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This is VAERS ID 26298

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26298
VAERS Form:
Age:4.9
Sex:Male
Location:Arizona
Vaccinated:1990-10-09
Onset:1990-10-10
Submitted:1990-10-10
Entered:1990-10-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 0F11096 / - LL / -
FLU: FLUZONE 1989-1990 / CONNAUGHT LABS 0F11202 / - RL / -
HIBV: PROHIBIT / CONNAUGHT LABS 9A11072 / - RL / -
MMR: MMR II / MSD 1500S / - RA / -
OPV: ORIMUNE / LEDERLE 61764 / - - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: ASTHENIA, FEBRILE SEIZURE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: Fever 101.4 & Seizure. C/O feeling tired, has been less active than norm today. Pt had DTP, MMR, HIB, vacines yesterday.


Changed on 12/8/2009

VAERS ID: 26298 Before After
VAERS Form:
Age:4.9
Sex:Male
Location:Arizona
Vaccinated:1990-10-09
Onset:1990-10-10
Submitted:1990-10-10
Entered:1990-10-23 1990-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0F11096 / - LL / -
FLU: FLUZONE 1989-1990 INFLUENZA (SEASONAL) (FLUZONE 89-90) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0F11202 / - RL / -
HIBV: PROHIBIT HIB (PROHIBIT) / CONNAUGHT LABS CONNAUGHT LABORATORIES 9A11072 / - RL / -
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1500S / - RA / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 61764 / - - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Asthenia, Febrile convulsion, ASTHENIA, FEBRILE SEIZURE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: Fever 101.4 & Seizure. C/O feeling tired, has been less active than norm today. Pt had DTP, MMR, HIB, vacines yesterday.


Changed on 8/31/2010

VAERS ID: 26298 Before After
VAERS Form:
Age:4.9
Sex:Male
Location:Arizona
Vaccinated:1990-10-09
Onset:1990-10-10
Submitted:1990-10-10
Entered:1990-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0F11096 / - LL / -
FLU: INFLUENZA (SEASONAL) (FLUZONE 89-90) INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11202 / - RL / -
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 9A11072 / - RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1500S / - RA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 61764 / - - / PO

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Febrile convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: Fever 101.4 & Seizure. C/O feeling tired, has been less active than norm today. Pt had DTP, MMR, HIB, vacines yesterday.


Changed on 7/7/2013

VAERS ID: 26298 Before After
VAERS Form:
Age:4.9
Sex:Male
Location:Arizona
Vaccinated:1990-10-09
Onset:1990-10-10
Submitted:1990-10-10
Entered:1990-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0F11096 / - LL / -
FLU: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11202 / - RL / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11202 / - RL / -
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 9A11072 / - RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1500S / - RA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 61764 / - - / PO

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Febrile convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: Fever 101.4 & Seizure. C/O feeling tired, has been less active than norm today. Pt had DTP, MMR, HIB, vacines yesterday.


Changed on 2/14/2017

VAERS ID: 26298 Before After
VAERS Form:
Age:4.9 4.0
Sex:Male
Location:Arizona
Vaccinated:1990-10-09
Onset:1990-10-10
Submitted:1990-10-10
Entered:1990-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0F11096 / - LL / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11202 / - RL / -
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 9A11072 / - RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1500S / - RA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 61764 / - - / PO

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Febrile convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: Fever 101.4 & Seizure. C/O feeling tired, has been less active than norm today. Pt had DTP, MMR, HIB, vacines yesterday.


Changed on 5/14/2017

VAERS ID: 26298 Before After
VAERS Form:
Age:4.0
Sex:Male
Location:Arizona
Vaccinated:1990-10-09
Onset:1990-10-10
Submitted:1990-10-10
Entered:1990-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0F11096 / - LL / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11202 / - RL / -
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 9A11072 / - RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1500S / - RA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 61764 / - - / PO

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Febrile convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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':

Write-up: Fever 101.4 & Seizure. C/O feeling tired, has been less active than norm today. Pt had DTP, MMR, HIB, vacines yesterday.


Changed on 9/14/2017

VAERS ID: 26298 Before After
VAERS Form:(blank) 1
Age:4.0
Sex:Male
Location:Arizona
Vaccinated:1990-10-09
Onset:1990-10-10
Submitted:1990-10-10
Entered:1990-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0F11096 / - UNK LL / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11202 / - UNK RL / -
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 9A11072 / - UNK RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1500S / - UNK RA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 61764 / - UNK - MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Febrile convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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':

Write-up: Fever 101.4 & Seizure. C/O feeling tired, has been less active than norm today. Pt had DTP, MMR, HIB, vacines yesterday.


Changed on 2/14/2018

VAERS ID: 26298 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:Arizona
Vaccinated:1990-10-09
Onset:1990-10-10
Submitted:1990-10-10
Entered:1990-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0F11096 / UNK LL / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11202 / UNK RL / -
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 9A11072 / UNK RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1500S / UNK RA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 61764 / UNK MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Febrile convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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':

Write-up: Fever 101.4 & Seizure. C/O feeling tired, has been less active than norm today. Pt had DTP, MMR, HIB, vacines yesterday.


Changed on 6/14/2018

VAERS ID: 26298 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:Arizona
Vaccinated:1990-10-09
Onset:1990-10-10
Submitted:1990-10-10
Entered:1990-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0F11096 / UNK LL / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11202 / UNK RL / -
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 9A11072 / UNK RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1500S / UNK RA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 61764 / UNK MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Febrile convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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':

Write-up: Fever 101.4 & Seizure. C/O feeling tired, has been less active than norm today. Pt had DTP, MMR, HIB, vacines yesterday.


Changed on 8/14/2018

VAERS ID: 26298 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:Arizona
Vaccinated:1990-10-09
Onset:1990-10-10
Submitted:1990-10-10
Entered:1990-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0F11096 / UNK LL / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11202 / UNK RL / -
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 9A11072 / UNK RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1500S / UNK RA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 61764 / UNK MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Febrile convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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':

Write-up: Fever 101.4 & Seizure. C/O feeling tired, has been less active than norm today. Pt had DTP, MMR, HIB, vacines yesterday.


Changed on 9/14/2018

VAERS ID: 26298 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:Arizona
Vaccinated:1990-10-09
Onset:1990-10-10
Submitted:1990-10-10
Entered:1990-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0F11096 / UNK LL / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11202 / UNK RL / -
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 9A11072 / UNK RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1500S / UNK RA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 61764 / UNK MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Febrile convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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':

Write-up: Fever 101.4 & Seizure. C/O feeling tired, has been less active than norm today. Pt had DTP, MMR, HIB, vacines yesterday.


Changed on 10/14/2018

VAERS ID: 26298 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:Arizona
Vaccinated:1990-10-09
Onset:1990-10-10
Submitted:1990-10-10
Entered:1990-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0F11096 / UNK LL / -
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / CONNAUGHT LABORATORIES 0F11202 / UNK RL / -
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 9A11072 / UNK RL / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1500S / UNK RA / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 61764 / UNK MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Febrile convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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':

Write-up: Fever 101.4 & Seizure. C/O feeling tired, has been less active than norm today. Pt had DTP, MMR, HIB, vacines yesterday.

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