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This is VAERS ID 47174

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 47174
VAERS Form:
Age:0.2
Sex:Male
Location:Massachusetts
Vaccinated:1992-11-02
Onset:1992-11-02
Submitted:1992-11-04
Entered:1992-11-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP MASS. PHD. / MASS. DPH DTP280A / - - / -
HEP: HEPTAVAX / MSD 1756T / 1 LL / -
HIBV: HIBTITER / LEDERLE(PRAXIS) M175HN / 0 LL / -
OPV: ORIMUNE / LEDERLE 0659M / - - / -

Administered by: Public      Purchased by: Unknown
Symptoms: AGITATION, FEVER, HYSN INJECT SITE

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? No
Previous Vaccinations:
Other Medications: Hep B lot # 1756TL given 4SEP92;
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: crying, unconsolable 1 1/2 p/vax; no response to APAP; PE very irritable w/7x0cm erythema on thigh @ site of inject; t99.2;


Changed on 12/8/2009

VAERS ID: 47174 Before After
VAERS Form:
Age:0.2
Sex:Male
Location:Massachusetts
Vaccinated:1992-11-02
Onset:1992-11-02
Submitted:1992-11-04
Entered:1992-11-19 1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP MASS. PHD. DTP (NO BRAND NAME) / MASS. DPH MASS. PUB HLTH BIOL LAB DTP280A / - - / -
HEP: HEPTAVAX HEP B (HEPTAVAX) / MSD MERCK & CO. INC. 1756T / 1 LL / -
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M175HN / 0 LL / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 0659M / - - / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Agitation, Injection site hypersensitivity, Pyrexia, AGITATION, FEVER, HYSN INJECT SITE

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? No
Previous Vaccinations:
Other Medications: Hep B lot # 1756TL given 4SEP92;
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) MA9215

Write-up: crying, unconsolable 1 1/2 p/vax; no response to APAP; PE very irritable w/7x0cm erythema on thigh @ site of inject; t99.2;


Changed on 8/31/2010

VAERS ID: 47174 Before After
VAERS Form:
Age:0.2
Sex:Male
Location:Massachusetts
Vaccinated:1992-11-02
Onset:1992-11-02
Submitted:1992-11-04
Entered:1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / - - / -
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. 1756T / 1 LL / -
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M175HN / 0 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 0659M / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Injection site hypersensitivity, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hep B lot # 1756TL given 4SEP92;
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MA9215

Write-up: crying, unconsolable 1 1/2 p/vax; no response to APAP; PE very irritable w/7x0cm erythema on thigh @ site of inject; t99.2;


Changed on 5/14/2017

VAERS ID: 47174 Before After
VAERS Form:
Age:0.2
Sex:Male
Location:Massachusetts
Vaccinated:1992-11-02
Onset:1992-11-02
Submitted:1992-11-04
Entered:1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / - - / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1756T / 1 LL / -
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M175HN / 0 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 0659M / - - / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Injection site hypersensitivity, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hep B lot # 1756TL given 4SEP92;
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MA9215

Write-up: crying, unconsolable 1 1/2 p/vax; no response to APAP; PE very irritable w/7x0cm erythema on thigh @ site of inject; t99.2;


Changed on 9/14/2017

VAERS ID: 47174 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Male
Location:Massachusetts
Vaccinated:1992-11-02
Onset:1992-11-02
Submitted:1992-11-04
Entered:1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / - UNK - / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1756T / 1 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M175HN / 0 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0659M / - UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Injection site hypersensitivity, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hep B lot # 1756TL given 4SEP92;
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MA9215

Write-up: crying, unconsolable 1 1/2 p/vax; no response to APAP; PE very irritable w/7x0cm erythema on thigh @ site of inject; t99.2;


Changed on 2/14/2018

VAERS ID: 47174 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Massachusetts
Vaccinated:1992-11-02
Onset:1992-11-02
Submitted:1992-11-04
Entered:1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / UNK - / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1756T / 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M175HN / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0659M / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Injection site hypersensitivity, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hep B lot # 1756TL given 4SEP92;
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MA9215

Write-up: crying, unconsolable 1 1/2 p/vax; no response to APAP; PE very irritable w/7x0cm erythema on thigh @ site of inject; t99.2;


Changed on 6/14/2018

VAERS ID: 47174 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Massachusetts
Vaccinated:1992-11-02
Onset:1992-11-02
Submitted:1992-11-04
Entered:1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / UNK - / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1756T / 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M175HN / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0659M / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Injection site hypersensitivity, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hep B lot # 1756TL given 4SEP92;
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MA9215

Write-up: crying, unconsolable 1 1/2 p/vax; no response to APAP; PE very irritable w/7x0cm erythema on thigh @ site of inject; t99.2;


Changed on 8/14/2018

VAERS ID: 47174 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Massachusetts
Vaccinated:1992-11-02
Onset:1992-11-02
Submitted:1992-11-04
Entered:1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / UNK - / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1756T / 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M175HN / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0659M / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Injection site hypersensitivity, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hep B lot # 1756TL given 4SEP92;
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MA9215

Write-up: crying, unconsolable 1 1/2 p/vax; no response to APAP; PE very irritable w/7x0cm erythema on thigh @ site of inject; t99.2;


Changed on 9/14/2018

VAERS ID: 47174 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Massachusetts
Vaccinated:1992-11-02
Onset:1992-11-02
Submitted:1992-11-04
Entered:1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / UNK - / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1756T / 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M175HN / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0659M / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Injection site hypersensitivity, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hep B lot # 1756TL given 4SEP92;
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MA9215

Write-up: crying, unconsolable 1 1/2 p/vax; no response to APAP; PE very irritable w/7x0cm erythema on thigh @ site of inject; t99.2;


Changed on 10/14/2018

VAERS ID: 47174 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:Massachusetts
Vaccinated:1992-11-02
Onset:1992-11-02
Submitted:1992-11-04
Entered:1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / UNK - / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1756T / 2 LL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M175HN / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0659M / UNK - / -

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Injection site hypersensitivity, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Hep B lot # 1756TL given 4SEP92;
Current Illness: NONE
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': MA9215

Write-up: crying, unconsolable 1 1/2 p/vax; no response to APAP; PE very irritable w/7x0cm erythema on thigh @ site of inject; t99.2;

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