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This is VAERS ID 25656

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25656
VAERS Form:
Age:4.0
Sex:Male
Location:New York
Vaccinated:1990-07-17
Onset:1990-07-17
Submitted:0000-00-00
Entered:1990-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: MD reported 4 1/2 yr old vaccinated with MMR on 17-JUL-90 developed a fever varying between 105 & 106 degrees F four to five hrs after vaccination. Pt was hospitalized. At time of report fever persisted. No reaction to first MMR.


Changed on 12/8/2009

VAERS ID: 25656 Before After
VAERS Form:
Age:4.0
Sex:Male
Location:New York
Vaccinated:1990-07-17
Onset:1990-07-17
Submitted:0000-00-00
Entered:1990-08-17 1990-08-13
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: Pyrexia, FEVER

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES90070777

Write-up: MD reported 4 1/2 yr old vaccinated with MMR on 17-JUL-90 developed a fever varying between 105 & 106 degrees F four to five hrs after vaccination. Pt was hospitalized. At time of report fever persisted. No reaction to first MMR.


Changed on 5/14/2017

VAERS ID: 25656 Before After
VAERS Form:
Age:4.0
Sex:Male
Location:New York
Vaccinated:1990-07-17
Onset:1990-07-17
Submitted:0000-00-00
Entered:1990-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90070777

Write-up: MD reported 4 1/2 yr old vaccinated with MMR on 17-JUL-90 developed a fever varying between 105 & 106 degrees F four to five hrs after vaccination. Pt was hospitalized. At time of report fever persisted. No reaction to first MMR.


Changed on 9/14/2017

VAERS ID: 25656 Before After
VAERS Form:(blank) 1
Age:4.0
Sex:Male
Location:New York
Vaccinated:1990-07-17
Onset:1990-07-17
Submitted:0000-00-00
Entered:1990-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90070777

Write-up: MD reported 4 1/2 yr old vaccinated with MMR on 17-JUL-90 developed a fever varying between 105 & 106 degrees F four to five hrs after vaccination. Pt was hospitalized. At time of report fever persisted. No reaction to first MMR.


Changed on 2/14/2018

VAERS ID: 25656 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:New York
Vaccinated:1990-07-17
Onset:1990-07-17
Submitted:0000-00-00
Entered:1990-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90070777

Write-up: MD reported 4 1/2 yr old vaccinated with MMR on 17-JUL-90 developed a fever varying between 105 & 106 degrees F four to five hrs after vaccination. Pt was hospitalized. At time of report fever persisted. No reaction to first MMR.


Changed on 6/14/2018

VAERS ID: 25656 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:New York
Vaccinated:1990-07-17
Onset:1990-07-17
Submitted:0000-00-00
Entered:1990-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90070777

Write-up: MD reported 4 1/2 yr old vaccinated with MMR on 17-JUL-90 developed a fever varying between 105 & 106 degrees F four to five hrs after vaccination. Pt was hospitalized. At time of report fever persisted. No reaction to first MMR.


Changed on 8/14/2018

VAERS ID: 25656 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:New York
Vaccinated:1990-07-17
Onset:1990-07-17
Submitted:0000-00-00
Entered:1990-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90070777

Write-up: MD reported 4 1/2 yr old vaccinated with MMR on 17-JUL-90 developed a fever varying between 105 & 106 degrees F four to five hrs after vaccination. Pt was hospitalized. At time of report fever persisted. No reaction to first MMR.


Changed on 9/14/2018

VAERS ID: 25656 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:New York
Vaccinated:1990-07-17
Onset:1990-07-17
Submitted:0000-00-00
Entered:1990-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90070777

Write-up: MD reported 4 1/2 yr old vaccinated with MMR on 17-JUL-90 developed a fever varying between 105 & 106 degrees F four to five hrs after vaccination. Pt was hospitalized. At time of report fever persisted. No reaction to first MMR.


Changed on 10/14/2018

VAERS ID: 25656 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:New York
Vaccinated:1990-07-17
Onset:1990-07-17
Submitted:0000-00-00
Entered:1990-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90070777

Write-up: MD reported 4 1/2 yr old vaccinated with MMR on 17-JUL-90 developed a fever varying between 105 & 106 degrees F four to five hrs after vaccination. Pt was hospitalized. At time of report fever persisted. No reaction to first MMR.

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