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This is VAERS ID 50678

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 50678
VAERS Form:
Age:1.3
Sex:Male
Location:Oklahoma
Vaccinated:1993-02-11
Onset:1993-02-18
Submitted:1993-03-04
Entered:1993-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 2E41060 / 3 LL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M150JA / 3 RL / IM
MMR: MMR II / MSD 0804V / 0 LA / SC
OPV: ORIMUNE / LEDERLE 0665F / 2 - / PO

Administered by: Public      Purchased by: Unknown
Symptoms: FEVER, DYSPNEA, EDEMA LUNG, DIARRHEA, DEHYDRAT

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-02-18
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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: rash & URI
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending;
CDC 'Split Type':

Write-up: collapsed on 18FEB93-no prior sx;


Changed on 12/8/2009

VAERS ID: 50678 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:Oklahoma
Vaccinated:1993-02-11
Onset:1993-02-18
Submitted:1993-03-04
Entered:1993-03-15 1993-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 2E41060 / 3 LL / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M150JA / 3 RL / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0804V / 0 LA / SC
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 0665F / 2 - / PO

Administered by: Public      Purchased by: Unknown Public
Symptoms: Dehydration, Diarrhoea, Dyspnoea, Hepatic steatosis, Pulmonary oedema, Pyrexia, Vomiting, Red blood cell abnormality, FEVER, DYSPNEA, EDEMA LUNG, DIARRHEA, DEHYDRAT

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-02-18
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? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: rash & URI
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending;
CDC 'Split Type': (blank) OK936

Write-up: collapsed on 18FEB93-no prior sx;


Changed on 5/14/2017

VAERS ID: 50678 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:Oklahoma
Vaccinated:1993-02-11
Onset:1993-02-18
Submitted:1993-03-04
Entered:1993-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / 3 LL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M150JA / 3 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0804V / 0 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 0665F / 2 - / PO

Administered by: Public      Purchased by: Public
Symptoms: Dehydration, Diarrhoea, Dyspnoea, Hepatic steatosis, Pulmonary oedema, Pyrexia, Vomiting, Red blood cell abnormality

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-02-18
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: rash & URI
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending;
CDC 'Split Type': OK936

Write-up: collapsed on 18FEB93-no prior sx;


Changed on 9/14/2017

VAERS ID: 50678 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Male
Location:Oklahoma
Vaccinated:1993-02-11
Onset:1993-02-18
Submitted:1993-03-04
Entered:1993-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / 3 4 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M150JA / 3 4 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0804V / 0 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0665F / 2 3 - MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Dehydration, Diarrhoea, Dyspnoea, Hepatic steatosis, Pulmonary oedema, Pyrexia, Vomiting, Red blood cell abnormality

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-02-18
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: rash & URI
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending;
CDC 'Split Type': OK936

Write-up: collapsed on 18FEB93-no prior sx;


Changed on 2/14/2018

VAERS ID: 50678 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Oklahoma
Vaccinated:1993-02-11
Onset:1993-02-18
Submitted:1993-03-04
Entered:1993-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / 4 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M150JA / 4 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0804V / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0665F / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Dehydration, Diarrhoea, Dyspnoea, Hepatic steatosis, Pulmonary oedema, Pyrexia, Vomiting, Red blood cell abnormality

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-02-18
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: rash & URI
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending;
CDC 'Split Type': OK936

Write-up: collapsed on 18FEB93-no prior sx;


Changed on 6/14/2018

VAERS ID: 50678 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Oklahoma
Vaccinated:1993-02-11
Onset:1993-02-18
Submitted:1993-03-04
Entered:1993-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / 4 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M150JA / 4 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0804V / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0665F / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Dehydration, Diarrhoea, Dyspnoea, Hepatic steatosis, Pulmonary oedema, Pyrexia, Vomiting, Red blood cell abnormality

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-02-18
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: rash & URI
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending;
CDC 'Split Type': OK936

Write-up: collapsed on 18FEB93-no prior sx;


Changed on 8/14/2018

VAERS ID: 50678 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Oklahoma
Vaccinated:1993-02-11
Onset:1993-02-18
Submitted:1993-03-04
Entered:1993-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / 4 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M150JA / 4 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0804V / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0665F / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Dehydration, Diarrhoea, Dyspnoea, Hepatic steatosis, Pulmonary oedema, Pyrexia, Vomiting, Red blood cell abnormality

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-02-18
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: rash & URI
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending;
CDC 'Split Type': OK936

Write-up: collapsed on 18FEB93-no prior sx;


Changed on 9/14/2018

VAERS ID: 50678 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Oklahoma
Vaccinated:1993-02-11
Onset:1993-02-18
Submitted:1993-03-04
Entered:1993-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / 4 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M150JA / 4 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0804V / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0665F / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Dehydration, Diarrhoea, Dyspnoea, Hepatic steatosis, Pulmonary oedema, Pyrexia, Vomiting, Red blood cell abnormality

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-02-18
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: rash & URI
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending;
CDC 'Split Type': OK936

Write-up: collapsed on 18FEB93-no prior sx;


Changed on 10/14/2018

VAERS ID: 50678 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Oklahoma
Vaccinated:1993-02-11
Onset:1993-02-18
Submitted:1993-03-04
Entered:1993-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / 4 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M150JA / 4 RL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0804V / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0665F / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Dehydration, Diarrhoea, Dyspnoea, Hepatic steatosis, Pulmonary oedema, Pyrexia, Vomiting, Red blood cell abnormality

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1993-02-18
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness: rash & URI
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: autopsy pending;
CDC 'Split Type': OK936

Write-up: collapsed on 18FEB93-no prior sx;

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