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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 25006 |
VAERS Form: | |
Age: | 16.7 |
Sex: | Female |
Location: | Ohio |
Vaccinated: | 1989-11-17 |
Onset: | 1989-11-17 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-05 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: UNK. MEASLES, MUMPS & RUBELLA VIRUS LIVE / UNCLASSIFIED | - / - | - / - |
TD: TD ADSORBED, ADULTS / LEDERLE | 247953 / - | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: CONVULS, DIZZINESS
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: no hx of local or systemic rxns
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: 16 yr old female feeling faint & then had seizure within a few min. /p Td/MMR immunization. MD is uncertain if seizure was due to hyperventilation episode. No treatment initiated. Pt asymptomatic. Vaccine given routine
Vaccinated: | 1989-11-17 |
Onset: | 1989-11-17 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-05 1990-07-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: UNK. MEASLES, MUMPS & RUBELLA VIRUS LIVE MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER | - / - | - / - |
TD: TD ADSORBED, ADULTS TD ADSORBED (NO BRAND NAME) / LEDERLE LEDERLE LABORATORIES | 247953 / - | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Dizziness, CONVULS, DIZZINESS
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: no hx of local or systemic rxns
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) 890278001
Write-up: 16 yr old female feeling faint & then had seizure within a few min. /p Td/MMR immunization. MD is uncertain if seizure was due to hyperventilation episode. No treatment initiated. Pt asymptomatic. Vaccine given routine
Vaccinated: | 1989-11-17 |
Onset: | 1989-11-17 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / - | - / - |
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES | 247953 / - | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Dizziness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: no hx of local or systemic rxns
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 890278001
Write-up: 16 yr old female feeling faint & then had seizure within a few min. /p Td/MMR immunization. MD is uncertain if seizure was due to hyperventilation episode. No treatment initiated. Pt asymptomatic. Vaccine given routine
Vaccinated: | 1989-11-17 |
Onset: | 1989-11-17 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / - | - / - |
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES | 247953 / - | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Dizziness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: no hx of local or systemic rxns
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 890278001
Write-up: 16 yr old female feeling faint & then had seizure within a few min. /p Td/MMR immunization. MD is uncertain if seizure was due to hyperventilation episode. No treatment initiated. Pt asymptomatic. Vaccine given routine
Vaccinated: | 1989-11-17 |
Onset: | 1989-11-17 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / - UNK | - / - |
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES | 247953 / - UNK | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Dizziness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: no hx of local or systemic rxns
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 890278001
Write-up: 16 yr old female feeling faint & then had seizure within a few min. /p Td/MMR immunization. MD is uncertain if seizure was due to hyperventilation episode. No treatment initiated. Pt asymptomatic. Vaccine given routine
Vaccinated: | 1989-11-17 |
Onset: | 1989-11-17 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / - |
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES | 247953 / UNK | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Dizziness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: no hx of local or systemic rxns
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 890278001
Write-up: 16 yr old female feeling faint & then had seizure within a few min. /p Td/MMR immunization. MD is uncertain if seizure was due to hyperventilation episode. No treatment initiated. Pt asymptomatic. Vaccine given routine
Vaccinated: | 1989-11-17 |
Onset: | 1989-11-17 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / - |
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES | 247953 / UNK | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Dizziness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: no hx of local or systemic rxns
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 890278001
Write-up: 16 yr old female feeling faint & then had seizure within a few min. /p Td/MMR immunization. MD is uncertain if seizure was due to hyperventilation episode. No treatment initiated. Pt asymptomatic. Vaccine given routine
Vaccinated: | 1989-11-17 |
Onset: | 1989-11-17 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / - |
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES | 247953 / UNK | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Dizziness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: no hx of local or systemic rxns
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 890278001
Write-up: 16 yr old female feeling faint & then had seizure within a few min. /p Td/MMR immunization. MD is uncertain if seizure was due to hyperventilation episode. No treatment initiated. Pt asymptomatic. Vaccine given routine
Vaccinated: | 1989-11-17 |
Onset: | 1989-11-17 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / - |
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES | 247953 / UNK | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Dizziness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: no hx of local or systemic rxns
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 890278001
Write-up: 16 yr old female feeling faint & then had seizure within a few min. /p Td/MMR immunization. MD is uncertain if seizure was due to hyperventilation episode. No treatment initiated. Pt asymptomatic. Vaccine given routine
Vaccinated: | 1989-11-17 |
Onset: | 1989-11-17 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-02 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER | - / UNK | - / - |
TD: TD ADSORBED (NO BRAND NAME) / LEDERLE LABORATORIES | 247953 / UNK | - / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Convulsion, Dizziness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: no hx of local or systemic rxns
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': 890278001
Write-up: 16 yr old female feeling faint & then had seizure within a few min. /p Td/MMR immunization. MD is uncertain if seizure was due to hyperventilation episode. No treatment initiated. Pt asymptomatic. Vaccine given routine
Link To This Search Result:
https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25006&WAYBACKHISTORY=ON
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