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This is VAERS ID 25629

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25629
VAERS Form:
Age:22.0
Sex:Female
Location:Maryland
Vaccinated:1990-05-09
Onset:1990-05-11
Submitted:0000-00-00
Entered:1990-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: ASTHENIA, DIARRHEA, DEHYDRAT, COUGH INC, CONJUNCTIVITIS

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated w/MMRII, 2 days following vaccination she experienced generalized achiness, fever, fatigue, rash & intermittent vomiting w/loose bowel movements. See WORM for more details.


Changed on 12/8/2009

VAERS ID: 25629 Before After
VAERS Form:
Age:22.0
Sex:Female
Location:Maryland
Vaccinated:1990-05-09
Onset:1990-05-11
Submitted:0000-00-00
Entered:1990-08-08 1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Conjunctivitis, Cough, Dehydration, Diarrhoea, Drug ineffective, Headache, Pain, Pharyngitis, Photophobia, Pruritus, Pyrexia, Rash maculo-papular, Vomiting, ASTHENIA, DIARRHEA, DEHYDRAT, COUGH INC, CONJUNCTIVITIS

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES90051228

Write-up: Pt vaccinated w/MMRII, 2 days following vaccination she experienced generalized achiness, fever, fatigue, rash & intermittent vomiting w/loose bowel movements. See WORM for more details.


Changed on 5/14/2017

VAERS ID: 25629 Before After
VAERS Form:
Age:22.0
Sex:Female
Location:Maryland
Vaccinated:1990-05-09
Onset:1990-05-11
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Conjunctivitis, Cough, Dehydration, Diarrhoea, Drug ineffective, Headache, Pain, Pharyngitis, Photophobia, Pruritus, Pyrexia, Rash maculo-papular, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90051228

Write-up: Pt vaccinated w/MMRII, 2 days following vaccination she experienced generalized achiness, fever, fatigue, rash & intermittent vomiting w/loose bowel movements. See WORM for more details.


Changed on 9/14/2017

VAERS ID: 25629 Before After
VAERS Form:(blank) 1
Age:22.0
Sex:Female
Location:Maryland
Vaccinated:1990-05-09
Onset:1990-05-11
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Conjunctivitis, Cough, Dehydration, Diarrhoea, Drug ineffective, Headache, Pain, Pharyngitis, Photophobia, Pruritus, Pyrexia, Rash maculo-papular, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90051228

Write-up: Pt vaccinated w/MMRII, 2 days following vaccination she experienced generalized achiness, fever, fatigue, rash & intermittent vomiting w/loose bowel movements. See WORM for more details.


Changed on 2/14/2018

VAERS ID: 25629 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Maryland
Vaccinated:1990-05-09
Onset:1990-05-11
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Conjunctivitis, Cough, Dehydration, Diarrhoea, Drug ineffective, Headache, Pain, Pharyngitis, Photophobia, Pruritus, Pyrexia, Rash maculo-papular, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90051228

Write-up: Pt vaccinated w/MMRII, 2 days following vaccination she experienced generalized achiness, fever, fatigue, rash & intermittent vomiting w/loose bowel movements. See WORM for more details.


Changed on 6/14/2018

VAERS ID: 25629 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Maryland
Vaccinated:1990-05-09
Onset:1990-05-11
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Conjunctivitis, Cough, Dehydration, Diarrhoea, Drug ineffective, Headache, Pain, Pharyngitis, Photophobia, Pruritus, Pyrexia, Rash maculo-papular, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90051228

Write-up: Pt vaccinated w/MMRII, 2 days following vaccination she experienced generalized achiness, fever, fatigue, rash & intermittent vomiting w/loose bowel movements. See WORM for more details.


Changed on 8/14/2018

VAERS ID: 25629 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Maryland
Vaccinated:1990-05-09
Onset:1990-05-11
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Conjunctivitis, Cough, Dehydration, Diarrhoea, Drug ineffective, Headache, Pain, Pharyngitis, Photophobia, Pruritus, Pyrexia, Rash maculo-papular, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90051228

Write-up: Pt vaccinated w/MMRII, 2 days following vaccination she experienced generalized achiness, fever, fatigue, rash & intermittent vomiting w/loose bowel movements. See WORM for more details.


Changed on 9/14/2018

VAERS ID: 25629 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Maryland
Vaccinated:1990-05-09
Onset:1990-05-11
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Conjunctivitis, Cough, Dehydration, Diarrhoea, Drug ineffective, Headache, Pain, Pharyngitis, Photophobia, Pruritus, Pyrexia, Rash maculo-papular, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90051228

Write-up: Pt vaccinated w/MMRII, 2 days following vaccination she experienced generalized achiness, fever, fatigue, rash & intermittent vomiting w/loose bowel movements. See WORM for more details.


Changed on 10/14/2018

VAERS ID: 25629 Before After
VAERS Form:1
Age:22.0
Sex:Female
Location:Maryland
Vaccinated:1990-05-09
Onset:1990-05-11
Submitted:0000-00-00
Entered:1990-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Conjunctivitis, Cough, Dehydration, Diarrhoea, Drug ineffective, Headache, Pain, Pharyngitis, Photophobia, Pruritus, Pyrexia, Rash maculo-papular, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90051228

Write-up: Pt vaccinated w/MMRII, 2 days following vaccination she experienced generalized achiness, fever, fatigue, rash & intermittent vomiting w/loose bowel movements. See WORM for more details.

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