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This is VAERS ID 25574

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25574
VAERS Form:
Age:14.0
Sex:Male
Location:Georgia
Vaccinated:1990-07-10
Onset:1990-07-15
Submitted:0000-00-00
Entered:1990-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: UNK. MEASLES, MUMPS & RUBELLA VIRUS LIVE / UNCLASSIFIED - / - RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: DIZZINESS, NAUSEA, VOMIT, PAIN INJECT SITE, DIARRHEA

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: This could be just a viral acute gastroenteritis - especially since pt is having diarrhea. Is this unusual i.e. to MMR ?
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Nausea, vomiting, diarrhea, dizziness, pain at inject. site ( rt deltoid area) starting approx. 5 days /p MMR vaccine given.


Changed on 12/8/2009

VAERS ID: 25574 Before After
VAERS Form:
Age:14.0
Sex:Male
Location:Georgia
Vaccinated:1990-07-10
Onset:1990-07-15
Submitted:0000-00-00
Entered:1990-07-26 1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: UNK. MEASLES, MUMPS & RUBELLA VIRUS LIVE MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Dizziness, Injection site pain, Nausea, Vomiting, DIZZINESS, NAUSEA, VOMIT, PAIN INJECT SITE, DIARRHEA

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: This could be just a viral acute gastroenteritis - especially since pt is having diarrhea. Is this unusual i.e. to MMR ?
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Nausea, vomiting, diarrhea, dizziness, pain at inject. site ( rt deltoid area) starting approx. 5 days /p MMR vaccine given.


Changed on 5/14/2017

VAERS ID: 25574 Before After
VAERS Form:
Age:14.0
Sex:Male
Location:Georgia
Vaccinated:1990-07-10
Onset:1990-07-15
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Dizziness, Injection site pain, Nausea, Vomiting

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: This could be just a viral acute gastroenteritis - especially since pt is having diarrhea. Is this unusual i.e. to MMR ?
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Nausea, vomiting, diarrhea, dizziness, pain at inject. site ( rt deltoid area) starting approx. 5 days /p MMR vaccine given.


Changed on 9/14/2017

VAERS ID: 25574 Before After
VAERS Form:(blank) 1
Age:14.0
Sex:Male
Location:Georgia
Vaccinated:1990-07-10
Onset:1990-07-15
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Dizziness, Injection site pain, Nausea, Vomiting

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: This could be just a viral acute gastroenteritis - especially since pt is having diarrhea. Is this unusual i.e. to MMR ?
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Nausea, vomiting, diarrhea, dizziness, pain at inject. site ( rt deltoid area) starting approx. 5 days /p MMR vaccine given.


Changed on 2/14/2018

VAERS ID: 25574 Before After
VAERS Form:1
Age:14.0
Sex:Male
Location:Georgia
Vaccinated:1990-07-10
Onset:1990-07-15
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Dizziness, Injection site pain, Nausea, Vomiting

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: This could be just a viral acute gastroenteritis - especially since pt is having diarrhea. Is this unusual i.e. to MMR ?
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Nausea, vomiting, diarrhea, dizziness, pain at inject. site ( rt deltoid area) starting approx. 5 days /p MMR vaccine given.


Changed on 6/14/2018

VAERS ID: 25574 Before After
VAERS Form:1
Age:14.0
Sex:Male
Location:Georgia
Vaccinated:1990-07-10
Onset:1990-07-15
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Dizziness, Injection site pain, Nausea, Vomiting

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: This could be just a viral acute gastroenteritis - especially since pt is having diarrhea. Is this unusual i.e. to MMR ?
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Nausea, vomiting, diarrhea, dizziness, pain at inject. site ( rt deltoid area) starting approx. 5 days /p MMR vaccine given.


Changed on 8/14/2018

VAERS ID: 25574 Before After
VAERS Form:1
Age:14.0
Sex:Male
Location:Georgia
Vaccinated:1990-07-10
Onset:1990-07-15
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Dizziness, Injection site pain, Nausea, Vomiting

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: This could be just a viral acute gastroenteritis - especially since pt is having diarrhea. Is this unusual i.e. to MMR ?
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Nausea, vomiting, diarrhea, dizziness, pain at inject. site ( rt deltoid area) starting approx. 5 days /p MMR vaccine given.


Changed on 9/14/2018

VAERS ID: 25574 Before After
VAERS Form:1
Age:14.0
Sex:Male
Location:Georgia
Vaccinated:1990-07-10
Onset:1990-07-15
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Dizziness, Injection site pain, Nausea, Vomiting

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: This could be just a viral acute gastroenteritis - especially since pt is having diarrhea. Is this unusual i.e. to MMR ?
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Nausea, vomiting, diarrhea, dizziness, pain at inject. site ( rt deltoid area) starting approx. 5 days /p MMR vaccine given.


Changed on 10/14/2018

VAERS ID: 25574 Before After
VAERS Form:1
Age:14.0
Sex:Male
Location:Georgia
Vaccinated:1990-07-10
Onset:1990-07-15
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Diarrhoea, Dizziness, Injection site pain, Nausea, Vomiting

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: This could be just a viral acute gastroenteritis - especially since pt is having diarrhea. Is this unusual i.e. to MMR ?
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Nausea, vomiting, diarrhea, dizziness, pain at inject. site ( rt deltoid area) starting approx. 5 days /p MMR vaccine given.

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