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This is VAERS ID 25702

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25702
VAERS Form:
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1985-06-12
Onset:1985-08-09
Submitted:0000-00-00
Entered:1990-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 769441 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: CONVULS, FEVER, ENCEPHALOPATHY

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG, Brain Scan and Lumbar puncture - WNL
CDC 'Split Type':

Write-up: Pt vaccinated with DTP developed fever and one convulsion; hospitalized 3 days; recovered;


Changed on 12/8/2009

VAERS ID: 25702 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1985-06-12
Onset:1985-08-09
Submitted:0000-00-00
Entered:1990-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 769441 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Encephalopathy, Pyrexia, CONVULS, FEVER, ENCEPHALOPATHY

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG, Brain Scan and Lumbar puncture - WNL
CDC 'Split Type': (blank) 8603423.01

Write-up: Pt vaccinated with DTP developed fever and one convulsion; hospitalized 3 days; recovered;


Changed on 5/14/2017

VAERS ID: 25702 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1985-06-12
Onset:1985-08-09
Submitted:0000-00-00
Entered:1990-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 769441 / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Encephalopathy, 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG, Brain Scan and Lumbar puncture - WNL
CDC 'Split Type': 8603423.01

Write-up: Pt vaccinated with DTP developed fever and one convulsion; hospitalized 3 days; recovered;


Changed on 9/14/2017

VAERS ID: 25702 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1985-06-12
Onset:1985-08-09
Submitted:0000-00-00
Entered:1990-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 769441 / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Encephalopathy, 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG, Brain Scan and Lumbar puncture - WNL
CDC 'Split Type': 8603423.01

Write-up: Pt vaccinated with DTP developed fever and one convulsion; hospitalized 3 days; recovered;


Changed on 2/14/2018

VAERS ID: 25702 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1985-06-12
Onset:1985-08-09
Submitted:0000-00-00
Entered:1990-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 769441 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Encephalopathy, 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG, Brain Scan and Lumbar puncture - WNL
CDC 'Split Type': 8603423.01

Write-up: Pt vaccinated with DTP developed fever and one convulsion; hospitalized 3 days; recovered;


Changed on 6/14/2018

VAERS ID: 25702 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1985-06-12
Onset:1985-08-09
Submitted:0000-00-00
Entered:1990-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 769441 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Encephalopathy, 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG, Brain Scan and Lumbar puncture - WNL
CDC 'Split Type': 8603423.01

Write-up: Pt vaccinated with DTP developed fever and one convulsion; hospitalized 3 days; recovered;


Changed on 8/14/2018

VAERS ID: 25702 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1985-06-12
Onset:1985-08-09
Submitted:0000-00-00
Entered:1990-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 769441 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Encephalopathy, 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG, Brain Scan and Lumbar puncture - WNL
CDC 'Split Type': 8603423.01

Write-up: Pt vaccinated with DTP developed fever and one convulsion; hospitalized 3 days; recovered;


Changed on 9/14/2018

VAERS ID: 25702 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1985-06-12
Onset:1985-08-09
Submitted:0000-00-00
Entered:1990-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 769441 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Encephalopathy, 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG, Brain Scan and Lumbar puncture - WNL
CDC 'Split Type': 8603423.01

Write-up: Pt vaccinated with DTP developed fever and one convulsion; hospitalized 3 days; recovered;


Changed on 10/14/2018

VAERS ID: 25702 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Pennsylvania
Vaccinated:1985-06-12
Onset:1985-08-09
Submitted:0000-00-00
Entered:1990-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 769441 / UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Encephalopathy, 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: EEG, Brain Scan and Lumbar puncture - WNL
CDC 'Split Type': 8603423.01

Write-up: Pt vaccinated with DTP developed fever and one convulsion; hospitalized 3 days; recovered;

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