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This is VAERS ID 25526

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25526
VAERS Form:
Age:45.0
Sex:Female
Location:Texas
Vaccinated:1990-06-08
Onset:1990-06-17
Submitted:0000-00-00
Entered:1990-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: IMOVAX I.D. / CONNAUGHT LABS - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, ACIDOSIS, ANAPHYL, HEART ARREST, HEART FAIL

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-19
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: 30Jul90- cause of death: anaphylactic shock; the poisonous efectof ingested food stuff causing an accute systemic anaphylactic response which led to acute myocardial failure & ended in cardo-respiratory arrest.
CDC 'Split Type':

Write-up: Pt given Imovax rabies on 9-JUN-90 c/o sore arm. 17-JUN-90 pt. had fever & abd tenderness. Family member states worsened. While traveling w/husband pt. began to vomit blood. Taken to ER & admittedto intensive care. Pt had a cardiac arrest


Changed on 12/8/2009

VAERS ID: 25526 Before After
VAERS Form:
Age:45.0
Sex:Female
Location:Texas
Vaccinated:1990-06-08
Onset:1990-06-17
Submitted:0000-00-00
Entered:1990-07-18 1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: IMOVAX I.D. RABIES (IMOVAX ID) / CONNAUGHT LABS CONNAUGHT LABORATORIES - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Acidosis, Anaphylactoid reaction, Cardiac arrest, Cardiac failure, Haematemesis, Injection site pain, Pancreatitis, Pyrexia, Renal failure, FEVER, ACIDOSIS, ANAPHYL, HEART ARREST, HEART FAIL

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-19
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: 30Jul90- cause of death: anaphylactic shock; the poisonous efectof ingested food stuff causing an accute systemic anaphylactic response which led to acute myocardial failure & ended in cardo-respiratory arrest.
CDC 'Split Type': (blank) CO3526

Write-up: Pt given Imovax rabies on 9-JUN-90 c/o sore arm. 17-JUN-90 pt. had fever & abd tenderness. Family member states worsened. While traveling w/husband pt. began to vomit blood. Taken to ER & admittedto intensive care. Pt had a cardiac arrest


Changed on 5/14/2017

VAERS ID: 25526 Before After
VAERS Form:
Age:45.0
Sex:Female
Location:Texas
Vaccinated:1990-06-08
Onset:1990-06-17
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (IMOVAX ID) / CONNAUGHT LABORATORIES PASTEUR MERIEUX INST. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Acidosis, Anaphylactoid reaction, Cardiac arrest, Cardiac failure, Haematemesis, Injection site pain, Pancreatitis, Pyrexia, Renal failure

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-19
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: 30Jul90- cause of death: anaphylactic shock; the poisonous efectof ingested food stuff causing an accute systemic anaphylactic response which led to acute myocardial failure & ended in cardo-respiratory arrest.
CDC 'Split Type': CO3526

Write-up: Pt given Imovax rabies on 9-JUN-90 c/o sore arm. 17-JUN-90 pt. had fever & abd tenderness. Family member states worsened. While traveling w/husband pt. began to vomit blood. Taken to ER & admittedto intensive care. Pt had a cardiac arrest


Changed on 9/14/2017

VAERS ID: 25526 Before After
VAERS Form:(blank) 1
Age:45.0
Sex:Female
Location:Texas
Vaccinated:1990-06-08
Onset:1990-06-17
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (IMOVAX ID) / PASTEUR MERIEUX INST. - / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Acidosis, Anaphylactoid reaction, Cardiac arrest, Cardiac failure, Haematemesis, Injection site pain, Pancreatitis, Pyrexia, Renal failure

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-19
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: 30Jul90- cause of death: anaphylactic shock; the poisonous efectof ingested food stuff causing an accute systemic anaphylactic response which led to acute myocardial failure & ended in cardo-respiratory arrest.
CDC 'Split Type': CO3526

Write-up: Pt given Imovax rabies on 9-JUN-90 c/o sore arm. 17-JUN-90 pt. had fever & abd tenderness. Family member states worsened. While traveling w/husband pt. began to vomit blood. Taken to ER & admittedto intensive care. Pt had a cardiac arrest


Changed on 2/14/2018

VAERS ID: 25526 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Texas
Vaccinated:1990-06-08
Onset:1990-06-17
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (IMOVAX ID) / PASTEUR MERIEUX INST. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Acidosis, Anaphylactoid reaction, Cardiac arrest, Cardiac failure, Haematemesis, Injection site pain, Pancreatitis, Pyrexia, Renal failure

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-19
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: 30Jul90- cause of death: anaphylactic shock; the poisonous efectof ingested food stuff causing an accute systemic anaphylactic response which led to acute myocardial failure & ended in cardo-respiratory arrest.
CDC 'Split Type': CO3526

Write-up: Pt given Imovax rabies on 9-JUN-90 c/o sore arm. 17-JUN-90 pt. had fever & abd tenderness. Family member states worsened. While traveling w/husband pt. began to vomit blood. Taken to ER & admittedto intensive care. Pt had a cardiac arrest


Changed on 6/14/2018

VAERS ID: 25526 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Texas
Vaccinated:1990-06-08
Onset:1990-06-17
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (IMOVAX ID) / PASTEUR MERIEUX INST. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Acidosis, Anaphylactoid reaction, Cardiac arrest, Cardiac failure, Haematemesis, Injection site pain, Pancreatitis, Pyrexia, Renal failure

