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This is VAERS ID 25627

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25627
VAERS Form:
Age:0.4
Sex:Female
Location:Massachusetts
Vaccinated:1990-05-11
Onset:1990-05-18
Submitted:0000-00-00
Entered:1990-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP MASS. PHD. / MASS. DPH DTP270 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: HEMIPLEGIA, PARALYSIS

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

Write-up: Pt vaccinated w/DTP and OPV experienced unilateral cranial nerve palsy.


Changed on 12/8/2009

VAERS ID: 25627 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Massachusetts
Vaccinated:1990-05-11
Onset:1990-05-18
Submitted:0000-00-00
Entered:1990-08-08 1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP MASS. PHD. DTP (NO BRAND NAME) / MASS. DPH MASS. PUB HLTH BIOL LAB DTP270 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Hemiplegia, Paralysis, HEMIPLEGIA, PARALYSIS

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 9033

Write-up: Pt vaccinated w/DTP and OPV experienced unilateral cranial nerve palsy.


Changed on 5/14/2017

VAERS ID: 25627 Before After
VAERS Form:
Age:0.4
Sex:Female
Location:Massachusetts
Vaccinated:1990-05-11
Onset:1990-05-18
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP270 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Hemiplegia, Paralysis

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 9033

Write-up: Pt vaccinated w/DTP and OPV experienced unilateral cranial nerve palsy.


Changed on 9/14/2017

VAERS ID: 25627 Before After
VAERS Form:(blank) 1
Age:0.4
Sex:Female
Location:Massachusetts
Vaccinated:1990-05-11
Onset:1990-05-18
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP270 / - UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Hemiplegia, Paralysis

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 9033

Write-up: Pt vaccinated w/DTP and OPV experienced unilateral cranial nerve palsy.


Changed on 2/14/2018

VAERS ID: 25627 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Massachusetts
Vaccinated:1990-05-11
Onset:1990-05-18
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP270 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Hemiplegia, Paralysis

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 9033

Write-up: Pt vaccinated w/DTP and OPV experienced unilateral cranial nerve palsy.


Changed on 6/14/2018

VAERS ID: 25627 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Massachusetts
Vaccinated:1990-05-11
Onset:1990-05-18
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP270 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Hemiplegia, Paralysis

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 9033

Write-up: Pt vaccinated w/DTP and OPV experienced unilateral cranial nerve palsy.


Changed on 8/14/2018

VAERS ID: 25627 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Massachusetts
Vaccinated:1990-05-11
Onset:1990-05-18
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP270 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Hemiplegia, Paralysis

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 9033

Write-up: Pt vaccinated w/DTP and OPV experienced unilateral cranial nerve palsy.


Changed on 9/14/2018

VAERS ID: 25627 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Massachusetts
Vaccinated:1990-05-11
Onset:1990-05-18
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP270 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Hemiplegia, Paralysis

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 9033

Write-up: Pt vaccinated w/DTP and OPV experienced unilateral cranial nerve palsy.


Changed on 10/14/2018

VAERS ID: 25627 Before After
VAERS Form:1
Age:0.4
Sex:Female
Location:Massachusetts
Vaccinated:1990-05-11
Onset:1990-05-18
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / MASS. PUB HLTH BIOL LAB DTP270 / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Hemiplegia, Paralysis

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 9033

Write-up: Pt vaccinated w/DTP and OPV experienced unilateral cranial nerve palsy.

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