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This is VAERS ID 32589

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 32589
VAERS Form:
Age:2.2
Sex:Male
Location:South Dakota
Vaccinated:1991-02-12
Onset:1991-02-15
Submitted:1991-06-30
Entered:1991-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED, PEDIATRIC / SCLAVO 125A1 / 3 RL / -
HIBV: HIBTITER / LEDERLE(PRAXIS) M030FC / 0 LL / -
OPV: ORIMUNE / LEDERLE 0614E / 2 - / PO

Administered by: Public      Purchased by: Unknown
Symptoms: CONVULS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Pt exp high fever @ 2.4mo & 5mo w/DTP # 1 & 2;
Other Medications: Depakote for sz
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Epilepsy (cause unk); 2 EEG''s & a CT brain Scan
CDC 'Split Type': NONE

Write-up: Pt exp sz about 3 days post vax; Has had 2 EEG''s & CT brain scan is on Depakote;


Changed on 12/8/2009

VAERS ID: 32589 Before After
VAERS Form:
Age:2.2
Sex:Male
Location:South Dakota
Vaccinated:1991-02-12
Onset:1991-02-15
Submitted:1991-06-30
Entered:1991-07-19 1991-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED, PEDIATRIC DT ADSORBED (NO BRAND NAME) / SCLAVO 125A1 / 3 RL / -
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M030FC / 0 LL / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 0614E / 2 - / PO

Administered by: Public      Purchased by: Unknown Public
Symptoms: Convulsion, CONVULS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Pt exp high fever @ 2.4mo & 5mo w/DTP # 1 & 2;
Other Medications: Depakote for sz
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Epilepsy (cause unk); 2 EEG''s & a CT brain Scan
CDC 'Split Type': NONE SD91019

Write-up: Pt exp sz about 3 days post vax; Has had 2 EEG''s & CT brain scan is on Depakote;


Changed on 2/14/2017

VAERS ID: 32589 Before After
VAERS Form:
Age:2.2 2.0
Sex:Male
Location:South Dakota
Vaccinated:1991-02-12
Onset:1991-02-15
Submitted:1991-06-30
Entered:1991-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / SCLAVO 125A1 / 3 RL / -
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS M030FC / 0 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 0614E / 2 - / PO

Administered by: Public      Purchased by: Public
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Pt exp high fever @ 2.4mo & 5mo w/DTP # 1 & 2;
Other Medications: Depakote for sz
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Epilepsy (cause unk); 2 EEG''s & a CT brain Scan
CDC 'Split Type': SD91019

Write-up: Pt exp sz about 3 days post vax; Has had 2 EEG''s & CT brain scan is on Depakote;


Changed on 5/14/2017

VAERS ID: 32589 Before After
VAERS Form:
Age:2.0
Sex:Male
Location:South Dakota
Vaccinated:1991-02-12
Onset:1991-02-15
Submitted:1991-06-30
Entered:1991-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / SCLAVO 125A1 / 3 RL / -
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M030FC / 0 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 0614E / 2 - / PO

Administered by: Public      Purchased by: Public
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Pt exp high fever @ 2.4mo & 5mo w/DTP # 1 & 2; 2;~ ()~~~In patient
Other Medications: Depakote for sz
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Epilepsy (cause unk); 2 EEG''s & a CT brain Scan
CDC 'Split Type': SD91019

Write-up: Pt exp sz about 3 days post vax; Has had 2 EEG''s & CT brain scan is on Depakote;


Changed on 9/14/2017

VAERS ID: 32589 Before After
VAERS Form:(blank) 1
Age:2.0
Sex:Male
Location:South Dakota
Vaccinated:1991-02-12
Onset:1991-02-15
Submitted:1991-06-30
Entered:1991-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / SCLAVO 125A1 / 3 4 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 0 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0614E / 2 3 - MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Pt exp high fever @ 2.4mo & 5mo w/DTP # 1 & 2;~ ()~~~In patient
Other Medications: Depakote for sz
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Epilepsy (cause unk); 2 EEG''s & a CT brain Scan
CDC 'Split Type': SD91019

Write-up: Pt exp sz about 3 days post vax; Has had 2 EEG''s & CT brain scan is on Depakote;


Changed on 2/14/2018

VAERS ID: 32589 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:South Dakota
Vaccinated:1991-02-12
Onset:1991-02-15
Submitted:1991-06-30
Entered:1991-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / SCLAVO 125A1 / 4 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0614E / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Pt exp high fever @ 2.4mo & 5mo w/DTP # 1 & 2;~ ()~~~In patient
Other Medications: Depakote for sz
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Epilepsy (cause unk); 2 EEG''s & a CT brain Scan
CDC 'Split Type': SD91019

Write-up: Pt exp sz about 3 days post vax; Has had 2 EEG''s & CT brain scan is on Depakote;


Changed on 6/14/2018

VAERS ID: 32589 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:South Dakota
Vaccinated:1991-02-12
Onset:1991-02-15
Submitted:1991-06-30
Entered:1991-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / SCLAVO 125A1 / 4 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0614E / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Pt exp high fever @ 2.4mo & 5mo w/DTP # 1 & 2;~ ()~~~In patient
Other Medications: Depakote for sz
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Epilepsy (cause unk); 2 EEG''s & a CT brain Scan
CDC 'Split Type': SD91019

Write-up: Pt exp sz about 3 days post vax; Has had 2 EEG''s & CT brain scan is on Depakote;


Changed on 8/14/2018

VAERS ID: 32589 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:South Dakota
Vaccinated:1991-02-12
Onset:1991-02-15
Submitted:1991-06-30
Entered:1991-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / SCLAVO 125A1 / 4 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0614E / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Pt exp high fever @ 2.4mo & 5mo w/DTP # 1 & 2;~ ()~~~In patient
Other Medications: Depakote for sz
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Epilepsy (cause unk); 2 EEG''s & a CT brain Scan
CDC 'Split Type': SD91019

Write-up: Pt exp sz about 3 days post vax; Has had 2 EEG''s & CT brain scan is on Depakote;


Changed on 9/14/2018

VAERS ID: 32589 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:South Dakota
Vaccinated:1991-02-12
Onset:1991-02-15
Submitted:1991-06-30
Entered:1991-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / SCLAVO 125A1 / 4 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0614E / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Pt exp high fever @ 2.4mo & 5mo w/DTP # 1 & 2;~ ()~~~In patient
Other Medications: Depakote for sz
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Epilepsy (cause unk); 2 EEG''s & a CT brain Scan
CDC 'Split Type': SD91019

Write-up: Pt exp sz about 3 days post vax; Has had 2 EEG''s & CT brain scan is on Depakote;


Changed on 10/14/2018

VAERS ID: 32589 Before After
VAERS Form:1
Age:2.0
Sex:Male
Location:South Dakota
Vaccinated:1991-02-12
Onset:1991-02-15
Submitted:1991-06-30
Entered:1991-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DT: DT ADSORBED (NO BRAND NAME) / SCLAVO 125A1 / 4 RL / -
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 LL / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0614E / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Convulsion

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Pt exp high fever @ 2.4mo & 5mo w/DTP # 1 & 2;~ ()~~~In patient
Other Medications: Depakote for sz
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Epilepsy (cause unk); 2 EEG''s & a CT brain Scan
CDC 'Split Type': SD91019

Write-up: Pt exp sz about 3 days post vax; Has had 2 EEG''s & CT brain scan is on Depakote;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=32589&WAYBACKHISTORY=ON


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