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This is VAERS ID 25620

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25620
VAERS Form:
Age:23.0
Sex:Female
Location:California
Vaccinated:1990-05-04
Onset:1990-05-07
Submitted:0000-00-00
Entered:1990-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: CHILLS, FEVER, ANOREXIA, ASTHENIA, COUGH INC

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: insulin & buffered aspirin
Current Illness:
Preexisting Conditions: allergy codeine, diabetes mellitus
Allergies:
Diagnostic Lab Data: Serum glucose May89- 150''s prior 70-80''s, Serum glucose 17May89- 249, urine culture 7May89-Entercoccuus, staphylococcus, Lumbar puncture 15May89- normal
CDC 'Split Type':

Write-up: 3 days /p vaccine pt felt queazy, weak /w nausea, & vomited. 6 days post vaccine experianced lt buttock and LB pain, photophobia, headache, fever & chills. 15May90 hospitalized /w bilat. buttock pain,fever,rash,abdo & backpain. Recovered


Changed on 12/30/2006

VAERS ID: 25620 Before After
VAERS Form:
Age:23.0
Sex:Female
Location:California
Vaccinated:1990-05-04
Onset:1990-05-07
Submitted:0000-00-00
Entered:1990-07-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: CHILLS, FEVER, ANOREXIA, ASTHENIA, COUGH INC

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: insulin & buffered aspirin
Current Illness:
Preexisting Conditions: allergy codeine, diabetes mellitus
Allergies:
Diagnostic Lab Data: Serum glucose May89- 150''s 150''''s prior 70-80''s, 70-80''''s, Serum glucose 17May89- 249, urine culture 7May89-Entercoccuus, staphylococcus, Lumbar puncture 15May89- normal
CDC 'Split Type':

Write-up: 3 days /p vaccine pt felt queazy, weak /w nausea, & vomited. 6 days post vaccine experianced lt buttock and LB pain, photophobia, headache, fever & chills. 15May90 hospitalized /w bilat. buttock pain,fever,rash,abdo & backpain. Recovered


Changed on 12/8/2009

VAERS ID: 25620 Before After
VAERS Form:
Age:23.0
Sex:Female
Location:California
Vaccinated:1990-05-04
Onset:1990-05-07
Submitted:0000-00-00
Entered:1990-07-31 1990-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Back pain, Chills, Cough, Drug ineffective, Headache, Hyperglycaemia, Malaise, Nausea, Photophobia, Pyrexia, Rash maculo-papular, Urinary tract infection, Vomiting, CHILLS, FEVER, ANOREXIA, ASTHENIA, COUGH INC

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: insulin & buffered aspirin
Current Illness:
Preexisting Conditions: allergy codeine, diabetes mellitus
Allergies:
Diagnostic Lab Data: Serum glucose May89- 150''''s 150''s prior 70-80''''s, 70-80''s, Serum glucose 17May89- 249, urine culture 7May89-Entercoccuus, staphylococcus, Lumbar puncture 15May89- normal
CDC 'Split Type': (blank) ARR52.371

Write-up: 3 days /p vaccine pt felt queazy, weak /w nausea, & vomited. 6 days post vaccine experianced lt buttock and LB pain, photophobia, headache, fever & chills. 15May90 hospitalized /w bilat. buttock pain,fever,rash,abdo & backpain. Recovered


Changed on 5/14/2017

VAERS ID: 25620 Before After
VAERS Form:
Age:23.0
Sex:Female
Location:California
Vaccinated:1990-05-04
Onset:1990-05-07
Submitted:0000-00-00
Entered:1990-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Back pain, Chills, Cough, Drug ineffective, Headache, Hyperglycaemia, Malaise, Nausea, Photophobia, Pyrexia, Rash maculo-papular, Urinary tract infection, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: insulin & buffered aspirin
Current Illness:
Preexisting Conditions: allergy codeine, diabetes mellitus
Allergies:
Diagnostic Lab Data: Serum glucose May89- 150''s prior 70-80''s, Serum glucose 17May89- 249, urine culture 7May89-Entercoccuus, staphylococcus, Lumbar puncture 15May89- normal
CDC 'Split Type': ARR52.371

Write-up: 3 days /p vaccine pt felt queazy, weak /w nausea, & vomited. 6 days post vaccine experianced lt buttock and LB pain, photophobia, headache, fever & chills. 15May90 hospitalized /w bilat. buttock pain,fever,rash,abdo & backpain. Recovered


Changed on 9/14/2017

VAERS ID: 25620 Before After
VAERS Form:(blank) 1
Age:23.0
Sex:Female
Location:California
Vaccinated:1990-05-04
Onset:1990-05-07
Submitted:0000-00-00
Entered:1990-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Back pain, Chills, Cough, Drug ineffective, Headache, Hyperglycaemia, Malaise, Nausea, Photophobia, Pyrexia, Rash maculo-papular, Urinary tract infection, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: insulin & buffered aspirin
Current Illness:
Preexisting Conditions: allergy codeine, diabetes mellitus
Allergies:
Diagnostic Lab Data: Serum glucose May89- 150''s prior 70-80''s, Serum glucose 17May89- 249, urine culture 7May89-Entercoccuus, staphylococcus, Lumbar puncture 15May89- normal
CDC 'Split Type': ARR52.371

Write-up: 3 days /p vaccine pt felt queazy, weak /w nausea, & vomited. 6 days post vaccine experianced lt buttock and LB pain, photophobia, headache, fever & chills. 15May90 hospitalized /w bilat. buttock pain,fever,rash,abdo & backpain. Recovered


