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This is VAERS ID 25534

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25534
VAERS Form:
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIBIMUNE / LEDERLE 181666 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: INFECT, NO DRUG EFFECT

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87


Changed on 12/8/2009

VAERS ID: 25534 Before After
VAERS Form:
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-19 1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIBIMUNE HIB POLYSACCHARIDE (HIBIMUNE) / LEDERLE LEDERLE LABORATORIES 181666 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection, INFECT, NO DRUG EFFECT

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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': (blank) 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87


Changed on 5/14/2017

VAERS ID: 25534 Before After
VAERS Form:
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 181666 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87


Changed on 9/14/2017

VAERS ID: 25534 Before After
VAERS Form:(blank) 1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87


Changed on 2/14/2018

VAERS ID: 25534 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87


Changed on 6/14/2018

VAERS ID: 25534 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87


Changed on 8/14/2018

VAERS ID: 25534 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87


Changed on 9/14/2018

VAERS ID: 25534 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87


Changed on 10/14/2018

VAERS ID: 25534 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87

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