0 RL / -
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 1062V / 1 RA / -
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M605JD / 0 LL / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 324938 / 0 - / PO

Administered by: Private      Purchased by: Unknown Public
Symptoms: Unevaluable event, REACT UNEVAL

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: ? unk notified by CPS of pt''s death;


Changed on 5/14/2017

VAERS ID: 46020 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:New York
Vaccinated:1992-09-22
Onset:0000-00-00
Submitted:1992-10-01
Entered:1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 322914 / 0 RL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1062V / 1 RA / -
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M605JD / 0 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 324938 / 0 - / PO

Administered by: Private      Purchased by: Public
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: ? unk notified by CPS of pt''s death;


Changed on 9/14/2017

VAERS ID: 46020 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Female
Location:New York
Vaccinated:1992-09-22
Onset:0000-00-00
Submitted:1992-10-01
Entered:1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 322914 / 0 1 RL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1062V / 1 2 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M605JD / 0 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324938 / 0 1 - MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: ? unk notified by CPS of pt''s death;


Changed on 2/14/2018

VAERS ID: 46020 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:New York
Vaccinated:1992-09-22
Onset:0000-00-00
Submitted:1992-10-01
Entered:1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 322914 / 1 RL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1062V / 2 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M605JD / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324938 / 1 MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: ? unk notified by CPS of pt''s death;


Changed on 6/14/2018

VAERS ID: 46020 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:New York
Vaccinated:1992-09-22
Onset:0000-00-00
Submitted:1992-10-01
Entered:1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 322914 / 1 RL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1062V / 2 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M605JD / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324938 / 1 MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: ? unk notified by CPS of pt''s death;


Changed on 8/14/2018

VAERS ID: 46020 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:New York
Vaccinated:1992-09-22
Onset:0000-00-00
Submitted:1992-10-01
Entered:1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 322914 / 1 RL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1062V / 2 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M605JD / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324938 / 1 MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: ? unk notified by CPS of pt''s death;


Changed on 9/14/2018

VAERS ID: 46020 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:New York
Vaccinated:1992-09-22
Onset:0000-00-00
Submitted:1992-10-01
Entered:1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 322914 / 1 RL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1062V / 2 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M605JD / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324938 / 1 MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: ? unk notified by CPS of pt''s death;


Changed on 10/14/2018

VAERS ID: 46020 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:New York
Vaccinated:1992-09-22
Onset:0000-00-00
Submitted:1992-10-01
Entered:1992-10-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 322914 / 1 RL / -
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1062V / 2 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M605JD / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324938 / 1 MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: APAP
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: ? unk notified by CPS of pt''s death;

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=46020&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166