Changed on 2/14/2018

VAERS ID: 25620 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:California
Vaccinated:1990-05-04
Onset:1990-05-07
Submitted:0000-00-00
Entered:1990-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Back pain, Chills, Cough, Drug ineffective, Headache, Hyperglycaemia, Malaise, Nausea, Photophobia, Pyrexia, Rash maculo-papular, Urinary tract infection, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: insulin & buffered aspirin
Current Illness:
Preexisting Conditions: allergy codeine, diabetes mellitus
Allergies:
Diagnostic Lab Data: Serum glucose May89- 150''s prior 70-80''s, Serum glucose 17May89- 249, urine culture 7May89-Entercoccuus, staphylococcus, Lumbar puncture 15May89- normal
CDC 'Split Type': ARR52.371

Write-up: 3 days /p vaccine pt felt queazy, weak /w nausea, & vomited. 6 days post vaccine experianced lt buttock and LB pain, photophobia, headache, fever & chills. 15May90 hospitalized /w bilat. buttock pain,fever,rash,abdo & backpain. Recovered


Changed on 6/14/2018

VAERS ID: 25620 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:California
Vaccinated:1990-05-04
Onset:1990-05-07
Submitted:0000-00-00
Entered:1990-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Back pain, Chills, Cough, Drug ineffective, Headache, Hyperglycaemia, Malaise, Nausea, Photophobia, Pyrexia, Rash maculo-papular, Urinary tract infection, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: insulin & buffered aspirin
Current Illness:
Preexisting Conditions: allergy codeine, diabetes mellitus
Allergies:
Diagnostic Lab Data: Serum glucose May89- 150''s prior 70-80''s, Serum glucose 17May89- 249, urine culture 7May89-Entercoccuus, staphylococcus, Lumbar puncture 15May89- normal
CDC 'Split Type': ARR52.371

Write-up: 3 days /p vaccine pt felt queazy, weak /w nausea, & vomited. 6 days post vaccine experianced lt buttock and LB pain, photophobia, headache, fever & chills. 15May90 hospitalized /w bilat. buttock pain,fever,rash,abdo & backpain. Recovered


Changed on 8/14/2018

VAERS ID: 25620 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:California
Vaccinated:1990-05-04
Onset:1990-05-07
Submitted:0000-00-00
Entered:1990-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Back pain, Chills, Cough, Drug ineffective, Headache, Hyperglycaemia, Malaise, Nausea, Photophobia, Pyrexia, Rash maculo-papular, Urinary tract infection, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: insulin & buffered aspirin
Current Illness:
Preexisting Conditions: allergy codeine, diabetes mellitus
Allergies:
Diagnostic Lab Data: Serum glucose May89- 150''s prior 70-80''s, Serum glucose 17May89- 249, urine culture 7May89-Entercoccuus, staphylococcus, Lumbar puncture 15May89- normal
CDC 'Split Type': ARR52.371

Write-up: 3 days /p vaccine pt felt queazy, weak /w nausea, & vomited. 6 days post vaccine experianced lt buttock and LB pain, photophobia, headache, fever & chills. 15May90 hospitalized /w bilat. buttock pain,fever,rash,abdo & backpain. Recovered


Changed on 9/14/2018

VAERS ID: 25620 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:California
Vaccinated:1990-05-04
Onset:1990-05-07
Submitted:0000-00-00
Entered:1990-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Back pain, Chills, Cough, Drug ineffective, Headache, Hyperglycaemia, Malaise, Nausea, Photophobia, Pyrexia, Rash maculo-papular, Urinary tract infection, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: insulin & buffered aspirin
Current Illness:
Preexisting Conditions: allergy codeine, diabetes mellitus
Allergies:
Diagnostic Lab Data: Serum glucose May89- 150''s prior 70-80''s, Serum glucose 17May89- 249, urine culture 7May89-Entercoccuus, staphylococcus, Lumbar puncture 15May89- normal
CDC 'Split Type': ARR52.371

Write-up: 3 days /p vaccine pt felt queazy, weak /w nausea, & vomited. 6 days post vaccine experianced lt buttock and LB pain, photophobia, headache, fever & chills. 15May90 hospitalized /w bilat. buttock pain,fever,rash,abdo & backpain. Recovered


Changed on 10/14/2018

VAERS ID: 25620 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:California
Vaccinated:1990-05-04
Onset:1990-05-07
Submitted:0000-00-00
Entered:1990-07-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Anorexia, Asthenia, Back pain, Chills, Cough, Drug ineffective, Headache, Hyperglycaemia, Malaise, Nausea, Photophobia, Pyrexia, Rash maculo-papular, Urinary tract infection, Vomiting

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: insulin & buffered aspirin
Current Illness:
Preexisting Conditions: allergy codeine, diabetes mellitus
Allergies:
Diagnostic Lab Data: Serum glucose May89- 150''s prior 70-80''s, Serum glucose 17May89- 249, urine culture 7May89-Entercoccuus, staphylococcus, Lumbar puncture 15May89- normal
CDC 'Split Type': ARR52.371

Write-up: 3 days /p vaccine pt felt queazy, weak /w nausea, & vomited. 6 days post vaccine experianced lt buttock and LB pain, photophobia, headache, fever & chills. 15May90 hospitalized /w bilat. buttock pain,fever,rash,abdo & backpain. Recovered

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