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This is VAERS ID 192783

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 192783
VAERS Form:
Age:
Sex:Female
Location:Indiana
Vaccinated:2002-07-29
Onset:2002-08-11
Submitted:2002-10-20
Entered:2002-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0023M / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: DIARRHEA BLOODY, ILEITIS

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: Zyrtec, Cozaar
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/29/02 Received MMR vaccination. 8/11/02 Bloody diarrhea. 8/16/02 More bloody diarrhea. 8/17/02 Colonoscopy - diagnosis - Crohn''s Disease.


Changed on 12/8/2009

VAERS ID: 192783 Before After
VAERS Form:
Age:
Sex:Female
Location:Indiana
Vaccinated:2002-07-29
Onset:2002-08-11
Submitted:2002-10-20
Entered:2002-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0023M / - - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Crohn's disease, Diarrhoea haemorrhagic, DIARRHEA BLOODY, ILEITIS

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: Zyrtec, Cozaar
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/29/02 Received MMR vaccination. 8/11/02 Bloody diarrhea. 8/16/02 More bloody diarrhea. 8/17/02 Colonoscopy - diagnosis - Crohn''s Disease.


Changed on 9/14/2017

VAERS ID: 192783 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Indiana
Vaccinated:2002-07-29
Onset:2002-08-11
Submitted:2002-10-20
Entered:2002-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0023M / - UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Crohn's disease, Diarrhoea haemorrhagic

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: Zyrtec, Cozaar
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/29/02 Received MMR vaccination. 8/11/02 Bloody diarrhea. 8/16/02 More bloody diarrhea. 8/17/02 Colonoscopy - diagnosis - Crohn''s Disease.


Changed on 2/14/2018

VAERS ID: 192783 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:2002-07-29
Onset:2002-08-11
Submitted:2002-10-20
Entered:2002-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0023M / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Crohn's disease, Diarrhoea haemorrhagic

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: Zyrtec, Cozaar
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/29/02 Received MMR vaccination. 8/11/02 Bloody diarrhea. 8/16/02 More bloody diarrhea. 8/17/02 Colonoscopy - diagnosis - Crohn''s Disease.


Changed on 6/14/2018

VAERS ID: 192783 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:2002-07-29
Onset:2002-08-11
Submitted:2002-10-20
Entered:2002-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0023M / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Crohn's disease, Diarrhoea haemorrhagic

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: Zyrtec, Cozaar
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/29/02 Received MMR vaccination. 8/11/02 Bloody diarrhea. 8/16/02 More bloody diarrhea. 8/17/02 Colonoscopy - diagnosis - Crohn''s Disease.


Changed on 8/14/2018

VAERS ID: 192783 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:2002-07-29
Onset:2002-08-11
Submitted:2002-10-20
Entered:2002-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0023M / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Crohn's disease, Diarrhoea haemorrhagic

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: Zyrtec, Cozaar
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/29/02 Received MMR vaccination. 8/11/02 Bloody diarrhea. 8/16/02 More bloody diarrhea. 8/17/02 Colonoscopy - diagnosis - Crohn''s Disease.


Changed on 9/14/2018

VAERS ID: 192783 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:2002-07-29
Onset:2002-08-11
Submitted:2002-10-20
Entered:2002-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0023M / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Crohn's disease, Diarrhoea haemorrhagic

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: Zyrtec, Cozaar
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/29/02 Received MMR vaccination. 8/11/02 Bloody diarrhea. 8/16/02 More bloody diarrhea. 8/17/02 Colonoscopy - diagnosis - Crohn''s Disease.


Changed on 10/14/2018

VAERS ID: 192783 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:2002-07-29
Onset:2002-08-11
Submitted:2002-10-20
Entered:2002-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0023M / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Crohn's disease, Diarrhoea haemorrhagic

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: Zyrtec, Cozaar
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/29/02 Received MMR vaccination. 8/11/02 Bloody diarrhea. 8/16/02 More bloody diarrhea. 8/17/02 Colonoscopy - diagnosis - Crohn''s Disease.


Changed on 12/24/2020

VAERS ID: 192783 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:2002-07-29
Onset:2002-08-11
Submitted:2002-10-20
Entered:2002-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0023M / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Crohn's disease, Diarrhoea haemorrhagic

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: Zyrtec, Cozaar
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/29/02 Received MMR vaccination. 8/11/02 Bloody diarrhea. 8/16/02 More bloody diarrhea. 8/17/02 Colonoscopy - diagnosis - Crohn''s Disease.


Changed on 12/30/2020

VAERS ID: 192783 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:2002-07-29
Onset:2002-08-11
Submitted:2002-10-20
Entered:2002-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0023M / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Crohn's disease, Diarrhoea haemorrhagic

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: Zyrtec, Cozaar
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/29/02 Received MMR vaccination. 8/11/02 Bloody diarrhea. 8/16/02 More bloody diarrhea. 8/17/02 Colonoscopy - diagnosis - Crohn''s Disease.


Changed on 5/7/2021

VAERS ID: 192783 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:2002-07-29
Onset:2002-08-11
Submitted:2002-10-20
Entered:2002-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0023M / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Crohn's disease, Diarrhoea haemorrhagic

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: Zyrtec, Cozaar
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/29/02 Received MMR vaccination. 8/11/02 Bloody diarrhea. 8/16/02 More bloody diarrhea. 8/17/02 Colonoscopy - diagnosis - Crohn''s Disease.


Changed on 5/14/2021

VAERS ID: 192783 Before After
VAERS Form:1
Age:
Sex:Female
Location:Indiana
Vaccinated:2002-07-29
Onset:2002-08-11
Submitted:2002-10-20
Entered:2002-11-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0023M / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Crohn's disease, Diarrhoea haemorrhagic

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: Zyrtec, Cozaar
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 7/29/02 Received MMR vaccination. 8/11/02 Bloody diarrhea. 8/16/02 More bloody diarrhea. 8/17/02 Colonoscopy - diagnosis - Crohn''s Disease.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=192783&WAYBACKHISTORY=ON


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