National Vaccine
Information Center
Your Health. Your Family. Your Choice.

 MedAlerts Home
Search Results

This is VAERS ID 25534

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25534
VAERS Form:
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIBIMUNE / LEDERLE 181666 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: INFECT, NO DRUG EFFECT

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: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87

Changed on 12/8/2009

VAERS ID: 25534 Before After
VAERS Form:
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-19 1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIBIMUNE HIB POLYSACCHARIDE (HIBIMUNE) / LEDERLE LEDERLE LABORATORIES 181666 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection, INFECT, NO DRUG EFFECT

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': (blank) 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87

Changed on 5/14/2017

VAERS ID: 25534 Before After
VAERS Form:
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 181666 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87

Changed on 9/14/2017

VAERS ID: 25534 Before After
VAERS Form:(blank) 1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87

Changed on 2/14/2018

VAERS ID: 25534 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87

Changed on 6/14/2018

VAERS ID: 25534 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87

Changed on 8/14/2018

VAERS ID: 25534 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87

Changed on 9/14/2018

VAERS ID: 25534 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87

Changed on 10/14/2018

VAERS ID: 25534 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87

Changed on 12/24/2020

VAERS ID: 25534 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87

Changed on 12/30/2020

VAERS ID: 25534 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87

Changed on 5/7/2021

VAERS ID: 25534 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87

Changed on 5/14/2021

VAERS ID: 25534 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1987-12-09
Onset:1990-06-25
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBPV: HIB POLYSACCHARIDE (HIBIMUNE) / PFIZER/WYETH 181666 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Drug ineffective, Infection

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': 9001160.01

Write-up: 4 1/2 yr old child 25Jun90/w positive blood culture for h. Influenzae type B. Child received immunization on 9Dec87

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25534&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166