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This is VAERS ID 66001

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 66001
VAERS Form:
Age:5.3
Sex:Female
Location:Louisiana
Vaccinated:1993-03-09
Onset:1993-03-22
Submitted:1994-08-13
Entered:1994-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 2E41060 / - - / -
MMR: MMR II / MSD 1186V / - - / -
OPV: ORIMUNE / LEDERLE 0658L12 / - - / -

Administered by: Public      Purchased by: Unknown
Symptoms: FEVER, INFECT, ASTHENIA, DEHYDRAT, JAUNDICE

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1993-06-11
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? Yes, days: 60     Extended hospital stay? Yes
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to sulfa other than that healthy
Allergies:
Diagnostic Lab Data: MD felt pt had hepatitis, but test came back neg, it was determined pt had mono from EBV
CDC 'Split Type': allergic to sulfa other than that healthy

Write-up: fever, vomiting, dehydration, jaundice, tired, blood problems, liver & spleen problems went on for over 2 months;


Changed on 12/8/2009

VAERS ID: 66001 Before After
VAERS Form:
Age:5.3
Sex:Female
Location:Louisiana
Vaccinated:1993-03-09
Onset:1993-03-22
Submitted:1994-08-13
Entered:1994-08-24 1994-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 2E41060 / - - / -
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1186V / - - / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 0658L12 / - - / -

Administered by: Public      Purchased by: Unknown Other
Symptoms: Asthenia, Dehydration, Hepatocellular damage, Infection, Jaundice, Lymphocytosis, Pyrexia, Spleen disorder, FEVER, INFECT, ASTHENIA, DEHYDRAT, JAUNDICE

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1993-06-11
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? Yes, days: 60     Extended hospital stay? Yes
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to sulfa other than that healthy
Allergies:
Diagnostic Lab Data: MD felt pt had hepatitis, but test came back neg, it was determined pt had mono from EBV
CDC 'Split Type': allergic to sulfa other than that healthy (blank)

Write-up: fever, vomiting, dehydration, jaundice, tired, blood problems, liver & spleen problems went on for over 2 months;


Changed on 2/14/2017

VAERS ID: 66001 Before After
VAERS Form:
Age:5.3 5.0
Sex:Female
Location:Louisiana
Vaccinated:1993-03-09
Onset:1993-03-22
Submitted:1994-08-13
Entered:1994-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / - - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1186V / - - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 0658L12 / - - / -

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Dehydration, Hepatocellular damage, Infection, Jaundice, Lymphocytosis, Pyrexia, Spleen disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1993-06-11
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? Yes, days: 60     Extended hospital stay? Yes
Previous Vaccinations: NONE
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to sulfa other than that healthy
Allergies:
Diagnostic Lab Data: MD felt pt had hepatitis, but test came back neg, it was determined pt had mono from EBV
CDC 'Split Type':

Write-up: fever, vomiting, dehydration, jaundice, tired, blood problems, liver & spleen problems went on for over 2 months;


Changed on 5/14/2017

VAERS ID: 66001 Before After
VAERS Form:
Age:5.0
Sex:Female
Location:Louisiana
Vaccinated:1993-03-09
Onset:1993-03-22
Submitted:1994-08-13
Entered:1994-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / - - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1186V / - - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 0658L12 / - - / -

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Dehydration, Hepatocellular damage, Infection, Jaundice, Lymphocytosis, Pyrexia, Spleen disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1993-06-11
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? Yes, days: 60     Extended hospital stay? Yes
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to sulfa other than that healthy
Allergies:
Diagnostic Lab Data: MD felt pt had hepatitis, but test came back neg, it was determined pt had mono from EBV
CDC 'Split Type':

Write-up: fever, vomiting, dehydration, jaundice, tired, blood problems, liver & spleen problems went on for over 2 months;


Changed on 9/14/2017

VAERS ID: 66001 Before After
VAERS Form:(blank) 1
Age:5.0
Sex:Female
Location:Louisiana
Vaccinated:1993-03-09
Onset:1993-03-22
Submitted:1994-08-13
Entered:1994-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / - UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1186V / - UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0658L12 / - UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Dehydration, Hepatocellular damage, Infection, Jaundice, Lymphocytosis, Pyrexia, Spleen disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1993-06-11
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? Yes, days: 60     Extended hospital stay? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to sulfa other than that healthy
Allergies:
Diagnostic Lab Data: MD felt pt had hepatitis, but test came back neg, it was determined pt had mono from EBV
CDC 'Split Type':

