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This is VAERS ID 25482

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25482
VAERS Form:
Age:10.0
Sex:Female
Location:Florida
Vaccinated:1990-05-30
Onset:1990-06-04
Submitted:0000-00-00
Entered:1990-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, ENCEPHALITIS, PNEUMONIA

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: amoxicllin, ceclor, cefuroxine, rocephia, erythromycin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP results 17Jun90-CSF, WBC''s 200, RBC''s 2, Prot 39, Gen 51; 19Jun90 CSF WBC''s 60, RBC''s 210, Prot 35; 21Jun90-$g29Jun90 tetracycline elevated mycoplasma IgM & IgG, elevated Rubeola titers.
CDC 'Split Type':

Write-up: encephalitis - dx 17Jun90-fever started 4Jun90, concurrent mycoplasma pneumonia.


Changed on 12/30/2006

VAERS ID: 25482 Before After
VAERS Form:
Age:10.0
Sex:Female
Location:Florida
Vaccinated:1990-05-30
Onset:1990-06-04
Submitted:0000-00-00
Entered:1990-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, ENCEPHALITIS, PNEUMONIA

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: amoxicllin, ceclor, cefuroxine, rocephia, erythromycin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP results 17Jun90-CSF, WBC''s WBC''''s 200, RBC''s RBC''''s 2, Prot 39, Gen 51; 19Jun90 CSF WBC''s WBC''''s 60, RBC''s RBC''''s 210, Prot 35; 21Jun90-$g29Jun90 tetracycline elevated mycoplasma IgM & IgG, elevated Rubeola titers.
CDC 'Split Type':

Write-up: encephalitis - dx 17Jun90-fever started 4Jun90, concurrent mycoplasma pneumonia.


Changed on 12/8/2009

VAERS ID: 25482 Before After
VAERS Form:
Age:10.0
Sex:Female
Location:Florida
Vaccinated:1990-05-30
Onset:1990-06-04
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. - / - - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis, Pneumonia, Pyrexia, FEVER, ENCEPHALITIS, PNEUMONIA

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: amoxicllin, ceclor, cefuroxine, rocephia, erythromycin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP results 17Jun90-CSF, WBC''''s WBC''s 200, RBC''''s RBC''s 2, Prot 39, Gen 51; 19Jun90 CSF WBC''''s WBC''s 60, RBC''''s RBC''s 210, Prot 35; 21Jun90-$g29Jun90 tetracycline elevated mycoplasma IgM & IgG, elevated Rubeola titers.
CDC 'Split Type':

Write-up: encephalitis - dx 17Jun90-fever started 4Jun90, concurrent mycoplasma pneumonia.


Changed on 5/14/2017

VAERS ID: 25482 Before After
VAERS Form:
Age:10.0
Sex:Female
Location:Florida
Vaccinated:1990-05-30
Onset:1990-06-04
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis, Pneumonia, Pyrexia

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: amoxicllin, ceclor, cefuroxine, rocephia, erythromycin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP results 17Jun90-CSF, WBC''s 200, RBC''s 2, Prot 39, Gen 51; 19Jun90 CSF WBC''s 60, RBC''s 210, Prot 35; 21Jun90-$g29Jun90 tetracycline elevated mycoplasma IgM & IgG, elevated Rubeola titers.
CDC 'Split Type':

Write-up: encephalitis - dx 17Jun90-fever started 4Jun90, concurrent mycoplasma pneumonia.


Changed on 9/14/2017

VAERS ID: 25482 Before After
VAERS Form:(blank) 1
Age:10.0
Sex:Female
Location:Florida
Vaccinated:1990-05-30
Onset:1990-06-04
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis, Pneumonia, Pyrexia

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: amoxicllin, ceclor, cefuroxine, rocephia, erythromycin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP results 17Jun90-CSF, WBC''s 200, RBC''s 2, Prot 39, Gen 51; 19Jun90 CSF WBC''s 60, RBC''s 210, Prot 35; 21Jun90-$g29Jun90 tetracycline elevated mycoplasma IgM & IgG, elevated Rubeola titers.
CDC 'Split Type':

Write-up: encephalitis - dx 17Jun90-fever started 4Jun90, concurrent mycoplasma pneumonia.


