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This is VAERS ID 32813

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 32813
VAERS Form:
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1991-04-25
Onset:1991-04-26
Submitted:1991-04-30
Entered:1991-08-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 293948 / 0 LL / IM
HIBV: HIBTITER / LEDERLE(PRAXIS) M205EP / 0 RL / IM
OPV: ORIMUNE / LEDERLE 291978 / 0 - / PO

Administered by: Public      Purchased by: Unknown
Symptoms: FEVER, INFECT, NO DRUG EFFECT, INTRACRAN HYPERTENS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Orbital cellulitis 11MAR91
Allergies:
Diagnostic Lab Data: 26APR91 CSF Beta Lactamose-positive; 30APR91 culture came back H-flu type B.
CDC 'Split Type': Orbital cellulitis 11MAR91

Write-up: Pt admitted to hosp on 26APR91 w/t102, & bulging fontanel; CSF culture done 26APR91 cultured out Beta-Lactamase positive-H.Fluenzae; Organism was resistant to Ampicillin & PCN; Pt previously admitted to hosp for orbital cellulitis @ 2.5mo;


Changed on 12/8/2009

VAERS ID: 32813 Before After
VAERS Form:
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1991-04-25
Onset:1991-04-26
Submitted:1991-04-30
Entered:1991-08-02 1991-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 293948 / 0 LL / IM
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M205EP / 0 RL / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 291978 / 0 - / PO

Administered by: Public      Purchased by: Unknown Public
Symptoms: Drug ineffective, Infection, Intracranial pressure increased, Pyrexia, FEVER, INFECT, NO DRUG EFFECT, INTRACRAN HYPERTENS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Orbital cellulitis 11MAR91
Allergies:
Diagnostic Lab Data: 26APR91 CSF Beta Lactamose-positive; 30APR91 culture came back H-flu type B.
CDC 'Split Type': Orbital cellulitis 11MAR91 PA91235

Write-up: Pt admitted to hosp on 26APR91 w/t102, & bulging fontanel; CSF culture done 26APR91 cultured out Beta-Lactamase positive-H.Fluenzae; Organism was resistant to Ampicillin & PCN; Pt previously admitted to hosp for orbital cellulitis @ 2.5mo;


Changed on 5/14/2017

VAERS ID: 32813 Before After
VAERS Form:
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1991-04-25
Onset:1991-04-26
Submitted:1991-04-30
Entered:1991-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293948 / 0 LL / IM
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M205EP / 0 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 291978 / 0 - / PO

Administered by: Public      Purchased by: Public
Symptoms: Drug ineffective, Infection, Intracranial pressure increased, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Orbital cellulitis 11MAR91
Allergies:
Diagnostic Lab Data: 26APR91 CSF Beta Lactamose-positive; 30APR91 culture came back H-flu type B.
CDC 'Split Type': PA91235

Write-up: Pt admitted to hosp on 26APR91 w/t102, & bulging fontanel; CSF culture done 26APR91 cultured out Beta-Lactamase positive-H.Fluenzae; Organism was resistant to Ampicillin & PCN; Pt previously admitted to hosp for orbital cellulitis @ 2.5mo;


Changed on 9/14/2017

VAERS ID: 32813 Before After
VAERS Form:(blank) 1
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1991-04-25
Onset:1991-04-26
Submitted:1991-04-30
Entered:1991-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293948 / 0 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M205EP / 0 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291978 / 0 1 - MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Drug ineffective, Infection, Intracranial pressure increased, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Orbital cellulitis 11MAR91
Allergies:
Diagnostic Lab Data: 26APR91 CSF Beta Lactamose-positive; 30APR91 culture came back H-flu type B.
CDC 'Split Type': PA91235

Write-up: Pt admitted to hosp on 26APR91 w/t102, & bulging fontanel; CSF culture done 26APR91 cultured out Beta-Lactamase positive-H.Fluenzae; Organism was resistant to Ampicillin & PCN; Pt previously admitted to hosp for orbital cellulitis @ 2.5mo;


