National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 159131

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 159131
VAERS Form:
Age:0.8
Sex:Female
Location:Texas
Vaccinated:2000-08-08
Onset:2000-08-10
Submitted:2000-09-24
Entered:2000-08-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 0712K / 2 RL / IM
PNC: PREVNAR / LEDERLE 471222 / 1 LL / IM

Administered by: Private      Purchased by: Unknown
Symptoms: STUPOR

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-09-24
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: PPD/Connaught/C0046AA/LFA/0 previously
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: complete work up
CDC 'Split Type':

Write-up: Status epilepticus-simple partial (motor). Left body started about 48 hours after immunization.


Changed on 12/8/2009

VAERS ID: 159131 Before After
VAERS Form:
Age:0.8
Sex:Female
Location:Texas
Vaccinated:2000-08-08
Onset:2000-08-10
Submitted:2000-09-24
Entered:2000-08-25 2000-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 0712K / 2 RL / IM
PNC: PREVNAR PNEUMO (PREVNAR) / LEDERLE LEDERLE LABORATORIES 471222 / 1 LL / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Status epilepticus, STUPOR

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-09-24
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: PPD/Connaught/C0046AA/LFA/0 previously
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: complete work up
CDC 'Split Type':

Write-up: Status epilepticus-simple partial (motor). Left body started about 48 hours after immunization.


Changed on 3/2/2010

VAERS ID: 159131 Before After
VAERS Form:
Age:0.8
Sex:Female
Location:Texas
Vaccinated:2000-08-08
Onset:2000-08-10
Submitted:2000-09-24
Entered:2000-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0712K / 2 RL / IM
PNC: PNEUMO (PREVNAR) PNEUMO (PREVNAR7) / LEDERLE LABORATORIES 471222 / 1 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Status epilepticus

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-09-24
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: PPD/Connaught/C0046AA/LFA/0 previously
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: complete work up
CDC 'Split Type':

Write-up: Status epilepticus-simple partial (motor). Left body started about 48 hours after immunization.


Changed on 4/7/2010

VAERS ID: 159131 Before After
VAERS Form:
Age:0.8
Sex:Female
Location:Texas
Vaccinated:2000-08-08
Onset:2000-08-10
Submitted:2000-09-24
Entered:2000-08-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0712K / 2 RL / IM
PNC: PNEUMO (PREVNAR7) PNEUMO (PREVNAR) / LEDERLE LABORATORIES 471222 / 1 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Status epilepticus

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-09-24
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: PPD/Connaught/C0046AA/LFA/0 previously
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: complete work up
CDC 'Split Type':

Write-up: Status epilepticus-simple partial (motor). Left body started about 48 hours after immunization.


Changed on 6/11/2011

VAERS ID: 159131 Before After
VAERS Form:
Age:0.8
Sex:Female
Location:Texas
Vaccinated:2000-08-08
Onset:2000-08-10
Submitted:2000-09-24
Entered:2000-08-24 2000-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0712K / 2 RL / IM
PNC: PNEUMO (PREVNAR) / LEDERLE LABORATORIES 471222 / 1 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Status epilepticus

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-09-24
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: PPD/Connaught/C0046AA/LFA/0 previously
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: complete work up
CDC 'Split Type':

Write-up: Status epilepticus-simple partial (motor). Left body started about 48 hours after immunization.


Changed on 5/14/2017

VAERS ID: 159131 Before After
VAERS Form:
Age:0.8
Sex:Female
Location:Texas
Vaccinated:2000-08-08
Onset:2000-08-10
Submitted:2000-09-24
Entered:2000-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0712K / 2 RL / IM
PNC: PNEUMO (PREVNAR) / LEDERLE LABORATORIES PFIZER/WYETH 471222 / 1 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Status epilepticus

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-09-24
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: PPD/Connaught/C0046AA/LFA/0 previously
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: complete work up
CDC 'Split Type':

Write-up: Status epilepticus-simple partial (motor). Left body started about 48 hours after immunization.


Changed on 9/14/2017

VAERS ID: 159131 Before After
VAERS Form:(blank) 1
Age:0.8
Sex:Female
Location:Texas
Vaccinated:2000-08-08
Onset:2000-08-10
Submitted:2000-09-24
Entered:2000-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0712K / 2 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471222 / 1 2 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Status epilepticus

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-09-24
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: PPD/Connaught/C0046AA/LFA/0 previously
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: complete work up
CDC 'Split Type':

Write-up: Status epilepticus-simple partial (motor). Left body started about 48 hours after immunization.


Changed on 2/14/2018

VAERS ID: 159131 Before After
VAERS Form:1
Age:0.8
Sex:Female
Location:Texas
Vaccinated:2000-08-08
Onset:2000-08-10
Submitted:2000-09-24
Entered:2000-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0712K / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471222 / 2 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Status epilepticus

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-09-24
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: PPD/Connaught/C0046AA/LFA/0 previously
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: complete work up
CDC 'Split Type':

Write-up: Status epilepticus-simple partial (motor). Left body started about 48 hours after immunization.


Changed on 6/14/2018

VAERS ID: 159131 Before After
VAERS Form:1
Age:0.8
Sex:Female
Location:Texas
Vaccinated:2000-08-08
Onset:2000-08-10
Submitted:2000-09-24
Entered:2000-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0712K / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471222 / 2 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Status epilepticus

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-09-24
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: PPD/Connaught/C0046AA/LFA/0 previously
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: complete work up
CDC 'Split Type':

Write-up: Status epilepticus-simple partial (motor). Left body started about 48 hours after immunization.


Changed on 8/14/2018

VAERS ID: 159131 Before After
VAERS Form:1
Age:0.8
Sex:Female
Location:Texas
Vaccinated:2000-08-08
Onset:2000-08-10
Submitted:2000-09-24
Entered:2000-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0712K / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471222 / 2 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Status epilepticus

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-09-24
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: PPD/Connaught/C0046AA/LFA/0 previously
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: complete work up
CDC 'Split Type':

Write-up: Status epilepticus-simple partial (motor). Left body started about 48 hours after immunization.


Changed on 9/14/2018

VAERS ID: 159131 Before After
VAERS Form:1
Age:0.8
Sex:Female
Location:Texas
Vaccinated:2000-08-08
Onset:2000-08-10
Submitted:2000-09-24
Entered:2000-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0712K / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471222 / 2 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Status epilepticus

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-09-24
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: PPD/Connaught/C0046AA/LFA/0 previously
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: complete work up
CDC 'Split Type':

Write-up: Status epilepticus-simple partial (motor). Left body started about 48 hours after immunization.


Changed on 10/14/2018

VAERS ID: 159131 Before After
VAERS Form:1
Age:0.8
Sex:Female
Location:Texas
Vaccinated:2000-08-08
Onset:2000-08-10
Submitted:2000-09-24
Entered:2000-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0712K / 3 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471222 / 2 LL / IM

Administered by: Private      Purchased by: Private
Symptoms: Status epilepticus

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2000-09-24
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: PPD/Connaught/C0046AA/LFA/0 previously
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: complete work up
CDC 'Split Type':

Write-up: Status epilepticus-simple partial (motor). Left body started about 48 hours after immunization.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=159131&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166