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This is VAERS ID 25015

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25015
VAERS Form:
Age:
Sex:Unknown
Location:Georgia
Vaccinated:1989-11-01
Onset:1989-11-01
Submitted:0000-00-00
Entered:1990-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, MASS INJECT SITE

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: n/a
CDC 'Split Type':

Write-up: vaccine contained large amount of sediment which will not resuspend. Also, reporter states that he has not seen an increase in the number of reactions; however, he has noted more severity of local rxns, more than nl temp and knot under skn


Changed on 12/8/2009

VAERS ID: 25015 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Georgia
Vaccinated:1989-11-01
Onset:1989-11-01
Submitted:0000-00-00
Entered:1990-07-05 1990-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Pyrexia, FEVER, MASS INJECT SITE

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: n/a
CDC 'Split Type': (blank) 8902805.01

Write-up: vaccine contained large amount of sediment which will not resuspend. Also, reporter states that he has not seen an increase in the number of reactions; however, he has noted more severity of local rxns, more than nl temp and knot under skn


Changed on 5/14/2017

VAERS ID: 25015 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Georgia
Vaccinated:1989-11-01
Onset:1989-11-01
Submitted:0000-00-00
Entered:1990-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Pyrexia

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: n/a
CDC 'Split Type': 8902805.01

Write-up: vaccine contained large amount of sediment which will not resuspend. Also, reporter states that he has not seen an increase in the number of reactions; however, he has noted more severity of local rxns, more than nl temp and knot under skn


Changed on 9/14/2017

VAERS ID: 25015 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:Georgia
Vaccinated:1989-11-01
Onset:1989-11-01
Submitted:0000-00-00
Entered:1990-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Pyrexia

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: n/a
CDC 'Split Type': 8902805.01

Write-up: vaccine contained large amount of sediment which will not resuspend. Also, reporter states that he has not seen an increase in the number of reactions; however, he has noted more severity of local rxns, more than nl temp and knot under skn


Changed on 2/14/2018

VAERS ID: 25015 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Georgia
Vaccinated:1989-11-01
Onset:1989-11-01
Submitted:0000-00-00
Entered:1990-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Pyrexia

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: n/a
CDC 'Split Type': 8902805.01

Write-up: vaccine contained large amount of sediment which will not resuspend. Also, reporter states that he has not seen an increase in the number of reactions; however, he has noted more severity of local rxns, more than nl temp and knot under skn


Changed on 6/14/2018

VAERS ID: 25015 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Georgia
Vaccinated:1989-11-01
Onset:1989-11-01
Submitted:0000-00-00
Entered:1990-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Pyrexia

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: n/a
CDC 'Split Type': 8902805.01

Write-up: vaccine contained large amount of sediment which will not resuspend. Also, reporter states that he has not seen an increase in the number of reactions; however, he has noted more severity of local rxns, more than nl temp and knot under skn


Changed on 8/14/2018

VAERS ID: 25015 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Georgia
Vaccinated:1989-11-01
Onset:1989-11-01
Submitted:0000-00-00
Entered:1990-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Pyrexia

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: n/a
CDC 'Split Type': 8902805.01

Write-up: vaccine contained large amount of sediment which will not resuspend. Also, reporter states that he has not seen an increase in the number of reactions; however, he has noted more severity of local rxns, more than nl temp and knot under skn


Changed on 9/14/2018

VAERS ID: 25015 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Georgia
Vaccinated:1989-11-01
Onset:1989-11-01
Submitted:0000-00-00
Entered:1990-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Pyrexia

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: n/a
CDC 'Split Type': 8902805.01

Write-up: vaccine contained large amount of sediment which will not resuspend. Also, reporter states that he has not seen an increase in the number of reactions; however, he has noted more severity of local rxns, more than nl temp and knot under skn


Changed on 10/14/2018

VAERS ID: 25015 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Georgia
Vaccinated:1989-11-01
Onset:1989-11-01
Submitted:0000-00-00
Entered:1990-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Injection site mass, Pyrexia

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: n/a
CDC 'Split Type': 8902805.01

Write-up: vaccine contained large amount of sediment which will not resuspend. Also, reporter states that he has not seen an increase in the number of reactions; however, he has noted more severity of local rxns, more than nl temp and knot under skn

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