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This is VAERS ID 25052

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25052
VAERS Form:
Age:0.5
Sex:Female
Location:Oregon
Vaccinated:1989-10-23
Onset:1989-10-24
Submitted:0000-00-00
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 8E01005 / - LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, VOMIT

Life Threatening? No
Birth Defect? No
Died? No
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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: temp 99.6, vomiting X 1


Changed on 12/8/2009

VAERS ID: 25052 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:Oregon
Vaccinated:1989-10-23
Onset:1989-10-24
Submitted:0000-00-00
Entered:1990-07-11 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 8E01005 / - LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Vomiting, FEVER, VOMIT

Life Threatening? No
Birth Defect? No
Died? No
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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: temp 99.6, vomiting X 1


Changed on 5/14/2017

VAERS ID: 25052 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:Oregon
Vaccinated:1989-10-23
Onset:1989-10-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 8E01005 / - LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: temp 99.6, vomiting X 1


Changed on 9/14/2017

VAERS ID: 25052 Before After
VAERS Form:(blank) 1
Age:0.5
Sex:Female
Location:Oregon
Vaccinated:1989-10-23
Onset:1989-10-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 8E01005 / - UNK LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: temp 99.6, vomiting X 1


Changed on 2/14/2018

VAERS ID: 25052 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Oregon
Vaccinated:1989-10-23
Onset:1989-10-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 8E01005 / UNK LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: temp 99.6, vomiting X 1


Changed on 6/14/2018

VAERS ID: 25052 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Oregon
Vaccinated:1989-10-23
Onset:1989-10-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 8E01005 / UNK LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: temp 99.6, vomiting X 1


Changed on 8/14/2018

VAERS ID: 25052 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Oregon
Vaccinated:1989-10-23
Onset:1989-10-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 8E01005 / UNK LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: temp 99.6, vomiting X 1


Changed on 9/14/2018

VAERS ID: 25052 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Oregon
Vaccinated:1989-10-23
Onset:1989-10-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 8E01005 / UNK LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: temp 99.6, vomiting X 1


Changed on 10/14/2018

VAERS ID: 25052 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Oregon
Vaccinated:1989-10-23
Onset:1989-10-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 8E01005 / UNK LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: temp 99.6, vomiting X 1


Changed on 12/24/2020

VAERS ID: 25052 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Oregon
Vaccinated:1989-10-23
Onset:1989-10-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 8E01005 / UNK LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: temp 99.6, vomiting X 1


Changed on 12/30/2020

VAERS ID: 25052 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Oregon
Vaccinated:1989-10-23
Onset:1989-10-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 8E01005 / UNK LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: temp 99.6, vomiting X 1


Changed on 5/7/2021

VAERS ID: 25052 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Oregon
Vaccinated:1989-10-23
Onset:1989-10-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 8E01005 / UNK LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: temp 99.6, vomiting X 1


Changed on 5/21/2021

VAERS ID: 25052 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:Oregon
Vaccinated:1989-10-23
Onset:1989-10-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 8E01005 / UNK LL / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Pyrexia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: temp 99.6, vomiting X 1

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