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This is VAERS ID 25504

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25504
VAERS Form:
Age:1.4
Sex:Male
Location:West Virginia
Vaccinated:1990-05-30
Onset:1990-06-08
Submitted:1990-06-11
Entered:1990-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1016S / - - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: FEVER, RASH

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: INFECTIOUS DISEASE IN THE PAST 4 WKS
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: FEVER & RASH


Changed on 12/8/2009

VAERS ID: 25504 Before After
VAERS Form:
Age:1.4
Sex:Male
Location:West Virginia
Vaccinated:1990-05-30
Onset:1990-06-08
Submitted:1990-06-11
Entered:1990-07-19 1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1016S / - - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Pyrexia, Rash, FEVER, RASH

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: INFECTIOUS DISEASE IN THE PAST 4 WKS
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: FEVER & RASH


Changed on 5/14/2017

VAERS ID: 25504 Before After
VAERS Form:
Age:1.4
Sex:Male
Location:West Virginia
Vaccinated:1990-05-30
Onset:1990-06-08
Submitted:1990-06-11
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1016S / - - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Pyrexia, Rash

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: INFECTIOUS DISEASE IN THE PAST 4 WKS
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: FEVER & RASH


Changed on 9/14/2017

VAERS ID: 25504 Before After
VAERS Form:(blank) 1
Age:1.4
Sex:Male
Location:West Virginia
Vaccinated:1990-05-30
Onset:1990-06-08
Submitted:1990-06-11
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1016S / - UNK - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Pyrexia, Rash

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: INFECTIOUS DISEASE IN THE PAST 4 WKS
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: FEVER & RASH


Changed on 2/14/2018

VAERS ID: 25504 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:West Virginia
Vaccinated:1990-05-30
Onset:1990-06-08
Submitted:1990-06-11
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1016S / UNK - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Pyrexia, Rash

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: INFECTIOUS DISEASE IN THE PAST 4 WKS
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: FEVER & RASH


Changed on 6/14/2018

VAERS ID: 25504 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:West Virginia
Vaccinated:1990-05-30
Onset:1990-06-08
Submitted:1990-06-11
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1016S / UNK - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Pyrexia, Rash

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: INFECTIOUS DISEASE IN THE PAST 4 WKS
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: FEVER & RASH


Changed on 8/14/2018

VAERS ID: 25504 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:West Virginia
Vaccinated:1990-05-30
Onset:1990-06-08
Submitted:1990-06-11
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1016S / UNK - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Pyrexia, Rash

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: INFECTIOUS DISEASE IN THE PAST 4 WKS
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: FEVER & RASH


Changed on 9/14/2018

VAERS ID: 25504 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:West Virginia
Vaccinated:1990-05-30
Onset:1990-06-08
Submitted:1990-06-11
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1016S / UNK - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Pyrexia, Rash

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: INFECTIOUS DISEASE IN THE PAST 4 WKS
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: FEVER & RASH


Changed on 10/14/2018

VAERS ID: 25504 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:West Virginia
Vaccinated:1990-05-30
Onset:1990-06-08
Submitted:1990-06-11
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1016S / UNK - / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Pyrexia, Rash

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: INFECTIOUS DISEASE IN THE PAST 4 WKS
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: FEVER & RASH

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25504&WAYBACKHISTORY=ON


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