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History of Changes from the VAERS Wayback Machine |
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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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