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-19
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: 30Jul90- cause of death: anaphylactic shock; the poisonous efectof ingested food stuff causing an accute systemic anaphylactic response which led to acute myocardial failure & ended in cardo-respiratory arrest.
CDC 'Split Type': CO3526

Write-up: Pt given Imovax rabies on 9-JUN-90 c/o sore arm. 17-JUN-90 pt. had fever & abd tenderness. Family member states worsened. While traveling w/husband pt. began to vomit blood. Taken to ER & admittedto intensive care. Pt had a cardiac arrest


Changed on 8/14/2018

VAERS ID: 25526 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Texas
Vaccinated:1990-06-08
Onset:1990-06-17
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (IMOVAX ID) / PASTEUR MERIEUX INST. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Acidosis, Anaphylactoid reaction, Cardiac arrest, Cardiac failure, Haematemesis, Injection site pain, Pancreatitis, Pyrexia, Renal failure

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-19
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: 30Jul90- cause of death: anaphylactic shock; the poisonous efectof ingested food stuff causing an accute systemic anaphylactic response which led to acute myocardial failure & ended in cardo-respiratory arrest.
CDC 'Split Type': CO3526

Write-up: Pt given Imovax rabies on 9-JUN-90 c/o sore arm. 17-JUN-90 pt. had fever & abd tenderness. Family member states worsened. While traveling w/husband pt. began to vomit blood. Taken to ER & admittedto intensive care. Pt had a cardiac arrest


Changed on 9/14/2018

VAERS ID: 25526 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Texas
Vaccinated:1990-06-08
Onset:1990-06-17
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (IMOVAX ID) / PASTEUR MERIEUX INST. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Acidosis, Anaphylactoid reaction, Cardiac arrest, Cardiac failure, Haematemesis, Injection site pain, Pancreatitis, Pyrexia, Renal failure

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-19
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: 30Jul90- cause of death: anaphylactic shock; the poisonous efectof ingested food stuff causing an accute systemic anaphylactic response which led to acute myocardial failure & ended in cardo-respiratory arrest.
CDC 'Split Type': CO3526

Write-up: Pt given Imovax rabies on 9-JUN-90 c/o sore arm. 17-JUN-90 pt. had fever & abd tenderness. Family member states worsened. While traveling w/husband pt. began to vomit blood. Taken to ER & admittedto intensive care. Pt had a cardiac arrest


Changed on 10/14/2018

VAERS ID: 25526 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Texas
Vaccinated:1990-06-08
Onset:1990-06-17
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (IMOVAX ID) / PASTEUR MERIEUX INST. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Acidosis, Anaphylactoid reaction, Cardiac arrest, Cardiac failure, Haematemesis, Injection site pain, Pancreatitis, Pyrexia, Renal failure

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-19
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: 30Jul90- cause of death: anaphylactic shock; the poisonous efectof ingested food stuff causing an accute systemic anaphylactic response which led to acute myocardial failure & ended in cardo-respiratory arrest.
CDC 'Split Type': CO3526

Write-up: Pt given Imovax rabies on 9-JUN-90 c/o sore arm. 17-JUN-90 pt. had fever & abd tenderness. Family member states worsened. While traveling w/husband pt. began to vomit blood. Taken to ER & admittedto intensive care. Pt had a cardiac arrest


Changed on 12/24/2020

VAERS ID: 25526 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Texas
Vaccinated:1990-06-08
Onset:1990-06-17
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (IMOVAX ID) / PASTEUR MERIEUX INST. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Acidosis, Anaphylactoid reaction, Cardiac arrest, Cardiac failure, Haematemesis, Injection site pain, Pancreatitis, Pyrexia, Renal failure

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-19
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: 30Jul90- cause of death: anaphylactic shock; the poisonous efectof ingested food stuff causing an accute systemic anaphylactic response which led to acute myocardial failure & ended in cardo-respiratory arrest.
CDC 'Split Type': CO3526

Write-up: Pt given Imovax rabies on 9-JUN-90 c/o sore arm. 17-JUN-90 pt. had fever & abd tenderness. Family member states worsened. While traveling w/husband pt. began to vomit blood. Taken to ER & admittedto intensive care. Pt had a cardiac arrest


Changed on 12/30/2020

VAERS ID: 25526 Before After
VAERS Form:1
Age:45.0
Sex:Female
Location:Texas
Vaccinated:1990-06-08
Onset:1990-06-17
Submitted:0000-00-00
Entered:1990-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
RAB: RABIES (IMOVAX ID) / PASTEUR MERIEUX INST. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Acidosis, Anaphylactoid reaction, Cardiac arrest, Cardiac failure, Haematemesis, Injection site pain, Pancreatitis, Pyrexia, Renal failure

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1990-06-19
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: 30Jul90- cause of death: anaphylactic shock; the poisonous efectof ingested food stuff causing an accute systemic anaphylactic response which led to acute myocardial failure & ended in cardo-respiratory arrest.
CDC 'Split Type': CO3526

Write-up: Pt given Imovax rabies on 9-JUN-90 c/o sore arm. 17-JUN-90 pt. had fever & abd tenderness. Family member states worsened. While traveling w/husband pt. began to vomit blood. Taken to ER & admittedto intensive care. Pt had a cardiac arrest

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