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This is VAERS ID 133746

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 133746
VAERS Form:
Age:1.3
Sex:Female
Location:California
Vaccinated:2000-01-31
Onset:2000-02-01
Submitted:2000-02-02
Entered:2000-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPH: UNK. DTAP & HIB / UNCLASSIFIED UA472AB / 3 LL / IM
OPV: ORIMUNE / LEDERLE 464253 / 2 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: INJECT SITE REACT, CONVULS, CELLULITIS

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Cellulitis at 12 mos when recieved 1st varicella vax.
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF=Negative, Blood check=Negative, Urine=Negative
CDC 'Split Type': NONE

Write-up: Seizure, localized cellulitis-left thigh. MD suspected a pre-existing fever but mother denies this.


Changed on 12/8/2009

VAERS ID: 133746 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:California
Vaccinated:2000-01-31
Onset:2000-02-01
Submitted:2000-02-02
Entered:2000-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPH: UNK. DTAP & HIB DTAP + HIB (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER UA472AB / 3 LL / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE WYETH PHARMACEUTICALS, INC 464253 / 2 - / PO

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Convulsion, Injection site reaction, INJECT SITE REACT, CONVULS, CELLULITIS

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Cellulitis at 12 mos when recieved 1st varicella vax. vax.~ ()~~0.00~Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF=Negative, Blood check=Negative, Urine=Negative
CDC 'Split Type': NONE U2000000540

Write-up: Seizure, localized cellulitis-left thigh. MD suspected a pre-existing fever but mother denies this.


Changed on 8/31/2010

VAERS ID: 133746 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:California
Vaccinated:2000-01-31
Onset:2000-02-01
Submitted:2000-02-02
Entered:2000-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPH: DTAP + HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER UA472AB / 3 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 464253 / 2 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Convulsion, Injection site reaction

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Cellulitis at 12 mos when recieved 1st varicella vax.~ ()~~0.00~Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF=Negative, Blood check=Negative, Urine=Negative
CDC 'Split Type': U2000000540

Write-up: Seizure, localized cellulitis-left thigh. MD suspected a pre-existing fever but mother denies this.


Changed on 2/14/2017

VAERS ID: 133746 Before After
VAERS Form:
Age:1.3 1.25
Sex:Female
Location:California
Vaccinated:2000-01-31
Onset:2000-02-01
Submitted:2000-02-02
Entered:2000-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPH: DTAP + HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER UA472AB / 3 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 464253 / 2 - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Convulsion, Injection site reaction

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Cellulitis at 12 mos when recieved 1st varicella vax.~ ()~~0.00~Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF=Negative, Blood check=Negative, Urine=Negative
CDC 'Split Type': U2000000540

Write-up: Seizure, localized cellulitis-left thigh. MD suspected a pre-existing fever but mother denies this.


Changed on 9/14/2017

VAERS ID: 133746 Before After
VAERS Form:(blank) 1
Age:1.25
Sex:Female
Location:California
Vaccinated:2000-01-31
Onset:2000-02-01
Submitted:2000-02-02
Entered:2000-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPH: DTAP + HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER UA472AB / 3 4 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 464253 / 2 3 - MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Convulsion, Injection site reaction

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Cellulitis at 12 mos when recieved 1st varicella vax.~ ()~~0.00~Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF=Negative, Blood check=Negative, Urine=Negative
CDC 'Split Type': U2000000540

Write-up: Seizure, localized cellulitis-left thigh. MD suspected a pre-existing fever but mother denies this.


Changed on 2/14/2018

VAERS ID: 133746 Before After
VAERS Form:1
Age:1.25
Sex:Female
Location:California
Vaccinated:2000-01-31
Onset:2000-02-01
Submitted:2000-02-02
Entered:2000-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPH: DTAP + HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER UA472AB / 4 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 464253 / 3 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Convulsion, Injection site reaction

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Cellulitis at 12 mos when recieved 1st varicella vax.~ ()~~0.00~Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF=Negative, Blood check=Negative, Urine=Negative
CDC 'Split Type': U2000000540

Write-up: Seizure, localized cellulitis-left thigh. MD suspected a pre-existing fever but mother denies this.


