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This is VAERS ID 25680

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25680
VAERS Form:
Age:12.0
Sex:Male
Location:Michigan
Vaccinated:1990-04-07
Onset:1990-04-20
Submitted:0000-00-00
Entered:1990-08-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 2120R / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, RASH

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR and developed fever, generalized rash.


Changed on 12/8/2009

VAERS ID: 25680 Before After
VAERS Form:
Age:12.0
Sex:Male
Location:Michigan
Vaccinated:1990-04-07
Onset:1990-04-20
Submitted:0000-00-00
Entered:1990-08-22 1990-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 2120R / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash, FEVER, RASH

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR and developed fever, generalized rash.


Changed on 5/14/2017

VAERS ID: 25680 Before After
VAERS Form:
Age:12.0
Sex:Male
Location:Michigan
Vaccinated:1990-04-07
Onset:1990-04-20
Submitted:0000-00-00
Entered:1990-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2120R / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR and developed fever, generalized rash.


Changed on 9/14/2017

VAERS ID: 25680 Before After
VAERS Form:(blank) 1
Age:12.0
Sex:Male
Location:Michigan
Vaccinated:1990-04-07
Onset:1990-04-20
Submitted:0000-00-00
Entered:1990-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2120R / - UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR and developed fever, generalized rash.


Changed on 2/14/2018

VAERS ID: 25680 Before After
VAERS Form:1
Age:12.0
Sex:Male
Location:Michigan
Vaccinated:1990-04-07
Onset:1990-04-20
Submitted:0000-00-00
Entered:1990-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2120R / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR and developed fever, generalized rash.


Changed on 6/14/2018

VAERS ID: 25680 Before After
VAERS Form:1
Age:12.0
Sex:Male
Location:Michigan
Vaccinated:1990-04-07
Onset:1990-04-20
Submitted:0000-00-00
Entered:1990-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2120R / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR and developed fever, generalized rash.


Changed on 8/14/2018

VAERS ID: 25680 Before After
VAERS Form:1
Age:12.0
Sex:Male
Location:Michigan
Vaccinated:1990-04-07
Onset:1990-04-20
Submitted:0000-00-00
Entered:1990-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2120R / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR and developed fever, generalized rash.


Changed on 9/14/2018

VAERS ID: 25680 Before After
VAERS Form:1
Age:12.0
Sex:Male
Location:Michigan
Vaccinated:1990-04-07
Onset:1990-04-20
Submitted:0000-00-00
Entered:1990-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2120R / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR and developed fever, generalized rash.


Changed on 10/14/2018

VAERS ID: 25680 Before After
VAERS Form:1
Age:12.0
Sex:Male
Location:Michigan
Vaccinated:1990-04-07
Onset:1990-04-20
Submitted:0000-00-00
Entered:1990-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2120R / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR and developed fever, generalized rash.

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