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This is VAERS ID 26402

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26402
VAERS Form:
Age:0.4
Sex:Male
Location:California
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-24
Entered:1990-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 283910 / 0 LL / IM
OPV: ORIMUNE / LEDERLE - / 0 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: CONVULS, VOMIT, HYPONATREM

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: PH 707; PCO2 49; PO2 48; NA 118; CL 88; Biscuit 13
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV began to vomit soon after immunization developed hyponatremia & seizure admitted to hospital for correction of hyponatremia for 24 hrs.


Changed on 12/8/2009

VAERS ID: 26402 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:California
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-24
Entered:1990-11-05 1990-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 283910 / 0 LL / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES - / 0 - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Convulsion, Hyponatraemia, Vomiting, CONVULS, VOMIT, HYPONATREM

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: PH 707; PCO2 49; PO2 48; NA 118; CL 88; Biscuit 13
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV began to vomit soon after immunization developed hyponatremia & seizure admitted to hospital for correction of hyponatremia for 24 hrs.


Changed on 5/14/2017

VAERS ID: 26402 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:California
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-24
Entered:1990-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283910 / 0 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH - / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hyponatraemia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: PH 707; PCO2 49; PO2 48; NA 118; CL 88; Biscuit 13
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV began to vomit soon after immunization developed hyponatremia & seizure admitted to hospital for correction of hyponatremia for 24 hrs.


Changed on 9/14/2017

VAERS ID: 26402 Before After
VAERS Form:(blank) 1
Age:0.4
Sex:Male
Location:California
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-24
Entered:1990-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283910 / 0 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 0 1 - MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hyponatraemia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: PH 707; PCO2 49; PO2 48; NA 118; CL 88; Biscuit 13
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV began to vomit soon after immunization developed hyponatremia & seizure admitted to hospital for correction of hyponatremia for 24 hrs.


Changed on 2/14/2018

VAERS ID: 26402 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:California
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-24
Entered:1990-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283910 / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hyponatraemia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: PH 707; PCO2 49; PO2 48; NA 118; CL 88; Biscuit 13
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV began to vomit soon after immunization developed hyponatremia & seizure admitted to hospital for correction of hyponatremia for 24 hrs.


Changed on 6/14/2018

VAERS ID: 26402 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:California
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-24
Entered:1990-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283910 / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hyponatraemia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: PH 707; PCO2 49; PO2 48; NA 118; CL 88; Biscuit 13
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV began to vomit soon after immunization developed hyponatremia & seizure admitted to hospital for correction of hyponatremia for 24 hrs.


Changed on 8/14/2018

VAERS ID: 26402 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:California
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-24
Entered:1990-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283910 / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hyponatraemia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: PH 707; PCO2 49; PO2 48; NA 118; CL 88; Biscuit 13
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV began to vomit soon after immunization developed hyponatremia & seizure admitted to hospital for correction of hyponatremia for 24 hrs.


Changed on 9/14/2018

VAERS ID: 26402 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:California
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-24
Entered:1990-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283910 / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hyponatraemia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: PH 707; PCO2 49; PO2 48; NA 118; CL 88; Biscuit 13
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV began to vomit soon after immunization developed hyponatremia & seizure admitted to hospital for correction of hyponatremia for 24 hrs.


Changed on 10/14/2018

VAERS ID: 26402 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:California
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-24
Entered:1990-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283910 / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hyponatraemia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: PH 707; PCO2 49; PO2 48; NA 118; CL 88; Biscuit 13
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV began to vomit soon after immunization developed hyponatremia & seizure admitted to hospital for correction of hyponatremia for 24 hrs.


Changed on 12/24/2020

VAERS ID: 26402 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:California
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-24
Entered:1990-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283910 / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hyponatraemia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: PH 707; PCO2 49; PO2 48; NA 118; CL 88; Biscuit 13
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV began to vomit soon after immunization developed hyponatremia & seizure admitted to hospital for correction of hyponatremia for 24 hrs.


Changed on 12/30/2020

VAERS ID: 26402 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:California
Vaccinated:1990-10-09
Onset:1990-10-09
Submitted:1990-10-24
Entered:1990-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 283910 / 1 LL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hyponatraemia, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: PH 707; PCO2 49; PO2 48; NA 118; CL 88; Biscuit 13
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV began to vomit soon after immunization developed hyponatremia & seizure admitted to hospital for correction of hyponatremia for 24 hrs.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=26402&WAYBACKHISTORY=ON


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