Changed on 2/14/2018

VAERS ID: 25482 Before After
VAERS Form:1
Age:10.0
Sex:Female
Location:Florida
Vaccinated:1990-05-30
Onset:1990-06-04
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis, Pneumonia, Pyrexia

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: amoxicllin, ceclor, cefuroxine, rocephia, erythromycin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP results 17Jun90-CSF, WBC''s 200, RBC''s 2, Prot 39, Gen 51; 19Jun90 CSF WBC''s 60, RBC''s 210, Prot 35; 21Jun90-$g29Jun90 tetracycline elevated mycoplasma IgM & IgG, elevated Rubeola titers.
CDC 'Split Type':

Write-up: encephalitis - dx 17Jun90-fever started 4Jun90, concurrent mycoplasma pneumonia.


Changed on 6/14/2018

VAERS ID: 25482 Before After
VAERS Form:1
Age:10.0
Sex:Female
Location:Florida
Vaccinated:1990-05-30
Onset:1990-06-04
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis, Pneumonia, Pyrexia

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: amoxicllin, ceclor, cefuroxine, rocephia, erythromycin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP results 17Jun90-CSF, WBC''s 200, RBC''s 2, Prot 39, Gen 51; 19Jun90 CSF WBC''s 60, RBC''s 210, Prot 35; 21Jun90-$g29Jun90 tetracycline elevated mycoplasma IgM & IgG, elevated Rubeola titers.
CDC 'Split Type':

Write-up: encephalitis - dx 17Jun90-fever started 4Jun90, concurrent mycoplasma pneumonia.


Changed on 8/14/2018

VAERS ID: 25482 Before After
VAERS Form:1
Age:10.0
Sex:Female
Location:Florida
Vaccinated:1990-05-30
Onset:1990-06-04
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis, Pneumonia, Pyrexia

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: amoxicllin, ceclor, cefuroxine, rocephia, erythromycin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP results 17Jun90-CSF, WBC''s 200, RBC''s 2, Prot 39, Gen 51; 19Jun90 CSF WBC''s 60, RBC''s 210, Prot 35; 21Jun90-$g29Jun90 tetracycline elevated mycoplasma IgM & IgG, elevated Rubeola titers.
CDC 'Split Type':

Write-up: encephalitis - dx 17Jun90-fever started 4Jun90, concurrent mycoplasma pneumonia.


Changed on 9/14/2018

VAERS ID: 25482 Before After
VAERS Form:1
Age:10.0
Sex:Female
Location:Florida
Vaccinated:1990-05-30
Onset:1990-06-04
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis, Pneumonia, Pyrexia

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: amoxicllin, ceclor, cefuroxine, rocephia, erythromycin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP results 17Jun90-CSF, WBC''s 200, RBC''s 2, Prot 39, Gen 51; 19Jun90 CSF WBC''s 60, RBC''s 210, Prot 35; 21Jun90-$g29Jun90 tetracycline elevated mycoplasma IgM & IgG, elevated Rubeola titers.
CDC 'Split Type':

Write-up: encephalitis - dx 17Jun90-fever started 4Jun90, concurrent mycoplasma pneumonia.


Changed on 10/14/2018

VAERS ID: 25482 Before After
VAERS Form:1
Age:10.0
Sex:Female
Location:Florida
Vaccinated:1990-05-30
Onset:1990-06-04
Submitted:0000-00-00
Entered:1990-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis, Pneumonia, Pyrexia

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: amoxicllin, ceclor, cefuroxine, rocephia, erythromycin
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LP results 17Jun90-CSF, WBC''s 200, RBC''s 2, Prot 39, Gen 51; 19Jun90 CSF WBC''s 60, RBC''s 210, Prot 35; 21Jun90-$g29Jun90 tetracycline elevated mycoplasma IgM & IgG, elevated Rubeola titers.
CDC 'Split Type':

Write-up: encephalitis - dx 17Jun90-fever started 4Jun90, concurrent mycoplasma pneumonia.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25482&WAYBACKHISTORY=ON


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