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This is VAERS ID 25819

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25819
VAERS Form:
Age:17.0
Sex:Female
Location:New York
Vaccinated:1990-06-15
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1227S / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: ARTHRITIS, FEVER, PAIN BACK, MALAISE, PHARYNGITIS

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: Juvenile rheumatoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt with juvenile rheumatoid arthritis vaccinated with MMR developed body aches, fever, sore throat, back pain, and arthritic symptoms which were thought to be a recurrence of juvenile rhematoid arthritis.


Changed on 12/8/2009

VAERS ID: 25819 Before After
VAERS Form:
Age:17.0
Sex:Female
Location:New York
Vaccinated:1990-06-15
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-09-04 1990-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1227S / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthritis, Back pain, Malaise, Pharyngitis, Pyrexia, ARTHRITIS, FEVER, PAIN BACK, MALAISE, PHARYNGITIS

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: Juvenile rheumatoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES90080353

Write-up: Pt with juvenile rheumatoid arthritis vaccinated with MMR developed body aches, fever, sore throat, back pain, and arthritic symptoms which were thought to be a recurrence of juvenile rhematoid arthritis.


Changed on 5/14/2017

VAERS ID: 25819 Before After
VAERS Form:
Age:17.0
Sex:Female
Location:New York
Vaccinated:1990-06-15
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1227S / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthritis, Back pain, Malaise, Pharyngitis, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Juvenile rheumatoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90080353

Write-up: Pt with juvenile rheumatoid arthritis vaccinated with MMR developed body aches, fever, sore throat, back pain, and arthritic symptoms which were thought to be a recurrence of juvenile rhematoid arthritis.


Changed on 9/14/2017

VAERS ID: 25819 Before After
VAERS Form:(blank) 1
Age:17.0
Sex:Female
Location:New York
Vaccinated:1990-06-15
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1227S / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthritis, Back pain, Malaise, Pharyngitis, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Juvenile rheumatoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90080353

Write-up: Pt with juvenile rheumatoid arthritis vaccinated with MMR developed body aches, fever, sore throat, back pain, and arthritic symptoms which were thought to be a recurrence of juvenile rhematoid arthritis.


Changed on 2/14/2018

VAERS ID: 25819 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:New York
Vaccinated:1990-06-15
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1227S / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthritis, Back pain, Malaise, Pharyngitis, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Juvenile rheumatoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90080353

Write-up: Pt with juvenile rheumatoid arthritis vaccinated with MMR developed body aches, fever, sore throat, back pain, and arthritic symptoms which were thought to be a recurrence of juvenile rhematoid arthritis.


Changed on 6/14/2018

VAERS ID: 25819 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:New York
Vaccinated:1990-06-15
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1227S / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthritis, Back pain, Malaise, Pharyngitis, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Juvenile rheumatoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90080353

Write-up: Pt with juvenile rheumatoid arthritis vaccinated with MMR developed body aches, fever, sore throat, back pain, and arthritic symptoms which were thought to be a recurrence of juvenile rhematoid arthritis.


Changed on 8/14/2018

VAERS ID: 25819 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:New York
Vaccinated:1990-06-15
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1227S / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthritis, Back pain, Malaise, Pharyngitis, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Juvenile rheumatoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90080353

Write-up: Pt with juvenile rheumatoid arthritis vaccinated with MMR developed body aches, fever, sore throat, back pain, and arthritic symptoms which were thought to be a recurrence of juvenile rhematoid arthritis.


Changed on 9/14/2018

VAERS ID: 25819 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:New York
Vaccinated:1990-06-15
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1227S / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthritis, Back pain, Malaise, Pharyngitis, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Juvenile rheumatoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90080353

Write-up: Pt with juvenile rheumatoid arthritis vaccinated with MMR developed body aches, fever, sore throat, back pain, and arthritic symptoms which were thought to be a recurrence of juvenile rhematoid arthritis.


Changed on 10/14/2018

VAERS ID: 25819 Before After
VAERS Form:1
Age:17.0
Sex:Female
Location:New York
Vaccinated:1990-06-15
Onset:1990-06-26
Submitted:0000-00-00
Entered:1990-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1227S / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Arthritis, Back pain, Malaise, Pharyngitis, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Juvenile rheumatoid arthritis
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90080353

Write-up: Pt with juvenile rheumatoid arthritis vaccinated with MMR developed body aches, fever, sore throat, back pain, and arthritic symptoms which were thought to be a recurrence of juvenile rhematoid arthritis.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25819&WAYBACKHISTORY=ON


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