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This is VAERS ID 26480

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26480
VAERS Form:
Age:0.2
Sex:Female
Location:Washington
Vaccinated:1990-10-17
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 0M11148 / - - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: HYPOTONIA, STUPOR, APNEA

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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Normal pneumogram; Negative FA for RSV
CDC 'Split Type':

Write-up: Pt vaccinated with DTP developed apneic, hypotonic, unresponsive episode lasting 1 minute requiring vigorous stimulation to end spell.


Changed on 12/8/2009

VAERS ID: 26480 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Washington
Vaccinated:1990-10-17
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-11-09 1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0M11148 / - - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Hypotonia, Stupor, HYPOTONIA, STUPOR, APNEA

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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Normal pneumogram; Negative FA for RSV
CDC 'Split Type':

Write-up: Pt vaccinated with DTP developed apneic, hypotonic, unresponsive episode lasting 1 minute requiring vigorous stimulation to end spell.


Changed on 5/14/2017

VAERS ID: 26480 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Washington
Vaccinated:1990-10-17
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0M11148 / - - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Hypotonia, Stupor

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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Normal pneumogram; Negative FA for RSV
CDC 'Split Type':

Write-up: Pt vaccinated with DTP developed apneic, hypotonic, unresponsive episode lasting 1 minute requiring vigorous stimulation to end spell.


Changed on 9/14/2017

VAERS ID: 26480 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Female
Location:Washington
Vaccinated:1990-10-17
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0M11148 / - UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Hypotonia, Stupor

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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Normal pneumogram; Negative FA for RSV
CDC 'Split Type':

Write-up: Pt vaccinated with DTP developed apneic, hypotonic, unresponsive episode lasting 1 minute requiring vigorous stimulation to end spell.


Changed on 2/14/2018

VAERS ID: 26480 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Washington
Vaccinated:1990-10-17
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0M11148 / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Hypotonia, Stupor

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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Normal pneumogram; Negative FA for RSV
CDC 'Split Type':

Write-up: Pt vaccinated with DTP developed apneic, hypotonic, unresponsive episode lasting 1 minute requiring vigorous stimulation to end spell.


Changed on 6/14/2018

VAERS ID: 26480 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Washington
Vaccinated:1990-10-17
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0M11148 / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Hypotonia, Stupor

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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Normal pneumogram; Negative FA for RSV
CDC 'Split Type':

Write-up: Pt vaccinated with DTP developed apneic, hypotonic, unresponsive episode lasting 1 minute requiring vigorous stimulation to end spell.


Changed on 8/14/2018

VAERS ID: 26480 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Washington
Vaccinated:1990-10-17
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0M11148 / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Hypotonia, Stupor

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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Normal pneumogram; Negative FA for RSV
CDC 'Split Type':

Write-up: Pt vaccinated with DTP developed apneic, hypotonic, unresponsive episode lasting 1 minute requiring vigorous stimulation to end spell.


Changed on 9/14/2018

VAERS ID: 26480 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Washington
Vaccinated:1990-10-17
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0M11148 / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Hypotonia, Stupor

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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Normal pneumogram; Negative FA for RSV
CDC 'Split Type':

Write-up: Pt vaccinated with DTP developed apneic, hypotonic, unresponsive episode lasting 1 minute requiring vigorous stimulation to end spell.


Changed on 10/14/2018

VAERS ID: 26480 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Washington
Vaccinated:1990-10-17
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0M11148 / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Hypotonia, Stupor

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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Normal pneumogram; Negative FA for RSV
CDC 'Split Type':

Write-up: Pt vaccinated with DTP developed apneic, hypotonic, unresponsive episode lasting 1 minute requiring vigorous stimulation to end spell.


Changed on 12/24/2020

VAERS ID: 26480 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Washington
Vaccinated:1990-10-17
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0M11148 / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Hypotonia, Stupor

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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Normal pneumogram; Negative FA for RSV
CDC 'Split Type':

Write-up: Pt vaccinated with DTP developed apneic, hypotonic, unresponsive episode lasting 1 minute requiring vigorous stimulation to end spell.


Changed on 12/30/2020

VAERS ID: 26480 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Washington
Vaccinated:1990-10-17
Onset:1990-10-17
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0M11148 / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Apnoea, Hypotonia, Stupor

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? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Normal pneumogram; Negative FA for RSV
CDC 'Split Type':

Write-up: Pt vaccinated with DTP developed apneic, hypotonic, unresponsive episode lasting 1 minute requiring vigorous stimulation to end spell.

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