Write-up: fever, vomiting, dehydration, jaundice, tired, blood problems, liver & spleen problems went on for over 2 months;


Changed on 2/14/2018

VAERS ID: 66001 Before After
VAERS Form:1
Age:5.0
Sex:Female
Location:Louisiana
Vaccinated:1993-03-09
Onset:1993-03-22
Submitted:1994-08-13
Entered:1994-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1186V / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0658L12 / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Dehydration, Hepatocellular damage, Infection, Jaundice, Lymphocytosis, Pyrexia, Spleen disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1993-06-11
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? Yes, days: 60     Extended hospital stay? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to sulfa other than that healthy
Allergies:
Diagnostic Lab Data: MD felt pt had hepatitis, but test came back neg, it was determined pt had mono from EBV
CDC 'Split Type':

Write-up: fever, vomiting, dehydration, jaundice, tired, blood problems, liver & spleen problems went on for over 2 months;


Changed on 6/14/2018

VAERS ID: 66001 Before After
VAERS Form:1
Age:5.0
Sex:Female
Location:Louisiana
Vaccinated:1993-03-09
Onset:1993-03-22
Submitted:1994-08-13
Entered:1994-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1186V / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0658L12 / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Dehydration, Hepatocellular damage, Infection, Jaundice, Lymphocytosis, Pyrexia, Spleen disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1993-06-11
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? Yes, days: 60     Extended hospital stay? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to sulfa other than that healthy
Allergies:
Diagnostic Lab Data: MD felt pt had hepatitis, but test came back neg, it was determined pt had mono from EBV
CDC 'Split Type':

Write-up: fever, vomiting, dehydration, jaundice, tired, blood problems, liver & spleen problems went on for over 2 months;


Changed on 8/14/2018

VAERS ID: 66001 Before After
VAERS Form:1
Age:5.0
Sex:Female
Location:Louisiana
Vaccinated:1993-03-09
Onset:1993-03-22
Submitted:1994-08-13
Entered:1994-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1186V / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0658L12 / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Dehydration, Hepatocellular damage, Infection, Jaundice, Lymphocytosis, Pyrexia, Spleen disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1993-06-11
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? Yes, days: 60     Extended hospital stay? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to sulfa other than that healthy
Allergies:
Diagnostic Lab Data: MD felt pt had hepatitis, but test came back neg, it was determined pt had mono from EBV
CDC 'Split Type':

Write-up: fever, vomiting, dehydration, jaundice, tired, blood problems, liver & spleen problems went on for over 2 months;


Changed on 9/14/2018

VAERS ID: 66001 Before After
VAERS Form:1
Age:5.0
Sex:Female
Location:Louisiana
Vaccinated:1993-03-09
Onset:1993-03-22
Submitted:1994-08-13
Entered:1994-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1186V / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0658L12 / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Dehydration, Hepatocellular damage, Infection, Jaundice, Lymphocytosis, Pyrexia, Spleen disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1993-06-11
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? Yes, days: 60     Extended hospital stay? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to sulfa other than that healthy
Allergies:
Diagnostic Lab Data: MD felt pt had hepatitis, but test came back neg, it was determined pt had mono from EBV
CDC 'Split Type':

Write-up: fever, vomiting, dehydration, jaundice, tired, blood problems, liver & spleen problems went on for over 2 months;


Changed on 10/14/2018

VAERS ID: 66001 Before After
VAERS Form:1
Age:5.0
Sex:Female
Location:Louisiana
Vaccinated:1993-03-09
Onset:1993-03-22
Submitted:1994-08-13
Entered:1994-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 2E41060 / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1186V / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0658L12 / UNK - / -

Administered by: Public      Purchased by: Other
Symptoms: Asthenia, Dehydration, Hepatocellular damage, Infection, Jaundice, Lymphocytosis, Pyrexia, Spleen disorder

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1993-06-11
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? Yes, days: 60     Extended hospital stay? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications:
Current Illness: NONE
Preexisting Conditions: allergic to sulfa other than that healthy
Allergies:
Diagnostic Lab Data: MD felt pt had hepatitis, but test came back neg, it was determined pt had mono from EBV
CDC 'Split Type':

Write-up: fever, vomiting, dehydration, jaundice, tired, blood problems, liver & spleen problems went on for over 2 months;

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