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This is VAERS ID 25059

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25059
VAERS Form:
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1990-06-15
Onset:1990-06-15
Submitted:0000-00-00
Entered:1990-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 259964 / - - / IM
OPV: ORIMUNE / LEDERLE 259964L / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: SCREAMING SYND

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

Write-up: screaming for 5-6 hrs /p DTP/OPV


Changed on 12/8/2009

VAERS ID: 25059 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1990-06-15
Onset:1990-06-15
Submitted:0000-00-00
Entered:1990-07-17 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 259964 / - - / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 259964L / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Screaming, SCREAMING SYND

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

Write-up: screaming for 5-6 hrs /p DTP/OPV


Changed on 5/14/2017

VAERS ID: 25059 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1990-06-15
Onset:1990-06-15
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 259964 / - - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 259964L / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Screaming

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

Write-up: screaming for 5-6 hrs /p DTP/OPV


Changed on 9/14/2017

VAERS ID: 25059 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1990-06-15
Onset:1990-06-15
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 259964 / - UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 259964L / - UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Screaming

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

Write-up: screaming for 5-6 hrs /p DTP/OPV


Changed on 2/14/2018

VAERS ID: 25059 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1990-06-15
Onset:1990-06-15
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 259964 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 259964L / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Screaming

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

Write-up: screaming for 5-6 hrs /p DTP/OPV


Changed on 6/14/2018

VAERS ID: 25059 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1990-06-15
Onset:1990-06-15
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 259964 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 259964L / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Screaming

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

Write-up: screaming for 5-6 hrs /p DTP/OPV


Changed on 8/14/2018

VAERS ID: 25059 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1990-06-15
Onset:1990-06-15
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 259964 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 259964L / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Screaming

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

Write-up: screaming for 5-6 hrs /p DTP/OPV


Changed on 9/14/2018

VAERS ID: 25059 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1990-06-15
Onset:1990-06-15
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 259964 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 259964L / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Screaming

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

Write-up: screaming for 5-6 hrs /p DTP/OPV


Changed on 10/14/2018

VAERS ID: 25059 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1990-06-15
Onset:1990-06-15
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 259964 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 259964L / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Screaming

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

Write-up: screaming for 5-6 hrs /p DTP/OPV


Changed on 12/24/2020

VAERS ID: 25059 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1990-06-15
Onset:1990-06-15
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 259964 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 259964L / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Screaming

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

Write-up: screaming for 5-6 hrs /p DTP/OPV


Changed on 12/30/2020

VAERS ID: 25059 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1990-06-15
Onset:1990-06-15
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 259964 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 259964L / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Screaming

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

Write-up: screaming for 5-6 hrs /p DTP/OPV


Changed on 5/7/2021

VAERS ID: 25059 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1990-06-15
Onset:1990-06-15
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 259964 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 259964L / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Screaming

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

Write-up: screaming for 5-6 hrs /p DTP/OPV


Changed on 5/21/2021

VAERS ID: 25059 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1990-06-15
Onset:1990-06-15
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 259964 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 259964L / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Screaming

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

Write-up: screaming for 5-6 hrs /p DTP/OPV

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=25059&WAYBACKHISTORY=ON


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