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This is VAERS ID 25769

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25769
VAERS Form:
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1987-09-04
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 175655 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: NEUROPATHY

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: Claimant under the NCVIA alleges that as a result of DTP on 4SEP87, infant suffered unspecified significant neurological deficiencies.

Changed on 12/8/2009

VAERS ID: 25769 Before After
VAERS Form:
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1987-09-04
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 175655 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy, NEUROPATHY

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) 9000159.01

Write-up: Claimant under the NCVIA alleges that as a result of DTP on 4SEP87, infant suffered unspecified significant neurological deficiencies.

Changed on 5/14/2017

VAERS ID: 25769 Before After
VAERS Form:
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1987-09-04
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 175655 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy

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': 9000159.01

Write-up: Claimant under the NCVIA alleges that as a result of DTP on 4SEP87, infant suffered unspecified significant neurological deficiencies.

Changed on 9/14/2017

VAERS ID: 25769 Before After
VAERS Form:(blank) 1
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1987-09-04
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 175655 / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy

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': 9000159.01

Write-up: Claimant under the NCVIA alleges that as a result of DTP on 4SEP87, infant suffered unspecified significant neurological deficiencies.

Changed on 2/14/2018

VAERS ID: 25769 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1987-09-04
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 175655 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy

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': 9000159.01

Write-up: Claimant under the NCVIA alleges that as a result of DTP on 4SEP87, infant suffered unspecified significant neurological deficiencies.

Changed on 6/14/2018

VAERS ID: 25769 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1987-09-04
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 175655 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy

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': 9000159.01

Write-up: Claimant under the NCVIA alleges that as a result of DTP on 4SEP87, infant suffered unspecified significant neurological deficiencies.

Changed on 8/14/2018

VAERS ID: 25769 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1987-09-04
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 175655 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy

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': 9000159.01

Write-up: Claimant under the NCVIA alleges that as a result of DTP on 4SEP87, infant suffered unspecified significant neurological deficiencies.

Changed on 9/14/2018

VAERS ID: 25769 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1987-09-04
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 175655 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy

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': 9000159.01

Write-up: Claimant under the NCVIA alleges that as a result of DTP on 4SEP87, infant suffered unspecified significant neurological deficiencies.

Changed on 10/14/2018

VAERS ID: 25769 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1987-09-04
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 175655 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy

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': 9000159.01

Write-up: Claimant under the NCVIA alleges that as a result of DTP on 4SEP87, infant suffered unspecified significant neurological deficiencies.

Changed on 12/24/2020

VAERS ID: 25769 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1987-09-04
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 175655 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy

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': 9000159.01

Write-up: Claimant under the NCVIA alleges that as a result of DTP on 4SEP87, infant suffered unspecified significant neurological deficiencies.

Changed on 12/30/2020

VAERS ID: 25769 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Colorado
Vaccinated:1987-09-04
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-08-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 175655 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Neuropathy

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': 9000159.01

Write-up: Claimant under the NCVIA alleges that as a result of DTP on 4SEP87, infant suffered unspecified significant neurological deficiencies.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25769&WAYBACKHISTORY=ON


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