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This is VAERS ID 28546

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 28546
VAERS Form:
Age:3.0
Sex:Male
Location:D.C.
Vaccinated:1990-05-24
Onset:1990-05-26
Submitted:0000-00-00
Entered:1991-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT / CONNAUGHT LABS 8L01023 / - RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: INFECT, MENINGITIS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type':

Write-up: Pt died; Meningococcal meningitis; Culture proven Neissera;


Changed on 12/8/2009

VAERS ID: 28546 Before After
VAERS Form:
Age:3.0
Sex:Male
Location:D.C.
Vaccinated:1990-05-24
Onset:1990-05-26
Submitted:0000-00-00
Entered:1991-04-05 1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT HIB (PROHIBIT) / CONNAUGHT LABS CONNAUGHT LABORATORIES 8L01023 / - RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Infection, Meningitis, INFECT, MENINGITIS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': (blank) CO3506

Write-up: Pt died; Meningococcal meningitis; Culture proven Neissera;


Changed on 5/14/2017

VAERS ID: 28546 Before After
VAERS Form:
Age:3.0
Sex:Male
Location:D.C.
Vaccinated:1990-05-24
Onset:1990-05-26
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01023 / - RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Infection, Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3506

Write-up: Pt died; Meningococcal meningitis; Culture proven Neissera;


Changed on 9/14/2017

VAERS ID: 28546 Before After
VAERS Form:(blank) 1
Age:3.0
Sex:Male
Location:D.C.
Vaccinated:1990-05-24
Onset:1990-05-26
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01023 / - UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Infection, Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3506

Write-up: Pt died; Meningococcal meningitis; Culture proven Neissera;


Changed on 2/14/2018

VAERS ID: 28546 Before After
VAERS Form:1
Age:3.0
Sex:Male
Location:D.C.
Vaccinated:1990-05-24
Onset:1990-05-26
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01023 / UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Infection, Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3506

Write-up: Pt died; Meningococcal meningitis; Culture proven Neissera;


Changed on 6/14/2018

VAERS ID: 28546 Before After
VAERS Form:1
Age:3.0
Sex:Male
Location:D.C.
Vaccinated:1990-05-24
Onset:1990-05-26
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01023 / UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Infection, Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3506

Write-up: Pt died; Meningococcal meningitis; Culture proven Neissera;


Changed on 8/14/2018

VAERS ID: 28546 Before After
VAERS Form:1
Age:3.0
Sex:Male
Location:D.C.
Vaccinated:1990-05-24
Onset:1990-05-26
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01023 / UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Infection, Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3506

Write-up: Pt died; Meningococcal meningitis; Culture proven Neissera;


Changed on 9/14/2018

VAERS ID: 28546 Before After
VAERS Form:1
Age:3.0
Sex:Male
Location:D.C.
Vaccinated:1990-05-24
Onset:1990-05-26
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01023 / UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Infection, Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3506

Write-up: Pt died; Meningococcal meningitis; Culture proven Neissera;


Changed on 10/14/2018

VAERS ID: 28546 Before After
VAERS Form:1
Age:3.0
Sex:Male
Location:D.C.
Vaccinated:1990-05-24
Onset:1990-05-26
Submitted:0000-00-00
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01023 / UNK RA / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Infection, Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: not available
Allergies:
Diagnostic Lab Data: not available
CDC 'Split Type': CO3506

Write-up: Pt died; Meningococcal meningitis; Culture proven Neissera;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=28546&WAYBACKHISTORY=ON


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