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This is VAERS ID 47199

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 47199
VAERS Form:
Age:0.4
Sex:Male
Location:Arkansas
Vaccinated:1992-11-05
Onset:1992-11-05
Submitted:1992-11-06
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 2B41152 / 1 RL / -
HEP: ENGERIX-B / SMITHKLINE 1030A2 / 0 RA / -
HIBV: HIBTITER / LEDERLE(PRAXIS) M605JD / 1 LL / -
OPV: ORIMUNE / LEDERLE 324949 / 1 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, 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:
Other Medications:
Current Illness: URI
Preexisting Conditions: FTT, FE reflux
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: t103 & irritability extreme;


Changed on 12/8/2009

VAERS ID: 47199 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:Arkansas
Vaccinated:1992-11-05
Onset:1992-11-05
Submitted:1992-11-06
Entered:1992-11-23 1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 2B41152 / 1 RL / -
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 1030A2 / 0 RA / -
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M605JD / 1 LL / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 324949 / 1 - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Agitation, Pyrexia, AGITATION, 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:
Other Medications:
Current Illness: URI
Preexisting Conditions: FTT, FE reflux
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: t103 & irritability extreme;


Changed on 5/14/2017

VAERS ID: 47199 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:Arkansas
Vaccinated:1992-11-05
Onset:1992-11-05
Submitted:1992-11-06
Entered:1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2B41152 / 1 RL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1030A2 / 0 RA / -
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M605JD / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 324949 / 1 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Agitation, 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: ~ ()~~~In patient
Other Medications:
Current Illness: URI
Preexisting Conditions: FTT, FE reflux
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: t103 & irritability extreme;


Changed on 9/14/2017

VAERS ID: 47199 Before After
VAERS Form:(blank) 1
Age:0.4
Sex:Male
Location:Arkansas
Vaccinated:1992-11-05
Onset:1992-11-05
Submitted:1992-11-06
Entered:1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2B41152 / 1 2 RL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1030A2 / 0 1 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M605JD / 1 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324949 / 1 2 - MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Agitation, 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: ~ ()~~~In patient
Other Medications:
Current Illness: URI
Preexisting Conditions: FTT, FE reflux
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: t103 & irritability extreme;


Changed on 2/14/2018

VAERS ID: 47199 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Arkansas
Vaccinated:1992-11-05
Onset:1992-11-05
Submitted:1992-11-06
Entered:1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2B41152 / 2 RL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1030A2 / 1 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M605JD / 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324949 / 2 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Agitation, 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: ~ ()~~~In patient
Other Medications:
Current Illness: URI
Preexisting Conditions: FTT, FE reflux
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: t103 & irritability extreme;


Changed on 6/14/2018

VAERS ID: 47199 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Arkansas
Vaccinated:1992-11-05
Onset:1992-11-05
Submitted:1992-11-06
Entered:1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2B41152 / 2 RL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1030A2 / 1 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M605JD / 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324949 / 2 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Agitation, 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: ~ ()~~~In patient
Other Medications:
Current Illness: URI
Preexisting Conditions: FTT, FE reflux
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: t103 & irritability extreme;


Changed on 8/14/2018

VAERS ID: 47199 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Arkansas
Vaccinated:1992-11-05
Onset:1992-11-05
Submitted:1992-11-06
Entered:1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2B41152 / 2 RL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1030A2 / 1 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M605JD / 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324949 / 2 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Agitation, 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: ~ ()~~~In patient
Other Medications:
Current Illness: URI
Preexisting Conditions: FTT, FE reflux
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: t103 & irritability extreme;


Changed on 9/14/2018

VAERS ID: 47199 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Arkansas
Vaccinated:1992-11-05
Onset:1992-11-05
Submitted:1992-11-06
Entered:1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2B41152 / 2 RL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1030A2 / 1 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M605JD / 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324949 / 2 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Agitation, 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: ~ ()~~~In patient
Other Medications:
Current Illness: URI
Preexisting Conditions: FTT, FE reflux
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: t103 & irritability extreme;


Changed on 10/14/2018

VAERS ID: 47199 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:Arkansas
Vaccinated:1992-11-05
Onset:1992-11-05
Submitted:1992-11-06
Entered:1992-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2B41152 / 2 RL / -
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 1030A2 / 1 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M605JD / 2 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 324949 / 2 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Agitation, 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: ~ ()~~~In patient
Other Medications:
Current Illness: URI
Preexisting Conditions: FTT, FE reflux
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: t103 & irritability extreme;

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