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This is VAERS ID 25763

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25763
VAERS Form:
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1984-02-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: ENCEPHALOPATHY, ANOMALY CONGEN CNS, QUADRIPLEGIA

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: Plaintiffs allege that as a result of immunization in Feb84 at age 5 months (no mention in litigation of any previous vaccination), infant sustained cerebral palsy, Encephalopathy, & spastic quadriparesis


Changed on 12/8/2009

VAERS ID: 25763 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1984-02-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-28 1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital central nervous system anomaly, Encephalopathy, Quadriplegia, ENCEPHALOPATHY, ANOMALY CONGEN CNS, QUADRIPLEGIA

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) 9000300.01

Write-up: Plaintiffs allege that as a result of immunization in Feb84 at age 5 months (no mention in litigation of any previous vaccination), infant sustained cerebral palsy, Encephalopathy, & spastic quadriparesis


Changed on 5/14/2017

VAERS ID: 25763 Before After
VAERS Form:
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1984-02-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital central nervous system anomaly, Encephalopathy, Quadriplegia

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': 9000300.01

Write-up: Plaintiffs allege that as a result of immunization in Feb84 at age 5 months (no mention in litigation of any previous vaccination), infant sustained cerebral palsy, Encephalopathy, & spastic quadriparesis


Changed on 9/14/2017

VAERS ID: 25763 Before After
VAERS Form:(blank) 1
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1984-02-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital central nervous system anomaly, Encephalopathy, Quadriplegia

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': 9000300.01

Write-up: Plaintiffs allege that as a result of immunization in Feb84 at age 5 months (no mention in litigation of any previous vaccination), infant sustained cerebral palsy, Encephalopathy, & spastic quadriparesis


Changed on 2/14/2018

VAERS ID: 25763 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1984-02-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital central nervous system anomaly, Encephalopathy, Quadriplegia

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': 9000300.01

Write-up: Plaintiffs allege that as a result of immunization in Feb84 at age 5 months (no mention in litigation of any previous vaccination), infant sustained cerebral palsy, Encephalopathy, & spastic quadriparesis


Changed on 6/14/2018

VAERS ID: 25763 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1984-02-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital central nervous system anomaly, Encephalopathy, Quadriplegia

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': 9000300.01

Write-up: Plaintiffs allege that as a result of immunization in Feb84 at age 5 months (no mention in litigation of any previous vaccination), infant sustained cerebral palsy, Encephalopathy, & spastic quadriparesis


Changed on 8/14/2018

VAERS ID: 25763 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1984-02-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital central nervous system anomaly, Encephalopathy, Quadriplegia

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': 9000300.01

Write-up: Plaintiffs allege that as a result of immunization in Feb84 at age 5 months (no mention in litigation of any previous vaccination), infant sustained cerebral palsy, Encephalopathy, & spastic quadriparesis


Changed on 9/14/2018

VAERS ID: 25763 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1984-02-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital central nervous system anomaly, Encephalopathy, Quadriplegia

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': 9000300.01

Write-up: Plaintiffs allege that as a result of immunization in Feb84 at age 5 months (no mention in litigation of any previous vaccination), infant sustained cerebral palsy, Encephalopathy, & spastic quadriparesis


Changed on 10/14/2018

VAERS ID: 25763 Before After
VAERS Form:1
Age:0.4
Sex:Male
Location:South Carolina
Vaccinated:1984-02-08
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital central nervous system anomaly, Encephalopathy, Quadriplegia

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': 9000300.01

Write-up: Plaintiffs allege that as a result of immunization in Feb84 at age 5 months (no mention in litigation of any previous vaccination), infant sustained cerebral palsy, Encephalopathy, & spastic quadriparesis

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