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This is VAERS ID 47442

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 47442
VAERS Form:
Age:0.2
Sex:Female
Location:Delaware
Vaccinated:1992-08-25
Onset:1992-08-25
Submitted:1992-11-16
Entered:1992-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 1K21074 / 0 LL / IM
HEP: ENGERIX-B / SMITHKLINE 877A4 / 1 RL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M600JA / 0 RL / IM
OPV: ORIMUNE / LEDERLE 0655D / 0 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': NONE

Write-up: a couple of hrs p/vax pt had a constant high pitched scream for 2 hrs; then went to sleep & woke up smiling & then screamed for 1 1/2 hrs more;


Changed on 12/8/2009

VAERS ID: 47442 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Delaware
Vaccinated:1992-08-25
Onset:1992-08-25
Submitted:1992-11-16
Entered:1992-12-02 1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 1K21074 / 0 LL / IM
HEP: ENGERIX-B HEP B (ENGERIX-B) / SMITHKLINE SMITHKLINE BEECHAM 877A4 / 1 RL / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M600JA / 0 RL / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 0655D / 0 - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Agitation, Crying, AGITATION, 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)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type': NONE (blank)

Write-up: a couple of hrs p/vax pt had a constant high pitched scream for 2 hrs; then went to sleep & woke up smiling & then screamed for 1 1/2 hrs more;


Changed on 5/14/2017

VAERS ID: 47442 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Delaware
Vaccinated:1992-08-25
Onset:1992-08-25
Submitted:1992-11-16
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K21074 / 0 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 877A4 / 1 RL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M600JA / 0 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 0655D / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Crying

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: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: a couple of hrs p/vax pt had a constant high pitched scream for 2 hrs; then went to sleep & woke up smiling & then screamed for 1 1/2 hrs more;


Changed on 9/14/2017

VAERS ID: 47442 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Female
Location:Delaware
Vaccinated:1992-08-25
Onset:1992-08-25
Submitted:1992-11-16
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K21074 / 0 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 877A4 / 1 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M600JA / 0 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0655D / 0 1 - MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Crying

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: a couple of hrs p/vax pt had a constant high pitched scream for 2 hrs; then went to sleep & woke up smiling & then screamed for 1 1/2 hrs more;


Changed on 2/14/2018

VAERS ID: 47442 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Delaware
Vaccinated:1992-08-25
Onset:1992-08-25
Submitted:1992-11-16
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K21074 / 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 877A4 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M600JA / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0655D / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Crying

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: a couple of hrs p/vax pt had a constant high pitched scream for 2 hrs; then went to sleep & woke up smiling & then screamed for 1 1/2 hrs more;


Changed on 6/14/2018

VAERS ID: 47442 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Delaware
Vaccinated:1992-08-25
Onset:1992-08-25
Submitted:1992-11-16
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K21074 / 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 877A4 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M600JA / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0655D / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Crying

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: a couple of hrs p/vax pt had a constant high pitched scream for 2 hrs; then went to sleep & woke up smiling & then screamed for 1 1/2 hrs more;


Changed on 8/14/2018

VAERS ID: 47442 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Delaware
Vaccinated:1992-08-25
Onset:1992-08-25
Submitted:1992-11-16
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K21074 / 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 877A4 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M600JA / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0655D / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Crying

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: a couple of hrs p/vax pt had a constant high pitched scream for 2 hrs; then went to sleep & woke up smiling & then screamed for 1 1/2 hrs more;


Changed on 9/14/2018

VAERS ID: 47442 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Delaware
Vaccinated:1992-08-25
Onset:1992-08-25
Submitted:1992-11-16
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K21074 / 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 877A4 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M600JA / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0655D / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Crying

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: a couple of hrs p/vax pt had a constant high pitched scream for 2 hrs; then went to sleep & woke up smiling & then screamed for 1 1/2 hrs more;


Changed on 10/14/2018

VAERS ID: 47442 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Delaware
Vaccinated:1992-08-25
Onset:1992-08-25
Submitted:1992-11-16
Entered:1992-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 1K21074 / 1 LL / IM
HEP: HEP B (ENGERIX-B) / SMITHKLINE BEECHAM 877A4 / 2 RL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M600JA / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0655D / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Agitation, Crying

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up: a couple of hrs p/vax pt had a constant high pitched scream for 2 hrs; then went to sleep & woke up smiling & then screamed for 1 1/2 hrs more;

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