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This is VAERS ID 47424

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 47424
VAERS Form:
Age:0.1
Sex:Female
Location:Massachusetts
Vaccinated:1992-11-09
Onset:0000-00-00
Submitted:1992-11-13
Entered:1992-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP MASS. PHD. / MASS. DPH DTP280A / - RL / IM
HEP: HEPTAVAX / MSD - / 1 LL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M9600A / - LL / IM
OPV: ORIMUNE / LEDERLE 0695H / - - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, VOMIT, RHINITIS, DIARRHEA

Life Threatening? No
Birth Defect? No
Died? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: blood cultures;
CDC 'Split Type': NONE

Write-up: pt returned to office on 12NOV92 w/c/o elevated temp, diarrhea stools nasal congestion, gagging;


Changed on 12/8/2009

VAERS ID: 47424 Before After
VAERS Form:
Age:0.1
Sex:Female
Location:Massachusetts
Vaccinated:1992-11-09
Onset:0000-00-00
Submitted:1992-11-13
Entered:1992-12-01 1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP MASS. PHD. DTP (NO BRAND NAME) / MASS. DPH MASS. PUB HLTH BIOL LAB DTP280A / - RL / IM
HEP: HEPTAVAX HEP B (HEPTAVAX) / MSD MERCK & CO. INC. - / 1 LL / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M9600A / - LL / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 0695H / - - / PO

Administered by: Private      Purchased by: Unknown Public
Symptoms: Diarrhoea, Pyrexia, Rhinitis, Vomiting, FEVER, VOMIT, RHINITIS, DIARRHEA

Life Threatening? No
Birth Defect? No
Died? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: blood cultures;
CDC 'Split Type': NONE (blank)

Write-up: pt returned to office on 12NOV92 w/c/o elevated temp, diarrhea stools nasal congestion, gagging;


Changed on 8/31/2010

VAERS ID: 47424 Before After
VAERS Form:
Age:0.1
Sex:Female
Location:Massachusetts
Vaccinated:1992-11-09
Onset:0000-00-00
Submitted:1992-11-13
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / - RL / IM
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. - / 1 LL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M9600A / - LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 0695H / - - / PO

Administered by: Private      Purchased by: Public
Symptoms: Diarrhoea, Pyrexia, Rhinitis, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: blood cultures;
CDC 'Split Type':

Write-up: pt returned to office on 12NOV92 w/c/o elevated temp, diarrhea stools nasal congestion, gagging;


Changed on 5/14/2017

VAERS ID: 47424 Before After
VAERS Form:
Age:0.1
Sex:Female
Location:Massachusetts
Vaccinated:1992-11-09
Onset:0000-00-00
Submitted:1992-11-13
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / - RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 1 LL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M9600A / - LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 0695H / - - / PO

Administered by: Private      Purchased by: Public
Symptoms: Diarrhoea, Pyrexia, Rhinitis, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: blood cultures;
CDC 'Split Type':

Write-up: pt returned to office on 12NOV92 w/c/o elevated temp, diarrhea stools nasal congestion, gagging;


Changed on 9/14/2017

VAERS ID: 47424 Before After
VAERS Form:(blank) 1
Age:0.1
Sex:Female
Location:Massachusetts
Vaccinated:1992-11-09
Onset:0000-00-00
Submitted:1992-11-13
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / - UNK RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 1 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M9600A / - UNK LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0695H / - UNK - MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Diarrhoea, Pyrexia, Rhinitis, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: blood cultures;
CDC 'Split Type':

Write-up: pt returned to office on 12NOV92 w/c/o elevated temp, diarrhea stools nasal congestion, gagging;


Changed on 2/14/2018

VAERS ID: 47424 Before After
VAERS Form:1
Age:0.1
Sex:Female
Location:Massachusetts
Vaccinated:1992-11-09
Onset:0000-00-00
Submitted:1992-11-13
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / UNK RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M9600A / UNK LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0695H / UNK MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Diarrhoea, Pyrexia, Rhinitis, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: blood cultures;
CDC 'Split Type':

Write-up: pt returned to office on 12NOV92 w/c/o elevated temp, diarrhea stools nasal congestion, gagging;


Changed on 6/14/2018

VAERS ID: 47424 Before After
VAERS Form:1
Age:0.1
Sex:Female
Location:Massachusetts
Vaccinated:1992-11-09
Onset:0000-00-00
Submitted:1992-11-13
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / UNK RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M9600A / UNK LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0695H / UNK MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Diarrhoea, Pyrexia, Rhinitis, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: blood cultures;
CDC 'Split Type':

Write-up: pt returned to office on 12NOV92 w/c/o elevated temp, diarrhea stools nasal congestion, gagging;


Changed on 8/14/2018

VAERS ID: 47424 Before After
VAERS Form:1
Age:0.1
Sex:Female
Location:Massachusetts
Vaccinated:1992-11-09
Onset:0000-00-00
Submitted:1992-11-13
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / UNK RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M9600A / UNK LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0695H / UNK MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Diarrhoea, Pyrexia, Rhinitis, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: blood cultures;
CDC 'Split Type':

Write-up: pt returned to office on 12NOV92 w/c/o elevated temp, diarrhea stools nasal congestion, gagging;


Changed on 9/14/2018

VAERS ID: 47424 Before After
VAERS Form:1
Age:0.1
Sex:Female
Location:Massachusetts
Vaccinated:1992-11-09
Onset:0000-00-00
Submitted:1992-11-13
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / UNK RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M9600A / UNK LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0695H / UNK MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Diarrhoea, Pyrexia, Rhinitis, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: blood cultures;
CDC 'Split Type':

Write-up: pt returned to office on 12NOV92 w/c/o elevated temp, diarrhea stools nasal congestion, gagging;


Changed on 10/14/2018

VAERS ID: 47424 Before After
VAERS Form:1
Age:0.1
Sex:Female
Location:Massachusetts
Vaccinated:1992-11-09
Onset:0000-00-00
Submitted:1992-11-13
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP280A / UNK RL / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. - / 2 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M9600A / UNK LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0695H / UNK MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Diarrhoea, Pyrexia, Rhinitis, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: blood cultures;
CDC 'Split Type':

Write-up: pt returned to office on 12NOV92 w/c/o elevated temp, diarrhea stools nasal congestion, gagging;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=47424&WAYBACKHISTORY=ON


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