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This is VAERS ID 25514

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25514
VAERS Form:
Age:44.7
Sex:Female
Location:New York
Vaccinated:0000-00-00
Onset:1990-05-21
Submitted:0000-00-00
Entered:1990-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1732R / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: EDEMA FACE, ASTHMA, TACHYCARDIA

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: Allergic to pencillin, no rxn to eggs,
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt was noticed to have swelling of the eyelids, was found to have bilateral wheezing & tachycardia. There was no rxn to the 1st MMR received.


Changed on 12/8/2009

VAERS ID: 25514 Before After
VAERS Form:
Age:44.7
Sex:Female
Location:New York
Vaccinated:0000-00-00
Onset:1990-05-21
Submitted:0000-00-00
Entered:1990-07-19 1990-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1732R / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Asthma, Face oedema, Tachycardia, EDEMA FACE, ASTHMA, TACHYCARDIA

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: Allergic to pencillin, no rxn to eggs,
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt was noticed to have swelling of the eyelids, was found to have bilateral wheezing & tachycardia. There was no rxn to the 1st MMR received.


Changed on 1/7/2013

VAERS ID: 25514 Before After
VAERS Form:
Age:44.7 44.0
Sex:Female
Location:New York
Vaccinated:0000-00-00
Onset:1990-05-21
Submitted:0000-00-00
Entered:1990-06-13 1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1732R / - - / SC

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Asthma, Face oedema, Tachycardia

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: Allergic to pencillin, no rxn to eggs,
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt was noticed to have swelling of the eyelids, was found to have bilateral wheezing & tachycardia. There was no rxn to the 1st MMR received.


Changed on 9/14/2017

VAERS ID: 25514 Before After
VAERS Form:(blank) 1
Age:44.0
Sex:Female
Location:New York
Vaccinated:0000-00-00
Onset:1990-05-21
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1732R / - UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Face oedema, Tachycardia

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: Allergic to pencillin, no rxn to eggs,
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt was noticed to have swelling of the eyelids, was found to have bilateral wheezing & tachycardia. There was no rxn to the 1st MMR received.


Changed on 2/14/2018

VAERS ID: 25514 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:0000-00-00
Onset:1990-05-21
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1732R / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Face oedema, Tachycardia

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: Allergic to pencillin, no rxn to eggs,
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt was noticed to have swelling of the eyelids, was found to have bilateral wheezing & tachycardia. There was no rxn to the 1st MMR received.


Changed on 6/14/2018

VAERS ID: 25514 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:0000-00-00
Onset:1990-05-21
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1732R / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Face oedema, Tachycardia

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: Allergic to pencillin, no rxn to eggs,
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt was noticed to have swelling of the eyelids, was found to have bilateral wheezing & tachycardia. There was no rxn to the 1st MMR received.


Changed on 8/14/2018

VAERS ID: 25514 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:0000-00-00
Onset:1990-05-21
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1732R / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Face oedema, Tachycardia

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: Allergic to pencillin, no rxn to eggs,
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt was noticed to have swelling of the eyelids, was found to have bilateral wheezing & tachycardia. There was no rxn to the 1st MMR received.


Changed on 9/14/2018

VAERS ID: 25514 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:0000-00-00
Onset:1990-05-21
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1732R / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Face oedema, Tachycardia

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: Allergic to pencillin, no rxn to eggs,
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt was noticed to have swelling of the eyelids, was found to have bilateral wheezing & tachycardia. There was no rxn to the 1st MMR received.


Changed on 10/14/2018

VAERS ID: 25514 Before After
VAERS Form:1
Age:44.0
Sex:Female
Location:New York
Vaccinated:0000-00-00
Onset:1990-05-21
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1732R / UNK - / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthma, Face oedema, Tachycardia

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: Allergic to pencillin, no rxn to eggs,
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt was noticed to have swelling of the eyelids, was found to have bilateral wheezing & tachycardia. There was no rxn to the 1st MMR received.

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