Changed on 2/14/2018

VAERS ID: 32813 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1991-04-25
Onset:1991-04-26
Submitted:1991-04-30
Entered:1991-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293948 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M205EP / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291978 / 1 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Drug ineffective, Infection, Intracranial pressure increased, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Orbital cellulitis 11MAR91
Allergies:
Diagnostic Lab Data: 26APR91 CSF Beta Lactamose-positive; 30APR91 culture came back H-flu type B.
CDC 'Split Type': PA91235

Write-up: Pt admitted to hosp on 26APR91 w/t102, & bulging fontanel; CSF culture done 26APR91 cultured out Beta-Lactamase positive-H.Fluenzae; Organism was resistant to Ampicillin & PCN; Pt previously admitted to hosp for orbital cellulitis @ 2.5mo;


Changed on 6/14/2018

VAERS ID: 32813 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1991-04-25
Onset:1991-04-26
Submitted:1991-04-30
Entered:1991-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293948 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M205EP / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291978 / 1 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Drug ineffective, Infection, Intracranial pressure increased, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Orbital cellulitis 11MAR91
Allergies:
Diagnostic Lab Data: 26APR91 CSF Beta Lactamose-positive; 30APR91 culture came back H-flu type B.
CDC 'Split Type': PA91235

Write-up: Pt admitted to hosp on 26APR91 w/t102, & bulging fontanel; CSF culture done 26APR91 cultured out Beta-Lactamase positive-H.Fluenzae; Organism was resistant to Ampicillin & PCN; Pt previously admitted to hosp for orbital cellulitis @ 2.5mo;


Changed on 8/14/2018

VAERS ID: 32813 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1991-04-25
Onset:1991-04-26
Submitted:1991-04-30
Entered:1991-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293948 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M205EP / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291978 / 1 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Drug ineffective, Infection, Intracranial pressure increased, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Orbital cellulitis 11MAR91
Allergies:
Diagnostic Lab Data: 26APR91 CSF Beta Lactamose-positive; 30APR91 culture came back H-flu type B.
CDC 'Split Type': PA91235

Write-up: Pt admitted to hosp on 26APR91 w/t102, & bulging fontanel; CSF culture done 26APR91 cultured out Beta-Lactamase positive-H.Fluenzae; Organism was resistant to Ampicillin & PCN; Pt previously admitted to hosp for orbital cellulitis @ 2.5mo;


Changed on 9/14/2018

VAERS ID: 32813 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1991-04-25
Onset:1991-04-26
Submitted:1991-04-30
Entered:1991-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293948 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M205EP / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291978 / 1 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Drug ineffective, Infection, Intracranial pressure increased, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Orbital cellulitis 11MAR91
Allergies:
Diagnostic Lab Data: 26APR91 CSF Beta Lactamose-positive; 30APR91 culture came back H-flu type B.
CDC 'Split Type': PA91235

Write-up: Pt admitted to hosp on 26APR91 w/t102, & bulging fontanel; CSF culture done 26APR91 cultured out Beta-Lactamase positive-H.Fluenzae; Organism was resistant to Ampicillin & PCN; Pt previously admitted to hosp for orbital cellulitis @ 2.5mo;


Changed on 10/14/2018

VAERS ID: 32813 Before After
VAERS Form:1
Age:0.3
Sex:Female
Location:Pennsylvania
Vaccinated:1991-04-25
Onset:1991-04-26
Submitted:1991-04-30
Entered:1991-07-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 293948 / 1 LL / IM
HIBV: HIB (HIBTITER) / PFIZER/WYETH M205EP / 1 RL / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291978 / 1 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Drug ineffective, Infection, Intracranial pressure increased, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Orbital cellulitis 11MAR91
Allergies:
Diagnostic Lab Data: 26APR91 CSF Beta Lactamose-positive; 30APR91 culture came back H-flu type B.
CDC 'Split Type': PA91235

Write-up: Pt admitted to hosp on 26APR91 w/t102, & bulging fontanel; CSF culture done 26APR91 cultured out Beta-Lactamase positive-H.Fluenzae; Organism was resistant to Ampicillin & PCN; Pt previously admitted to hosp for orbital cellulitis @ 2.5mo;

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=32813&WAYBACKHISTORY=ON


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