Changed on 6/14/2018

VAERS ID: 133746 Before After
VAERS Form:1
Age:1.25
Sex:Female
Location:California
Vaccinated:2000-01-31
Onset:2000-02-01
Submitted:2000-02-02
Entered:2000-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPH: DTAP + HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER UA472AB / 4 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 464253 / 3 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Convulsion, Injection site reaction

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Cellulitis at 12 mos when recieved 1st varicella vax.~ ()~~0.00~Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF=Negative, Blood check=Negative, Urine=Negative
CDC 'Split Type': U2000000540

Write-up: Seizure, localized cellulitis-left thigh. MD suspected a pre-existing fever but mother denies this.


Changed on 8/14/2018

VAERS ID: 133746 Before After
VAERS Form:1
Age:1.25
Sex:Female
Location:California
Vaccinated:2000-01-31
Onset:2000-02-01
Submitted:2000-02-02
Entered:2000-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPH: DTAP + HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER UA472AB / 4 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 464253 / 3 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Convulsion, Injection site reaction

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Cellulitis at 12 mos when recieved 1st varicella vax.~ ()~~0.00~Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF=Negative, Blood check=Negative, Urine=Negative
CDC 'Split Type': U2000000540

Write-up: Seizure, localized cellulitis-left thigh. MD suspected a pre-existing fever but mother denies this.


Changed on 9/14/2018

VAERS ID: 133746 Before After
VAERS Form:1
Age:1.25
Sex:Female
Location:California
Vaccinated:2000-01-31
Onset:2000-02-01
Submitted:2000-02-02
Entered:2000-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPH: DTAP + HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER UA472AB / 4 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 464253 / 3 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Convulsion, Injection site reaction

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Cellulitis at 12 mos when recieved 1st varicella vax.~ ()~~0.00~Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF=Negative, Blood check=Negative, Urine=Negative
CDC 'Split Type': U2000000540

Write-up: Seizure, localized cellulitis-left thigh. MD suspected a pre-existing fever but mother denies this.


Changed on 10/14/2018

VAERS ID: 133746 Before After
VAERS Form:1
Age:1.25
Sex:Female
Location:California
Vaccinated:2000-01-31
Onset:2000-02-01
Submitted:2000-02-02
Entered:2000-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPH: DTAP + HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER UA472AB / 4 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 464253 / 3 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Convulsion, Injection site reaction

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Cellulitis at 12 mos when recieved 1st varicella vax.~ ()~~0.00~Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF=Negative, Blood check=Negative, Urine=Negative
CDC 'Split Type': U2000000540

Write-up: Seizure, localized cellulitis-left thigh. MD suspected a pre-existing fever but mother denies this.


Changed on 12/24/2020

VAERS ID: 133746 Before After
VAERS Form:1
Age:1.25
Sex:Female
Location:California
Vaccinated:2000-01-31
Onset:2000-02-01
Submitted:2000-02-02
Entered:2000-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPH: DTAP + HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER UA472AB / 4 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 464253 / 3 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Convulsion, Injection site reaction

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Cellulitis at 12 mos when recieved 1st varicella vax.~ ()~~0.00~Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF=Negative, Blood check=Negative, Urine=Negative
CDC 'Split Type': U2000000540

Write-up: Seizure, localized cellulitis-left thigh. MD suspected a pre-existing fever but mother denies this.


Changed on 12/30/2020

VAERS ID: 133746 Before After
VAERS Form:1
Age:1.25
Sex:Female
Location:California
Vaccinated:2000-01-31
Onset:2000-02-01
Submitted:2000-02-02
Entered:2000-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPH: DTAP + HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER UA472AB / 4 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 464253 / 3 MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cellulitis, Convulsion, Injection site reaction

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? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: Cellulitis at 12 mos when recieved 1st varicella vax.~ ()~~0.00~Patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CSF=Negative, Blood check=Negative, Urine=Negative
CDC 'Split Type': U2000000540

Write-up: Seizure, localized cellulitis-left thigh. MD suspected a pre-existing fever but mother denies this.

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