![]() |
National Vaccine Information Center Your Health. Your Family. Your Choice. |
MedAlerts Home |
History of Changes from the VAERS Wayback Machine |
VAERS ID: | 25102 |
VAERS Form: | |
Age: | 1.5 |
Sex: | Female |
Location: | New York |
Vaccinated: | 1981-12-09 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: TRI-IMMUNOL / LEDERLE | - / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: CONVULS, FEVER, HEMIPLEGIA, MENTAL RETARD, PERSON DIS
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Plaintiffs allege that as a result of immunization in 1-DEC-81, healthy 20 month old suffered high fever & convulsions with resultant permanent paralysis of right extremities, mental retardation & behavioral problems.
Vaccinated: | 1981-12-09 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES | - / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Hemiplegia, Mental retardation severity unspecified, Personality disorder, Pyrexia, CONVULS, FEVER, HEMIPLEGIA, MENTAL RETARD, PERSON DIS
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Plaintiffs allege that as a result of immunization in 1-DEC-81, healthy 20 month old suffered high fever & convulsions with resultant permanent paralysis of right extremities, mental retardation & behavioral problems.
Vaccinated: | 1981-12-09 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES | - / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Hemiplegia, Mental retardation severity unspecified, Personality disorder, Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Plaintiffs allege that as a result of immunization in 1-DEC-81, healthy 20 month old suffered high fever & convulsions with resultant permanent paralysis of right extremities, mental retardation & behavioral problems.
Vaccinated: | 1981-12-09 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES | - / - UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Hemiplegia, Mental retardation severity unspecified, Personality disorder, Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Plaintiffs allege that as a result of immunization in 1-DEC-81, healthy 20 month old suffered high fever & convulsions with resultant permanent paralysis of right extremities, mental retardation & behavioral problems.
Vaccinated: | 1981-12-09 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Hemiplegia, Mental retardation severity unspecified, Personality disorder, Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Plaintiffs allege that as a result of immunization in 1-DEC-81, healthy 20 month old suffered high fever & convulsions with resultant permanent paralysis of right extremities, mental retardation & behavioral problems.
Vaccinated: | 1981-12-09 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Hemiplegia, Mental retardation severity unspecified, Personality disorder, Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Plaintiffs allege that as a result of immunization in 1-DEC-81, healthy 20 month old suffered high fever & convulsions with resultant permanent paralysis of right extremities, mental retardation & behavioral problems.
Vaccinated: | 1981-12-09 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Hemiplegia, Mental retardation severity unspecified, Personality disorder, Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Plaintiffs allege that as a result of immunization in 1-DEC-81, healthy 20 month old suffered high fever & convulsions with resultant permanent paralysis of right extremities, mental retardation & behavioral problems.
Vaccinated: | 1981-12-09 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Hemiplegia, Mental retardation severity unspecified, Personality disorder, Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Plaintiffs allege that as a result of immunization in 1-DEC-81, healthy 20 month old suffered high fever & convulsions with resultant permanent paralysis of right extremities, mental retardation & behavioral problems.
Vaccinated: | 1981-12-09 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Hemiplegia, Mental retardation severity unspecified, Personality disorder, Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Plaintiffs allege that as a result of immunization in 1-DEC-81, healthy 20 month old suffered high fever & convulsions with resultant permanent paralysis of right extremities, mental retardation & behavioral problems.
Vaccinated: | 1981-12-09 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Hemiplegia, Mental retardation severity unspecified, Personality disorder, Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Plaintiffs allege that as a result of immunization in 1-DEC-81, healthy 20 month old suffered high fever & convulsions with resultant permanent paralysis of right extremities, mental retardation & behavioral problems.
Vaccinated: | 1981-12-09 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Hemiplegia, Mental retardation severity unspecified, Personality disorder, Pyrexia
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Plaintiffs allege that as a result of immunization in 1-DEC-81, healthy 20 month old suffered high fever & convulsions with resultant permanent paralysis of right extremities, mental retardation & behavioral problems.
Link To This Search Result:
https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25102&WAYBACKHISTORY=ON
Copyright ©
2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166