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This is VAERS ID 25062

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25062
VAERS Form:
Age:1.5
Sex:Female
Location:Colorado
Vaccinated:1990-06-26
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 9MO1012 / - LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, FEVER, SOMNOLENCE, ANOREXIA

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: 18 mon. female w/ DPT 11:00am in lt thigh. 48 hrs /p T 101-103 w/ irritability refused to bear weight or sit up. Refusing solid food but drinking Pedolyte well. Peak T 103, Excessive sleepiness the past 48 hrs.


Changed on 12/8/2009

VAERS ID: 25062 Before After
VAERS Form:
Age:1.5
Sex:Female
Location:Colorado
Vaccinated:1990-06-26
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-07-12 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 9MO1012 / - LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Anorexia, Pyrexia, Somnolence, AGITATION, FEVER, SOMNOLENCE, ANOREXIA

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: 18 mon. female w/ DPT 11:00am in lt thigh. 48 hrs /p T 101-103 w/ irritability refused to bear weight or sit up. Refusing solid food but drinking Pedolyte well. Peak T 103, Excessive sleepiness the past 48 hrs.


Changed on 5/14/2017

VAERS ID: 25062 Before After
VAERS Form:
Age:1.5
Sex:Female
Location:Colorado
Vaccinated:1990-06-26
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9MO1012 / - LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Anorexia, Pyrexia, Somnolence

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: 18 mon. female w/ DPT 11:00am in lt thigh. 48 hrs /p T 101-103 w/ irritability refused to bear weight or sit up. Refusing solid food but drinking Pedolyte well. Peak T 103, Excessive sleepiness the past 48 hrs.


Changed on 9/14/2017

VAERS ID: 25062 Before After
VAERS Form:(blank) 1
Age:1.5
Sex:Female
Location:Colorado
Vaccinated:1990-06-26
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9MO1012 / - UNK LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Anorexia, Pyrexia, Somnolence

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: 18 mon. female w/ DPT 11:00am in lt thigh. 48 hrs /p T 101-103 w/ irritability refused to bear weight or sit up. Refusing solid food but drinking Pedolyte well. Peak T 103, Excessive sleepiness the past 48 hrs.


Changed on 2/14/2018

VAERS ID: 25062 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:Colorado
Vaccinated:1990-06-26
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9MO1012 / UNK LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Anorexia, Pyrexia, Somnolence

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: 18 mon. female w/ DPT 11:00am in lt thigh. 48 hrs /p T 101-103 w/ irritability refused to bear weight or sit up. Refusing solid food but drinking Pedolyte well. Peak T 103, Excessive sleepiness the past 48 hrs.


Changed on 6/14/2018

VAERS ID: 25062 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:Colorado
Vaccinated:1990-06-26
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9MO1012 / UNK LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Anorexia, Pyrexia, Somnolence

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: 18 mon. female w/ DPT 11:00am in lt thigh. 48 hrs /p T 101-103 w/ irritability refused to bear weight or sit up. Refusing solid food but drinking Pedolyte well. Peak T 103, Excessive sleepiness the past 48 hrs.


Changed on 8/14/2018

VAERS ID: 25062 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:Colorado
Vaccinated:1990-06-26
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9MO1012 / UNK LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Anorexia, Pyrexia, Somnolence

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: 18 mon. female w/ DPT 11:00am in lt thigh. 48 hrs /p T 101-103 w/ irritability refused to bear weight or sit up. Refusing solid food but drinking Pedolyte well. Peak T 103, Excessive sleepiness the past 48 hrs.


Changed on 9/14/2018

VAERS ID: 25062 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:Colorado
Vaccinated:1990-06-26
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9MO1012 / UNK LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Anorexia, Pyrexia, Somnolence

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: 18 mon. female w/ DPT 11:00am in lt thigh. 48 hrs /p T 101-103 w/ irritability refused to bear weight or sit up. Refusing solid food but drinking Pedolyte well. Peak T 103, Excessive sleepiness the past 48 hrs.


Changed on 10/14/2018

VAERS ID: 25062 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:Colorado
Vaccinated:1990-06-26
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9MO1012 / UNK LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Anorexia, Pyrexia, Somnolence

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: 18 mon. female w/ DPT 11:00am in lt thigh. 48 hrs /p T 101-103 w/ irritability refused to bear weight or sit up. Refusing solid food but drinking Pedolyte well. Peak T 103, Excessive sleepiness the past 48 hrs.


Changed on 12/24/2020

VAERS ID: 25062 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:Colorado
Vaccinated:1990-06-26
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9MO1012 / UNK LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Anorexia, Pyrexia, Somnolence

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: 18 mon. female w/ DPT 11:00am in lt thigh. 48 hrs /p T 101-103 w/ irritability refused to bear weight or sit up. Refusing solid food but drinking Pedolyte well. Peak T 103, Excessive sleepiness the past 48 hrs.


Changed on 12/30/2020

VAERS ID: 25062 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:Colorado
Vaccinated:1990-06-26
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9MO1012 / UNK LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Anorexia, Pyrexia, Somnolence

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: 18 mon. female w/ DPT 11:00am in lt thigh. 48 hrs /p T 101-103 w/ irritability refused to bear weight or sit up. Refusing solid food but drinking Pedolyte well. Peak T 103, Excessive sleepiness the past 48 hrs.


Changed on 5/7/2021

VAERS ID: 25062 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:Colorado
Vaccinated:1990-06-26
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9MO1012 / UNK LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Anorexia, Pyrexia, Somnolence

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: 18 mon. female w/ DPT 11:00am in lt thigh. 48 hrs /p T 101-103 w/ irritability refused to bear weight or sit up. Refusing solid food but drinking Pedolyte well. Peak T 103, Excessive sleepiness the past 48 hrs.


Changed on 5/21/2021

VAERS ID: 25062 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:Colorado
Vaccinated:1990-06-26
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 9MO1012 / UNK LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Anorexia, Pyrexia, Somnolence

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: 18 mon. female w/ DPT 11:00am in lt thigh. 48 hrs /p T 101-103 w/ irritability refused to bear weight or sit up. Refusing solid food but drinking Pedolyte well. Peak T 103, Excessive sleepiness the past 48 hrs.

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