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This is VAERS ID 47426

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 47426
VAERS Form:
Age:0.6
Sex:Male
Location:Tennessee
Vaccinated:1992-11-16
Onset:1992-11-17
Submitted:1992-11-18
Entered:1992-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 2A41126 / 2 - / IM
HEP: HEPTAVAX / MSD 1160V / 0 - / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M155JA / 2 - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: AGITATION, FEVER, INFECT, LEUKOCYTOSIS, CRY ABNORMAL

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: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: had ear infections alot mom says
Allergies:
Diagnostic Lab Data: 18NOV92 White ct elevated;
CDC 'Split Type': had ear infections alot mom says

Write-up: pt had shrill cry, t104 24 hrs p/vax; pt seen in ER & given PO APAP & sponge bathed & refered to regular MD: 20NOV92 dx as virus;


Changed on 12/8/2009

VAERS ID: 47426 Before After
VAERS Form:
Age:0.6
Sex:Male
Location:Tennessee
Vaccinated:1992-11-16
Onset:1992-11-17
Submitted:1992-11-18
Entered:1992-12-01 1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 2A41126 / 2 - / IM
HEP: HEPTAVAX HEP B (HEPTAVAX) / MSD MERCK & CO. INC. 1160V / 0 - / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M155JA / 2 - / IM

Administered by: Public      Purchased by: Unknown Private
Symptoms: Agitation, Crying, Infection, Leukocytosis, Pyrexia, AGITATION, FEVER, INFECT, LEUKOCYTOSIS, CRY ABNORMAL

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: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: had ear infections alot mom says
Allergies:
Diagnostic Lab Data: 18NOV92 White ct elevated;
CDC 'Split Type': had ear infections alot mom says (blank)

Write-up: pt had shrill cry, t104 24 hrs p/vax; pt seen in ER & given PO APAP & sponge bathed & refered to regular MD: 20NOV92 dx as virus;


Changed on 8/31/2010

VAERS ID: 47426 Before After
VAERS Form:
Age:0.6
Sex:Male
Location:Tennessee
Vaccinated:1992-11-16
Onset:1992-11-17
Submitted:1992-11-18
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2A41126 / 2 - / IM
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. 1160V / 0 - / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M155JA / 2 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Agitation, Crying, Infection, Leukocytosis, 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: NA
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: had ear infections alot mom says
Allergies:
Diagnostic Lab Data: 18NOV92 White ct elevated;
CDC 'Split Type':

Write-up: pt had shrill cry, t104 24 hrs p/vax; pt seen in ER & given PO APAP & sponge bathed & refered to regular MD: 20NOV92 dx as virus;


Changed on 5/14/2017

VAERS ID: 47426 Before After
VAERS Form:
Age:0.6
Sex:Male
Location:Tennessee
Vaccinated:1992-11-16
Onset:1992-11-17
Submitted:1992-11-18
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2A41126 / 2 - / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1160V / 0 - / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M155JA / 2 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Agitation, Crying, Infection, Leukocytosis, 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: NA NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: had ear infections alot mom says
Allergies:
Diagnostic Lab Data: 18NOV92 White ct elevated;
CDC 'Split Type':

Write-up: pt had shrill cry, t104 24 hrs p/vax; pt seen in ER & given PO APAP & sponge bathed & refered to regular MD: 20NOV92 dx as virus;


Changed on 9/14/2017

VAERS ID: 47426 Before After
VAERS Form:(blank) 1
Age:0.6
Sex:Male
Location:Tennessee
Vaccinated:1992-11-16
Onset:1992-11-17
Submitted:1992-11-18
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2A41126 / 2 3 - / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1160V / 0 1 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M155JA / 2 3 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Agitation, Crying, Infection, Leukocytosis, 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: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: had ear infections alot mom says
Allergies:
Diagnostic Lab Data: 18NOV92 White ct elevated;
CDC 'Split Type':

Write-up: pt had shrill cry, t104 24 hrs p/vax; pt seen in ER & given PO APAP & sponge bathed & refered to regular MD: 20NOV92 dx as virus;


Changed on 2/14/2018

VAERS ID: 47426 Before After
VAERS Form:1
Age:0.6
Sex:Male
Location:Tennessee
Vaccinated:1992-11-16
Onset:1992-11-17
Submitted:1992-11-18
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2A41126 / 3 - / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1160V / 1 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M155JA / 3 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Agitation, Crying, Infection, Leukocytosis, 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: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: had ear infections alot mom says
Allergies:
Diagnostic Lab Data: 18NOV92 White ct elevated;
CDC 'Split Type':

Write-up: pt had shrill cry, t104 24 hrs p/vax; pt seen in ER & given PO APAP & sponge bathed & refered to regular MD: 20NOV92 dx as virus;


Changed on 6/14/2018

VAERS ID: 47426 Before After
VAERS Form:1
Age:0.6
Sex:Male
Location:Tennessee
Vaccinated:1992-11-16
Onset:1992-11-17
Submitted:1992-11-18
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2A41126 / 3 - / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1160V / 1 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M155JA / 3 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Agitation, Crying, Infection, Leukocytosis, 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: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: had ear infections alot mom says
Allergies:
Diagnostic Lab Data: 18NOV92 White ct elevated;
CDC 'Split Type':

Write-up: pt had shrill cry, t104 24 hrs p/vax; pt seen in ER & given PO APAP & sponge bathed & refered to regular MD: 20NOV92 dx as virus;


Changed on 8/14/2018

VAERS ID: 47426 Before After
VAERS Form:1
Age:0.6
Sex:Male
Location:Tennessee
Vaccinated:1992-11-16
Onset:1992-11-17
Submitted:1992-11-18
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2A41126 / 3 - / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1160V / 1 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M155JA / 3 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Agitation, Crying, Infection, Leukocytosis, 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: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: had ear infections alot mom says
Allergies:
Diagnostic Lab Data: 18NOV92 White ct elevated;
CDC 'Split Type':

Write-up: pt had shrill cry, t104 24 hrs p/vax; pt seen in ER & given PO APAP & sponge bathed & refered to regular MD: 20NOV92 dx as virus;


Changed on 9/14/2018

VAERS ID: 47426 Before After
VAERS Form:1
Age:0.6
Sex:Male
Location:Tennessee
Vaccinated:1992-11-16
Onset:1992-11-17
Submitted:1992-11-18
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2A41126 / 3 - / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1160V / 1 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M155JA / 3 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Agitation, Crying, Infection, Leukocytosis, 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: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: had ear infections alot mom says
Allergies:
Diagnostic Lab Data: 18NOV92 White ct elevated;
CDC 'Split Type':

Write-up: pt had shrill cry, t104 24 hrs p/vax; pt seen in ER & given PO APAP & sponge bathed & refered to regular MD: 20NOV92 dx as virus;


Changed on 10/14/2018

VAERS ID: 47426 Before After
VAERS Form:1
Age:0.6
Sex:Male
Location:Tennessee
Vaccinated:1992-11-16
Onset:1992-11-17
Submitted:1992-11-18
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2A41126 / 3 - / IM
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1160V / 1 - / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M155JA / 3 - / IM

Administered by: Public      Purchased by: Private
Symptoms: Agitation, Crying, Infection, Leukocytosis, 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: NA~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: had ear infections alot mom says
Allergies:
Diagnostic Lab Data: 18NOV92 White ct elevated;
CDC 'Split Type':

Write-up: pt had shrill cry, t104 24 hrs p/vax; pt seen in ER & given PO APAP & sponge bathed & refered to regular MD: 20NOV92 dx as virus;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=47426&WAYBACKHISTORY=ON


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