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This is VAERS ID 25028

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25028
VAERS Form:
Age:2.0
Sex:Male
Location:Tennessee
Vaccinated:1989-05-24
Onset:1990-06-24
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT / CONNAUGHT LABS 8L01022 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: MENINGITIS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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:
CDC 'Split Type':

Write-up: Pt admitted with H-Flu meningitis on 24Jun90. Pt expired on 25Jun90. Pt received HIB vaccine at 18 months of age.

Changed on 12/8/2009

VAERS ID: 25028 Before After
VAERS Form:
Age:2.0
Sex:Male
Location:Tennessee
Vaccinated:1989-05-24
Onset:1990-06-24
Submitted:0000-00-00
Entered:1990-07-10 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT HIB (PROHIBIT) / CONNAUGHT LABS CONNAUGHT LABORATORIES 8L01022 / - - / IM

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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:
CDC 'Split Type':

Write-up: Pt admitted with H-Flu meningitis on 24Jun90. Pt expired on 25Jun90. Pt received HIB vaccine at 18 months of age.

Changed on 5/14/2017

VAERS ID: 25028 Before After
VAERS Form:
Age:2.0
Sex:Male
Location:Tennessee
Vaccinated:1989-05-24
Onset:1990-06-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01022 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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:
CDC 'Split Type':

Write-up: Pt admitted with H-Flu meningitis on 24Jun90. Pt expired on 25Jun90. Pt received HIB vaccine at 18 months of age.

Changed on 9/14/2017

VAERS ID: 25028 Before After
VAERS Form:(blank) 1
Age:2.0
Sex:Male
Location:Tennessee
Vaccinated:1989-05-24
Onset:1990-06-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01022 / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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:
CDC 'Split Type':

Write-up: Pt admitted with H-Flu meningitis on 24Jun90. Pt expired on 25Jun90. Pt received HIB vaccine at 18 months of age.

Changed on 2/14/2018

VAERS ID: 25028 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:Tennessee
Vaccinated:1989-05-24
Onset:1990-06-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01022 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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:
CDC 'Split Type':

Write-up: Pt admitted with H-Flu meningitis on 24Jun90. Pt expired on 25Jun90. Pt received HIB vaccine at 18 months of age.

Changed on 6/14/2018

VAERS ID: 25028 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:Tennessee
Vaccinated:1989-05-24
Onset:1990-06-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01022 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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:
CDC 'Split Type':

Write-up: Pt admitted with H-Flu meningitis on 24Jun90. Pt expired on 25Jun90. Pt received HIB vaccine at 18 months of age.

Changed on 8/14/2018

VAERS ID: 25028 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:Tennessee
Vaccinated:1989-05-24
Onset:1990-06-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01022 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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:
CDC 'Split Type':

Write-up: Pt admitted with H-Flu meningitis on 24Jun90. Pt expired on 25Jun90. Pt received HIB vaccine at 18 months of age.

Changed on 9/14/2018

VAERS ID: 25028 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:Tennessee
Vaccinated:1989-05-24
Onset:1990-06-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01022 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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:
CDC 'Split Type':

Write-up: Pt admitted with H-Flu meningitis on 24Jun90. Pt expired on 25Jun90. Pt received HIB vaccine at 18 months of age.

Changed on 10/14/2018

VAERS ID: 25028 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:Tennessee
Vaccinated:1989-05-24
Onset:1990-06-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01022 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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:
CDC 'Split Type':

Write-up: Pt admitted with H-Flu meningitis on 24Jun90. Pt expired on 25Jun90. Pt received HIB vaccine at 18 months of age.

Changed on 12/24/2020

VAERS ID: 25028 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:Tennessee
Vaccinated:1989-05-24
Onset:1990-06-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01022 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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:
CDC 'Split Type':

Write-up: Pt admitted with H-Flu meningitis on 24Jun90. Pt expired on 25Jun90. Pt received HIB vaccine at 18 months of age.

Changed on 12/30/2020

VAERS ID: 25028 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:Tennessee
Vaccinated:1989-05-24
Onset:1990-06-24
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 8L01022 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-25
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:
CDC 'Split Type':

Write-up: Pt admitted with H-Flu meningitis on 24Jun90. Pt expired on 25Jun90. Pt received HIB vaccine at 18 months of age.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25028&WAYBACKHISTORY=ON


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