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This is VAERS ID 25286

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25286
VAERS Form:
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:0000-00-00
Onset:1990-06-27
Submitted:0000-00-00
Entered:1990-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: GAIT ABNORM, DIARRHEA, RASH MAC PAP

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: UA: trace protein, Clinical DX: HSP (anaphylactic purpura)
CDC 'Split Type':

Write-up: 1 wk /p MMR, pt developed dark red mac pap rash, concentrated on buttocks & lower extremeties /w surrounding pale halo, few lesions on arms. Rare lesions on trunk & scalp. Pt refused to walk X 3 days.+ Diarrhea DX:HSP, anaphylactiod purpura


Changed on 12/8/2009

VAERS ID: 25286 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:0000-00-00
Onset:1990-06-27
Submitted:0000-00-00
Entered:1990-07-17 1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Gait disturbance, Rash maculo-papular, GAIT ABNORM, DIARRHEA, RASH MAC PAP

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: UA: trace protein, Clinical DX: HSP (anaphylactic purpura)
CDC 'Split Type':

Write-up: 1 wk /p MMR, pt developed dark red mac pap rash, concentrated on buttocks & lower extremeties /w surrounding pale halo, few lesions on arms. Rare lesions on trunk & scalp. Pt refused to walk X 3 days.+ Diarrhea DX:HSP, anaphylactiod purpura


Changed on 5/14/2017

VAERS ID: 25286 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:0000-00-00
Onset:1990-06-27
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Gait disturbance, Rash maculo-papular

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: UA: trace protein, Clinical DX: HSP (anaphylactic purpura)
CDC 'Split Type':

Write-up: 1 wk /p MMR, pt developed dark red mac pap rash, concentrated on buttocks & lower extremeties /w surrounding pale halo, few lesions on arms. Rare lesions on trunk & scalp. Pt refused to walk X 3 days.+ Diarrhea DX:HSP, anaphylactiod purpura


Changed on 9/14/2017

VAERS ID: 25286 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:0000-00-00
Onset:1990-06-27
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Gait disturbance, Rash maculo-papular

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: UA: trace protein, Clinical DX: HSP (anaphylactic purpura)
CDC 'Split Type':

Write-up: 1 wk /p MMR, pt developed dark red mac pap rash, concentrated on buttocks & lower extremeties /w surrounding pale halo, few lesions on arms. Rare lesions on trunk & scalp. Pt refused to walk X 3 days.+ Diarrhea DX:HSP, anaphylactiod purpura


Changed on 2/14/2018

VAERS ID: 25286 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:0000-00-00
Onset:1990-06-27
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Gait disturbance, Rash maculo-papular

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: UA: trace protein, Clinical DX: HSP (anaphylactic purpura)
CDC 'Split Type':

Write-up: 1 wk /p MMR, pt developed dark red mac pap rash, concentrated on buttocks & lower extremeties /w surrounding pale halo, few lesions on arms. Rare lesions on trunk & scalp. Pt refused to walk X 3 days.+ Diarrhea DX:HSP, anaphylactiod purpura


Changed on 6/14/2018

VAERS ID: 25286 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:0000-00-00
Onset:1990-06-27
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Gait disturbance, Rash maculo-papular

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: UA: trace protein, Clinical DX: HSP (anaphylactic purpura)
CDC 'Split Type':

Write-up: 1 wk /p MMR, pt developed dark red mac pap rash, concentrated on buttocks & lower extremeties /w surrounding pale halo, few lesions on arms. Rare lesions on trunk & scalp. Pt refused to walk X 3 days.+ Diarrhea DX:HSP, anaphylactiod purpura


Changed on 8/14/2018

VAERS ID: 25286 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:0000-00-00
Onset:1990-06-27
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Gait disturbance, Rash maculo-papular

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: UA: trace protein, Clinical DX: HSP (anaphylactic purpura)
CDC 'Split Type':

Write-up: 1 wk /p MMR, pt developed dark red mac pap rash, concentrated on buttocks & lower extremeties /w surrounding pale halo, few lesions on arms. Rare lesions on trunk & scalp. Pt refused to walk X 3 days.+ Diarrhea DX:HSP, anaphylactiod purpura


Changed on 9/14/2018

VAERS ID: 25286 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:0000-00-00
Onset:1990-06-27
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Gait disturbance, Rash maculo-papular

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: UA: trace protein, Clinical DX: HSP (anaphylactic purpura)
CDC 'Split Type':

Write-up: 1 wk /p MMR, pt developed dark red mac pap rash, concentrated on buttocks & lower extremeties /w surrounding pale halo, few lesions on arms. Rare lesions on trunk & scalp. Pt refused to walk X 3 days.+ Diarrhea DX:HSP, anaphylactiod purpura


Changed on 10/14/2018

VAERS ID: 25286 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Colorado
Vaccinated:0000-00-00
Onset:1990-06-27
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Gait disturbance, Rash maculo-papular

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: UA: trace protein, Clinical DX: HSP (anaphylactic purpura)
CDC 'Split Type':

Write-up: 1 wk /p MMR, pt developed dark red mac pap rash, concentrated on buttocks & lower extremeties /w surrounding pale halo, few lesions on arms. Rare lesions on trunk & scalp. Pt refused to walk X 3 days.+ Diarrhea DX:HSP, anaphylactiod purpura

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