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This is VAERS ID 47526

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 47526
VAERS Form:
Age:1.4
Sex:Female
Location:Wisconsin
Vaccinated:1992-05-07
Onset:1992-05-09
Submitted:1992-07-07
Entered:1992-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER / LEDERLE(PRAXIS) M665HH / 3 LL / IM
MMR: MMR II / MSD 1703T / 0 LL / SC

Administered by: Public      Purchased by: Unknown
Symptoms: VOMIT, RASH, ANOREXIA, ASTHENIA, DIARRHEA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-05-21
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: mom knows lab work done-unsure what tests;
CDC 'Split Type': NONE

Write-up: diarrhea, vomiting; rash tha came & went around neck & diaper area; tired; no blood in stool; poor appetite; no headache; no seizures; seen by MD:


Changed on 12/8/2009

VAERS ID: 47526 Before After
VAERS Form:
Age:1.4
Sex:Female
Location:Wisconsin
Vaccinated:1992-05-07
Onset:1992-05-09
Submitted:1992-07-07
Entered:1992-12-03 1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M665HH / 3 LL / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1703T / 0 LL / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Anorexia, Asthenia, Diarrhoea, Rash, Vomiting, VOMIT, RASH, ANOREXIA, ASTHENIA, DIARRHEA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-05-21
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: mom knows lab work done-unsure what tests;
CDC 'Split Type': NONE WI92054

Write-up: diarrhea, vomiting; rash tha came & went around neck & diaper area; tired; no blood in stool; poor appetite; no headache; no seizures; seen by MD:


Changed on 5/14/2017

VAERS ID: 47526 Before After
VAERS Form:
Age:1.4
Sex:Female
Location:Wisconsin
Vaccinated:1992-05-07
Onset:1992-05-09
Submitted:1992-07-07
Entered:1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M665HH / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1703T / 0 LL / SC

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Asthenia, Diarrhoea, Rash, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-05-21
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: mom knows lab work done-unsure what tests;
CDC 'Split Type': WI92054

Write-up: diarrhea, vomiting; rash tha came & went around neck & diaper area; tired; no blood in stool; poor appetite; no headache; no seizures; seen by MD:


Changed on 9/14/2017

VAERS ID: 47526 Before After
VAERS Form:(blank) 1
Age:1.4
Sex:Female
Location:Wisconsin
Vaccinated:1992-05-07
Onset:1992-05-09
Submitted:1992-07-07
Entered:1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 3 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1703T / 0 1 LL / SC

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Asthenia, Diarrhoea, Rash, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-05-21
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: mom knows lab work done-unsure what tests;
CDC 'Split Type': WI92054

Write-up: diarrhea, vomiting; rash tha came & went around neck & diaper area; tired; no blood in stool; poor appetite; no headache; no seizures; seen by MD:


Changed on 2/14/2018

VAERS ID: 47526 Before After
VAERS Form:1
Age:1.4
Sex:Female
Location:Wisconsin
Vaccinated:1992-05-07
Onset:1992-05-09
Submitted:1992-07-07
Entered:1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1703T / 1 LL / SC

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Asthenia, Diarrhoea, Rash, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-05-21
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: mom knows lab work done-unsure what tests;
CDC 'Split Type': WI92054

Write-up: diarrhea, vomiting; rash tha came & went around neck & diaper area; tired; no blood in stool; poor appetite; no headache; no seizures; seen by MD:


Changed on 6/14/2018

VAERS ID: 47526 Before After
VAERS Form:1
Age:1.4
Sex:Female
Location:Wisconsin
Vaccinated:1992-05-07
Onset:1992-05-09
Submitted:1992-07-07
Entered:1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1703T / 1 LL / SC

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Asthenia, Diarrhoea, Rash, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-05-21
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: mom knows lab work done-unsure what tests;
CDC 'Split Type': WI92054

Write-up: diarrhea, vomiting; rash tha came & went around neck & diaper area; tired; no blood in stool; poor appetite; no headache; no seizures; seen by MD:


Changed on 8/14/2018

VAERS ID: 47526 Before After
VAERS Form:1
Age:1.4
Sex:Female
Location:Wisconsin
Vaccinated:1992-05-07
Onset:1992-05-09
Submitted:1992-07-07
Entered:1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1703T / 1 LL / SC

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Asthenia, Diarrhoea, Rash, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-05-21
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: mom knows lab work done-unsure what tests;
CDC 'Split Type': WI92054

Write-up: diarrhea, vomiting; rash tha came & went around neck & diaper area; tired; no blood in stool; poor appetite; no headache; no seizures; seen by MD:


Changed on 9/14/2018

VAERS ID: 47526 Before After
VAERS Form:1
Age:1.4
Sex:Female
Location:Wisconsin
Vaccinated:1992-05-07
Onset:1992-05-09
Submitted:1992-07-07
Entered:1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1703T / 1 LL / SC

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Asthenia, Diarrhoea, Rash, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-05-21
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: mom knows lab work done-unsure what tests;
CDC 'Split Type': WI92054

Write-up: diarrhea, vomiting; rash tha came & went around neck & diaper area; tired; no blood in stool; poor appetite; no headache; no seizures; seen by MD:


Changed on 10/14/2018

VAERS ID: 47526 Before After
VAERS Form:1
Age:1.4
Sex:Female
Location:Wisconsin
Vaccinated:1992-05-07
Onset:1992-05-09
Submitted:1992-07-07
Entered:1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M665HH / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1703T / 1 LL / SC

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Asthenia, Diarrhoea, Rash, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1992-05-21
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: mom knows lab work done-unsure what tests;
CDC 'Split Type': WI92054

Write-up: diarrhea, vomiting; rash tha came & went around neck & diaper area; tired; no blood in stool; poor appetite; no headache; no seizures; seen by MD:

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