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This is VAERS ID 150156

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 150156
VAERS Form:
Age:
Sex:Male
Location:South Dakota
Vaccinated:0000-00-00
Onset:1997-03-01
Submitted:2000-03-03
Entered:2000-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: UNK. POLIOVIRUS LIVE ORAL TRIVALENT / UNCLASSIFIED - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: CARCINOMA LUNG

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-12-10
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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lung cancer developed in early 50''s. He did not smoke. Died of cancer treatment. Suspect connection to Rhesus polio vaccine


Changed on 12/30/2006

VAERS ID: 150156 Before After
VAERS Form:
Age:
Sex:Male
Location:South Dakota
Vaccinated:0000-00-00
Onset:1997-03-01
Submitted:2000-03-03
Entered:2000-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: UNK. POLIOVIRUS LIVE ORAL TRIVALENT / UNCLASSIFIED - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: CARCINOMA LUNG

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-12-10
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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lung cancer developed in early 50''s. 50''''s. He did not smoke. Died of cancer treatment. Suspect connection to Rhesus polio vaccine


Changed on 12/8/2009

VAERS ID: 150156 Before After
VAERS Form:
Age:
Sex:Male
Location:South Dakota
Vaccinated:0000-00-00
Onset:1997-03-01
Submitted:2000-03-03
Entered:2000-03-20 2000-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: UNK. POLIOVIRUS LIVE ORAL TRIVALENT POLIO VIRUS, ORAL (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Lung neoplasm malignant, CARCINOMA LUNG

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-12-10
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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lung cancer developed in early 50''''s. 50''s. He did not smoke. Died of cancer treatment. Suspect connection to Rhesus polio vaccine


Changed on 9/14/2017

VAERS ID: 150156 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:South Dakota
Vaccinated:0000-00-00
Onset:1997-03-01
Submitted:2000-03-03
Entered:2000-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Lung neoplasm malignant

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-12-10
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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lung cancer developed in early 50''s. He did not smoke. Died of cancer treatment. Suspect connection to Rhesus polio vaccine


Changed on 2/14/2018

VAERS ID: 150156 Before After
VAERS Form:1
Age:
Sex:Male
Location:South Dakota
Vaccinated:0000-00-00
Onset:1997-03-01
Submitted:2000-03-03
Entered:2000-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Lung neoplasm malignant

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-12-10
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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lung cancer developed in early 50''s. He did not smoke. Died of cancer treatment. Suspect connection to Rhesus polio vaccine


Changed on 6/14/2018

VAERS ID: 150156 Before After
VAERS Form:1
Age:
Sex:Male
Location:South Dakota
Vaccinated:0000-00-00
Onset:1997-03-01
Submitted:2000-03-03
Entered:2000-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Lung neoplasm malignant

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-12-10
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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lung cancer developed in early 50''s. He did not smoke. Died of cancer treatment. Suspect connection to Rhesus polio vaccine


Changed on 8/14/2018

VAERS ID: 150156 Before After
VAERS Form:1
Age:
Sex:Male
Location:South Dakota
Vaccinated:0000-00-00
Onset:1997-03-01
Submitted:2000-03-03
Entered:2000-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Lung neoplasm malignant

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-12-10
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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lung cancer developed in early 50''s. He did not smoke. Died of cancer treatment. Suspect connection to Rhesus polio vaccine


Changed on 9/14/2018

VAERS ID: 150156 Before After
VAERS Form:1
Age:
Sex:Male
Location:South Dakota
Vaccinated:0000-00-00
Onset:1997-03-01
Submitted:2000-03-03
Entered:2000-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Lung neoplasm malignant

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-12-10
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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lung cancer developed in early 50''s. He did not smoke. Died of cancer treatment. Suspect connection to Rhesus polio vaccine


Changed on 10/14/2018

VAERS ID: 150156 Before After
VAERS Form:1
Age:
Sex:Male
Location:South Dakota
Vaccinated:0000-00-00
Onset:1997-03-01
Submitted:2000-03-03
Entered:2000-03-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
OPV: POLIO VIRUS, ORAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Lung neoplasm malignant

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1998-12-10
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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lung cancer developed in early 50''s. He did not smoke. Died of cancer treatment. Suspect connection to Rhesus polio vaccine

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