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This is VAERS ID 47539

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 47539
VAERS Form:
Age:0.2
Sex:Male
Location:New Hampshire
Vaccinated:1992-11-23
Onset:1992-11-23
Submitted:1992-11-24
Entered:1992-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 2M3109 / 0 RL / -
HEP: HEPTAVAX / MSD 1166V / 0 RA / -
HIBV: HIBTITER / LEDERLE(PRAXIS) M225HL / 0 LL / -
OPV: ORIMUNE / LEDERLE 0658F / 0 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, EDEMA INJECT SITE, SCREAMING SYND

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:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: crying & irritability started about 1 hr p/needles; cont for 5 hrs a/seen; very irritable on exam & cont for several more hrs;swelling of site of DTP;


Changed on 12/8/2009

VAERS ID: 47539 Before After
VAERS Form:
Age:0.2
Sex:Male
Location:New Hampshire
Vaccinated:1992-11-23
Onset:1992-11-23
Submitted:1992-11-24
Entered:1992-12-04 1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 2M3109 / 0 RL / -
HEP: HEPTAVAX HEP B (HEPTAVAX) / MSD MERCK & CO. INC. 1166V / 0 RA / -
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M225HL / 0 LL / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 0658F / 0 - / PO

Administered by: Private      Purchased by: Unknown Public
Symptoms: Agitation, Injection site oedema, Screaming, AGITATION, EDEMA INJECT SITE, SCREAMING SYND

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:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: crying & irritability started about 1 hr p/needles; cont for 5 hrs a/seen; very irritable on exam & cont for several more hrs;swelling of site of DTP;


Changed on 8/31/2010

VAERS ID: 47539 Before After
VAERS Form:
Age:0.2
Sex:Male
Location:New Hampshire
Vaccinated:1992-11-23
Onset:1992-11-23
Submitted:1992-11-24
Entered:1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2M3109 / 0 RL / -
HEP: HEP B (HEPTAVAX) HEP B (FOREIGN) / MERCK & CO. INC. 1166V / 0 RA / -
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M225HL / 0 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 0658F / 0 - / PO

Administered by: Private      Purchased by: Public
Symptoms: Agitation, Injection site oedema, Screaming

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:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: crying & irritability started about 1 hr p/needles; cont for 5 hrs a/seen; very irritable on exam & cont for several more hrs;swelling of site of DTP;


Changed on 5/14/2017

VAERS ID: 47539 Before After
VAERS Form:
Age:0.2
Sex:Male
Location:New Hampshire
Vaccinated:1992-11-23
Onset:1992-11-23
Submitted:1992-11-24
Entered:1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2M3109 / 0 RL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1166V / 0 RA / -
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M225HL / 0 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 0658F / 0 - / PO

Administered by: Private      Purchased by: Public
Symptoms: Agitation, Injection site oedema, Screaming

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

Write-up: crying & irritability started about 1 hr p/needles; cont for 5 hrs a/seen; very irritable on exam & cont for several more hrs;swelling of site of DTP;


Changed on 9/14/2017

VAERS ID: 47539 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Male
Location:New Hampshire
Vaccinated:1992-11-23
Onset:1992-11-23
Submitted:1992-11-24
Entered:1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2M3109 / 0 1 RL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1166V / 0 1 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M225HL / 0 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0658F / 0 1 - MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Agitation, Injection site oedema, Screaming

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

Write-up: crying & irritability started about 1 hr p/needles; cont for 5 hrs a/seen; very irritable on exam & cont for several more hrs;swelling of site of DTP;


Changed on 2/14/2018

VAERS ID: 47539 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:New Hampshire
Vaccinated:1992-11-23
Onset:1992-11-23
Submitted:1992-11-24
Entered:1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2M3109 / 1 RL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1166V / 1 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M225HL / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0658F / 1 MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Agitation, Injection site oedema, Screaming

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

Write-up: crying & irritability started about 1 hr p/needles; cont for 5 hrs a/seen; very irritable on exam & cont for several more hrs;swelling of site of DTP;


Changed on 6/14/2018

VAERS ID: 47539 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:New Hampshire
Vaccinated:1992-11-23
Onset:1992-11-23
Submitted:1992-11-24
Entered:1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2M3109 / 1 RL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1166V / 1 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M225HL / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0658F / 1 MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Agitation, Injection site oedema, Screaming

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

Write-up: crying & irritability started about 1 hr p/needles; cont for 5 hrs a/seen; very irritable on exam & cont for several more hrs;swelling of site of DTP;


Changed on 8/14/2018

VAERS ID: 47539 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:New Hampshire
Vaccinated:1992-11-23
Onset:1992-11-23
Submitted:1992-11-24
Entered:1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2M3109 / 1 RL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1166V / 1 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M225HL / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0658F / 1 MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Agitation, Injection site oedema, Screaming

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

Write-up: crying & irritability started about 1 hr p/needles; cont for 5 hrs a/seen; very irritable on exam & cont for several more hrs;swelling of site of DTP;


Changed on 9/14/2018

VAERS ID: 47539 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:New Hampshire
Vaccinated:1992-11-23
Onset:1992-11-23
Submitted:1992-11-24
Entered:1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2M3109 / 1 RL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1166V / 1 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M225HL / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0658F / 1 MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Agitation, Injection site oedema, Screaming

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

Write-up: crying & irritability started about 1 hr p/needles; cont for 5 hrs a/seen; very irritable on exam & cont for several more hrs;swelling of site of DTP;


Changed on 10/14/2018

VAERS ID: 47539 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:New Hampshire
Vaccinated:1992-11-23
Onset:1992-11-23
Submitted:1992-11-24
Entered:1992-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2M3109 / 1 RL / -
HEP: HEP B (FOREIGN) / MERCK & CO. INC. 1166V / 1 RA / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M225HL / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0658F / 1 MO / PO

Administered by: Private      Purchased by: Public
Symptoms: Agitation, Injection site oedema, Screaming

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

Write-up: crying & irritability started about 1 hr p/needles; cont for 5 hrs a/seen; very irritable on exam & cont for several more hrs;swelling of site of DTP;

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