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This is VAERS ID 25006

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

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

Changed on 12/8/2009

VAERS ID: 25006 Before After
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 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

Changed on 2/14/2017

VAERS ID: 25006 Before After
VAERS Form:
Age:16.7 16.0
Sex:Female
Location:Ohio
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

Changed on 5/14/2017

VAERS ID: 25006 Before After
VAERS Form:
Age:16.0
Sex:Female
Location:Ohio
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

Changed on 9/14/2017

VAERS ID: 25006 Before After
VAERS Form:(blank) 1
Age:16.0
Sex:Female
Location:Ohio
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

Changed on 2/14/2018

VAERS ID: 25006 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Ohio
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

Changed on 6/14/2018

VAERS ID: 25006 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Ohio
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

Changed on 8/14/2018

VAERS ID: 25006 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Ohio
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

Changed on 9/14/2018

VAERS ID: 25006 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Ohio
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

Changed on 10/14/2018

VAERS ID: 25006 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Ohio
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

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