National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 590899

History of Changes from the VAERS Wayback Machine

First Appeared on 9/14/2015

VAERS ID: 590899
VAERS Form:
Age:1.0
Gender:Male
Location:Vermont
Vaccinated:2015-08-07
Onset:2015-08-10
Submitted:2015-08-12
Entered:2015-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K016154 / 0 LL / SC
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L53937 / 3 LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. L001326 / 0 RL / SC

Administered by: Private      Purchased by: Public
Symptoms: Erythema multiforme, Rash generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: MMR, VARIVAX and PREVNAR given Thursday. Monday night without other signs of illness developed a rash. Tuesday morning I saw him an it covered his entire body and was clearly erythema multiforme.


Changed on 2/14/2017

VAERS ID: 590899 Before After
VAERS Form:
Age:1.0 1.01
Gender:Male
Location:Vermont
Vaccinated:2015-08-07
Onset:2015-08-10
Submitted:2015-08-12
Entered:2015-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K016154 / 0 LL / SC
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L53937 / 3 LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. L001326 / 0 RL / SC

Administered by: Private      Purchased by: Public
Symptoms: Erythema multiforme, Rash generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: MMR, VARIVAX and PREVNAR given Thursday. Monday night without other signs of illness developed a rash. Tuesday morning I saw him an it covered his entire body and was clearly erythema multiforme.


Changed on 9/14/2017

VAERS ID: 590899 Before After
VAERS Form:(blank) 1
Age:1.01
Gender:Male
Location:Vermont
Vaccinated:2015-08-07
Onset:2015-08-10
Submitted:2015-08-12
Entered:2015-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K016154 / 0 1 LL / SC
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L53937 / 3 4 LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. L001326 / 0 1 RL / SC

Administered by: Private      Purchased by: Public
Symptoms: Erythema multiforme, Rash generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: MMR, VARIVAX and PREVNAR given Thursday. Monday night without other signs of illness developed a rash. Tuesday morning I saw him an it covered his entire body and was clearly erythema multiforme.


Changed on 2/14/2018

VAERS ID: 590899 Before After
VAERS Form:1
Age:1.01
Gender:Male
Location:Vermont
Vaccinated:2015-08-07
Onset:2015-08-10
Submitted:2015-08-12
Entered:2015-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. K016154 / 1 LL / SC
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L53937 / 4 LL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. L001326 / 1 RL / SC

Administered by: Private      Purchased by: Public
Symptoms: Erythema multiforme, Rash generalised

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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:
Other Medications:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: MMR, VARIVAX and PREVNAR given Thursday. Monday night without other signs of illness developed a rash. Tuesday morning I saw him an it covered his entire body and was clearly erythema multiforme.


New Search

Link To This Search Result:

http://medalerts.org/vaersdb/findfield.php?IDNUMBER=590899&WAYBACKHISTORY=ON


Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166