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This is VAERS ID 26483

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26483
VAERS Form:
Age:0.2
Sex:Unknown
Location:Connecticut
Vaccinated:1989-07-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 244984 / - - / -
OPV: ORIMUNE / LEDERLE 250939 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: CONVULS, VOMIT, SCREAMING SYND, HYPERTONIA, INSOMNIA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-04-18
Permanent Disability? No
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 with 1st DTP/OPV on 27Jul89, developed loss of head control, screaming & vomiting, had sleep loss, limbs tense and developed seizures. Hospitalized many times between Sep-Dec89, received DT, condition worsened; Died 18APR90.


Changed on 12/8/2009

VAERS ID: 26483 Before After
VAERS Form:
Age:0.2
Sex:Unknown
Location:Connecticut
Vaccinated:1989-07-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-11-09 1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 244984 / - - / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 250939 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Hypertonia, Insomnia, Screaming, Vomiting, CONVULS, VOMIT, SCREAMING SYND, HYPERTONIA, INSOMNIA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-04-18
Permanent Disability? No
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) 900157501

Write-up: Pt vaccinated with 1st DTP/OPV on 27Jul89, developed loss of head control, screaming & vomiting, had sleep loss, limbs tense and developed seizures. Hospitalized many times between Sep-Dec89, received DT, condition worsened; Died 18APR90.


Changed on 5/14/2017

VAERS ID: 26483 Before After
VAERS Form:
Age:0.2
Sex:Unknown
Location:Connecticut
Vaccinated:1989-07-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 244984 / - - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 250939 / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Hypertonia, Insomnia, Screaming, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-04-18
Permanent Disability? No
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': 900157501

Write-up: Pt vaccinated with 1st DTP/OPV on 27Jul89, developed loss of head control, screaming & vomiting, had sleep loss, limbs tense and developed seizures. Hospitalized many times between Sep-Dec89, received DT, condition worsened; Died 18APR90.


Changed on 9/14/2017

VAERS ID: 26483 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Unknown
Location:Connecticut
Vaccinated:1989-07-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 244984 / - UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 250939 / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Hypertonia, Insomnia, Screaming, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-04-18
Permanent Disability? No
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': 900157501

Write-up: Pt vaccinated with 1st DTP/OPV on 27Jul89, developed loss of head control, screaming & vomiting, had sleep loss, limbs tense and developed seizures. Hospitalized many times between Sep-Dec89, received DT, condition worsened; Died 18APR90.


Changed on 2/14/2018

VAERS ID: 26483 Before After
VAERS Form:1
Age:0.2
Sex:Unknown
Location:Connecticut
Vaccinated:1989-07-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 244984 / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 250939 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Hypertonia, Insomnia, Screaming, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-04-18
Permanent Disability? No
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': 900157501

Write-up: Pt vaccinated with 1st DTP/OPV on 27Jul89, developed loss of head control, screaming & vomiting, had sleep loss, limbs tense and developed seizures. Hospitalized many times between Sep-Dec89, received DT, condition worsened; Died 18APR90.


Changed on 6/14/2018

VAERS ID: 26483 Before After
VAERS Form:1
Age:0.2
Sex:Unknown
Location:Connecticut
Vaccinated:1989-07-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 244984 / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 250939 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Hypertonia, Insomnia, Screaming, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-04-18
Permanent Disability? No
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': 900157501

Write-up: Pt vaccinated with 1st DTP/OPV on 27Jul89, developed loss of head control, screaming & vomiting, had sleep loss, limbs tense and developed seizures. Hospitalized many times between Sep-Dec89, received DT, condition worsened; Died 18APR90.


Changed on 8/14/2018

VAERS ID: 26483 Before After
VAERS Form:1
Age:0.2
Sex:Unknown
Location:Connecticut
Vaccinated:1989-07-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 244984 / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 250939 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Hypertonia, Insomnia, Screaming, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-04-18
Permanent Disability? No
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': 900157501

Write-up: Pt vaccinated with 1st DTP/OPV on 27Jul89, developed loss of head control, screaming & vomiting, had sleep loss, limbs tense and developed seizures. Hospitalized many times between Sep-Dec89, received DT, condition worsened; Died 18APR90.


Changed on 9/14/2018

VAERS ID: 26483 Before After
VAERS Form:1
Age:0.2
Sex:Unknown
Location:Connecticut
Vaccinated:1989-07-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 244984 / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 250939 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Hypertonia, Insomnia, Screaming, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-04-18
Permanent Disability? No
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': 900157501

Write-up: Pt vaccinated with 1st DTP/OPV on 27Jul89, developed loss of head control, screaming & vomiting, had sleep loss, limbs tense and developed seizures. Hospitalized many times between Sep-Dec89, received DT, condition worsened; Died 18APR90.


Changed on 10/14/2018

VAERS ID: 26483 Before After
VAERS Form:1
Age:0.2
Sex:Unknown
Location:Connecticut
Vaccinated:1989-07-27
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 244984 / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 250939 / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Hypertonia, Insomnia, Screaming, Vomiting

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-04-18
Permanent Disability? No
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': 900157501

Write-up: Pt vaccinated with 1st DTP/OPV on 27Jul89, developed loss of head control, screaming & vomiting, had sleep loss, limbs tense and developed seizures. Hospitalized many times between Sep-Dec89, received DT, condition worsened; Died 18APR90.

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