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This is VAERS ID 26593

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26593
VAERS Form:
Age:0.2
Sex:Male
Location:California
Vaccinated:1990-10-29
Onset:1990-10-31
Submitted:1990-11-02
Entered:1990-11-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS 0G11097 / - L / -
OPV: ORIMUNE / LEDERLE - / - - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: APNEA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-10-31
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: Nystatin Ointment
Current Illness: Diaper Rash
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV no adverse effects according to father; Pt was fine the day after immunization. Pt discovered not breathing at 2AM 31OCT.


Changed on 12/8/2009

VAERS ID: 26593 Before After
VAERS Form:
Age:0.2
Sex:Male
Location:California
Vaccinated:1990-10-29
Onset:1990-10-31
Submitted:1990-11-02
Entered:1990-11-13 1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0G11097 / - L / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES - / - - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Apnoea, APNEA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-10-31
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: Nystatin Ointment
Current Illness: Diaper Rash
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV no adverse effects according to father; Pt was fine the day after immunization. Pt discovered not breathing at 2AM 31OCT.


Changed on 5/14/2017

VAERS ID: 26593 Before After
VAERS Form:
Age:0.2
Sex:Male
Location:California
Vaccinated:1990-10-29
Onset:1990-10-31
Submitted:1990-11-02
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G11097 / - L - / - L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH - / - - / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-10-31
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: Nystatin Ointment
Current Illness: Diaper Rash
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV no adverse effects according to father; Pt was fine the day after immunization. Pt discovered not breathing at 2AM 31OCT.


Changed on 9/14/2017

VAERS ID: 26593 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Male
Location:California
Vaccinated:1990-10-29
Onset:1990-10-31
Submitted:1990-11-02
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G11097 / - UNK - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / - UNK - MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-10-31
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: Nystatin Ointment
Current Illness: Diaper Rash
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV no adverse effects according to father; Pt was fine the day after immunization. Pt discovered not breathing at 2AM 31OCT.


Changed on 2/14/2018

VAERS ID: 26593 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:California
Vaccinated:1990-10-29
Onset:1990-10-31
Submitted:1990-11-02
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G11097 / UNK - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-10-31
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: Nystatin Ointment
Current Illness: Diaper Rash
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV no adverse effects according to father; Pt was fine the day after immunization. Pt discovered not breathing at 2AM 31OCT.


Changed on 6/14/2018

VAERS ID: 26593 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:California
Vaccinated:1990-10-29
Onset:1990-10-31
Submitted:1990-11-02
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G11097 / UNK - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-10-31
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: Nystatin Ointment
Current Illness: Diaper Rash
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV no adverse effects according to father; Pt was fine the day after immunization. Pt discovered not breathing at 2AM 31OCT.


Changed on 8/14/2018

VAERS ID: 26593 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:California
Vaccinated:1990-10-29
Onset:1990-10-31
Submitted:1990-11-02
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G11097 / UNK - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-10-31
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: Nystatin Ointment
Current Illness: Diaper Rash
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV no adverse effects according to father; Pt was fine the day after immunization. Pt discovered not breathing at 2AM 31OCT.


Changed on 9/14/2018

VAERS ID: 26593 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:California
Vaccinated:1990-10-29
Onset:1990-10-31
Submitted:1990-11-02
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G11097 / UNK - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-10-31
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: Nystatin Ointment
Current Illness: Diaper Rash
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV no adverse effects according to father; Pt was fine the day after immunization. Pt discovered not breathing at 2AM 31OCT.


Changed on 10/14/2018

VAERS ID: 26593 Before After
VAERS Form:1
Age:0.2
Sex:Male
Location:California
Vaccinated:1990-10-29
Onset:1990-10-31
Submitted:1990-11-02
Entered:1990-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G11097 / UNK - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Apnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-10-31
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: Nystatin Ointment
Current Illness: Diaper Rash
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with DTP/OPV no adverse effects according to father; Pt was fine the day after immunization. Pt discovered not breathing at 2AM 31OCT.

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