National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 26799

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26799
VAERS Form:
Age:0.3
Sex:Male
Location:New Jersey
Vaccinated:1990-09-24
Onset:1990-09-26
Submitted:1990-11-20
Entered:1990-12-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 281946 / 0 L / -
OPV: ORIMUNE / LEDERLE - / 0 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: HYDRONEPHROSIS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-26
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 DTP/OPV child died. Autopsy showed baby had one kidney with chronic type changes, damage, hydronephrosis.


Changed on 12/8/2009

VAERS ID: 26799 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:New Jersey
Vaccinated:1990-09-24
Onset:1990-09-26
Submitted:1990-11-20
Entered:1990-12-03 1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 281946 / 0 L / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES - / 0 - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Hydronephrosis, HYDRONEPHROSIS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-26
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 DTP/OPV child died. Autopsy showed baby had one kidney with chronic type changes, damage, hydronephrosis.


Changed on 8/31/2010

VAERS ID: 26799 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:New Jersey
Vaccinated:1990-09-24
Onset:1990-09-26
Submitted:1990-11-20
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 281946 / 0 L / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES - / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Hydronephrosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-26
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 DTP/OPV child died. Autopsy showed baby had one kidney with chronic type changes, damage, hydronephrosis.


Changed on 4/13/2011

VAERS ID: 26799 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:New Jersey
Vaccinated:1990-09-24
Onset:1990-09-26
Submitted:1990-11-20
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 281946 / 0 L / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES - / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Hydronephrosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-26
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 DTP/OPV child died. Autopsy showed baby had one kidney with chronic type changes, damage, hydronephrosis.


Changed on 5/13/2011

VAERS ID: 26799 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:New Jersey
Vaccinated:1990-09-24
Onset:1990-09-26
Submitted:1990-11-20
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 281946 / 0 L / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES - / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Hydronephrosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-26
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 DTP/OPV child died. Autopsy showed baby had one kidney with chronic type changes, damage, hydronephrosis.


Changed on 6/11/2011

VAERS ID: 26799 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:New Jersey
Vaccinated:1990-09-24
Onset:1990-09-26
Submitted:1990-11-20
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 281946 / 0 L / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES - / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Hydronephrosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-26
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 DTP/OPV child died. Autopsy showed baby had one kidney with chronic type changes, damage, hydronephrosis.


Changed on 5/14/2017

VAERS ID: 26799 Before After
VAERS Form:
Age:0.3
Sex:Male
Location:New Jersey
Vaccinated:1990-09-24
Onset:1990-09-26
Submitted:1990-11-20
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 281946 / 0 L - / - L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH - / 0 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Hydronephrosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-26
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':

Write-up: Pt vaccinated with DTP/OPV child died. Autopsy showed baby had one kidney with chronic type changes, damage, hydronephrosis.


Changed on 9/14/2017

VAERS ID: 26799 Before After
VAERS Form:(blank) 1
Age:0.3
Sex:Male
Location:New Jersey
Vaccinated:1990-09-24
Onset:1990-09-26
Submitted:1990-11-20
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 281946 / 0 1 - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 0 1 - MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Hydronephrosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-26
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':

Write-up: Pt vaccinated with DTP/OPV child died. Autopsy showed baby had one kidney with chronic type changes, damage, hydronephrosis.


Changed on 2/14/2018

VAERS ID: 26799 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:New Jersey
Vaccinated:1990-09-24
Onset:1990-09-26
Submitted:1990-11-20
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 281946 / 1 - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Hydronephrosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-26
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':

Write-up: Pt vaccinated with DTP/OPV child died. Autopsy showed baby had one kidney with chronic type changes, damage, hydronephrosis.


Changed on 6/14/2018

VAERS ID: 26799 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:New Jersey
Vaccinated:1990-09-24
Onset:1990-09-26
Submitted:1990-11-20
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 281946 / 1 - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Hydronephrosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-26
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':

Write-up: Pt vaccinated with DTP/OPV child died. Autopsy showed baby had one kidney with chronic type changes, damage, hydronephrosis.


Changed on 8/14/2018

VAERS ID: 26799 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:New Jersey
Vaccinated:1990-09-24
Onset:1990-09-26
Submitted:1990-11-20
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 281946 / 1 - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Hydronephrosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-26
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':

Write-up: Pt vaccinated with DTP/OPV child died. Autopsy showed baby had one kidney with chronic type changes, damage, hydronephrosis.


Changed on 9/14/2018

VAERS ID: 26799 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:New Jersey
Vaccinated:1990-09-24
Onset:1990-09-26
Submitted:1990-11-20
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 281946 / 1 - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Hydronephrosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-26
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':

Write-up: Pt vaccinated with DTP/OPV child died. Autopsy showed baby had one kidney with chronic type changes, damage, hydronephrosis.


Changed on 10/14/2018

VAERS ID: 26799 Before After
VAERS Form:1
Age:0.3
Sex:Male
Location:New Jersey
Vaccinated:1990-09-24
Onset:1990-09-26
Submitted:1990-11-20
Entered:1990-11-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 281946 / 1 - / L
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / 1 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Hydronephrosis

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-09-26
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':

Write-up: Pt vaccinated with DTP/OPV child died. Autopsy showed baby had one kidney with chronic type changes, damage, hydronephrosis.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26799&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166