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This is VAERS ID 25230

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25230
VAERS Form:
Age:2.0
Sex:Female
Location:Iowa
Vaccinated:1990-06-18
Onset:1990-06-18
Submitted:0000-00-00
Entered:1990-07-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 271962 / - - / IM
MMR: MMR II / MSD 11875 / - - / IM
OPV: ORIMUNE / LEDERLE 253952 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, FEVER, SCREAMING SYND, TREMOR, TETANY

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever to 104.2 F rectally, high pitched crying, irritability-shakiness-neartetany (sic)


Changed on 12/8/2009

VAERS ID: 25230 Before After
VAERS Form:
Age:2.0
Sex:Female
Location:Iowa
Vaccinated:1990-06-18
Onset:1990-06-18
Submitted:0000-00-00
Entered:1990-07-25 1990-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 271962 / - - / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 11875 / - - / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 253952 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Pyrexia, Screaming, Tetany, Tremor, AGITATION, FEVER, SCREAMING SYND, TREMOR, TETANY

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever to 104.2 F rectally, high pitched crying, irritability-shakiness-neartetany (sic)


Changed on 8/31/2010

VAERS ID: 25230 Before After
VAERS Form:
Age:2.0
Sex:Female
Location:Iowa
Vaccinated:1990-06-18
Onset:1990-06-18
Submitted:0000-00-00
Entered:1990-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271962 / - - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11875 / - - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 253952 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Pyrexia, Screaming, Tetany, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever to 104.2 F rectally, high pitched crying, irritability-shakiness-neartetany (sic)


Changed on 4/13/2011

VAERS ID: 25230 Before After
VAERS Form:
Age:2.0
Sex:Female
Location:Iowa
Vaccinated:1990-06-18
Onset:1990-06-18
Submitted:0000-00-00
Entered:1990-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271962 / - - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11875 / - - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 253952 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Pyrexia, Screaming, Tetany, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever to 104.2 F rectally, high pitched crying, irritability-shakiness-neartetany (sic)


Changed on 5/13/2011

VAERS ID: 25230 Before After
VAERS Form:
Age:2.0
Sex:Female
Location:Iowa
Vaccinated:1990-06-18
Onset:1990-06-18
Submitted:0000-00-00
Entered:1990-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271962 / - - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11875 / - - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 253952 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Pyrexia, Screaming, Tetany, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever to 104.2 F rectally, high pitched crying, irritability-shakiness-neartetany (sic)


Changed on 6/11/2011

VAERS ID: 25230 Before After
VAERS Form:
Age:2.0
Sex:Female
Location:Iowa
Vaccinated:1990-06-18
Onset:1990-06-18
Submitted:0000-00-00
Entered:1990-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271962 / - - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11875 / - - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 253952 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Pyrexia, Screaming, Tetany, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever to 104.2 F rectally, high pitched crying, irritability-shakiness-neartetany (sic)


Changed on 5/14/2017

VAERS ID: 25230 Before After
VAERS Form:
Age:2.0
Sex:Female
Location:Iowa
Vaccinated:1990-06-18
Onset:1990-06-18
Submitted:0000-00-00
Entered:1990-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271962 / - - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11875 / - - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 253952 / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Pyrexia, Screaming, Tetany, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever to 104.2 F rectally, high pitched crying, irritability-shakiness-neartetany (sic)


Changed on 9/14/2017

VAERS ID: 25230 Before After
VAERS Form:(blank) 1
Age:2.0
Sex:Female
Location:Iowa
Vaccinated:1990-06-18
Onset:1990-06-18
Submitted:0000-00-00
Entered:1990-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271962 / - UNK - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11875 / - UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 253952 / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Pyrexia, Screaming, Tetany, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever to 104.2 F rectally, high pitched crying, irritability-shakiness-neartetany (sic)


Changed on 2/14/2018

VAERS ID: 25230 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Iowa
Vaccinated:1990-06-18
Onset:1990-06-18
Submitted:0000-00-00
Entered:1990-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271962 / UNK - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11875 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 253952 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Pyrexia, Screaming, Tetany, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever to 104.2 F rectally, high pitched crying, irritability-shakiness-neartetany (sic)


Changed on 6/14/2018

VAERS ID: 25230 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Iowa
Vaccinated:1990-06-18
Onset:1990-06-18
Submitted:0000-00-00
Entered:1990-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271962 / UNK - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11875 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 253952 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Pyrexia, Screaming, Tetany, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever to 104.2 F rectally, high pitched crying, irritability-shakiness-neartetany (sic)


Changed on 8/14/2018

VAERS ID: 25230 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Iowa
Vaccinated:1990-06-18
Onset:1990-06-18
Submitted:0000-00-00
Entered:1990-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271962 / UNK - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11875 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 253952 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Pyrexia, Screaming, Tetany, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever to 104.2 F rectally, high pitched crying, irritability-shakiness-neartetany (sic)


Changed on 9/14/2018

VAERS ID: 25230 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Iowa
Vaccinated:1990-06-18
Onset:1990-06-18
Submitted:0000-00-00
Entered:1990-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271962 / UNK - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11875 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 253952 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Pyrexia, Screaming, Tetany, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever to 104.2 F rectally, high pitched crying, irritability-shakiness-neartetany (sic)


Changed on 10/14/2018

VAERS ID: 25230 Before After
VAERS Form:1
Age:2.0
Sex:Female
Location:Iowa
Vaccinated:1990-06-18
Onset:1990-06-18
Submitted:0000-00-00
Entered:1990-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271962 / UNK - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11875 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 253952 / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Pyrexia, Screaming, Tetany, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever to 104.2 F rectally, high pitched crying, irritability-shakiness-neartetany (sic)

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25230&WAYBACKHISTORY=ON


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