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This is VAERS ID 25820

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25820
VAERS Form:
Age:18.0
Sex:Female
Location:Florida
Vaccinated:1990-07-16
Onset:1990-08-05
Submitted:0000-00-00
Entered:1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, HEADACHE, MYALGIA, MALAISE, HEPATITIS

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: SGOT - 182, SGPT elevated and serum alkaline phosphatase was normal.
CDC 'Split Type':

Write-up: Pt vaccinated with MMR on 16JUL90. Subsequently experienced malaise, headache and myalgia and was hospitalized on 5AUG90 for fever and hepattis. Additional details being requested.


Changed on 12/8/2009

VAERS ID: 25820 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Florida
Vaccinated:1990-07-16
Onset:1990-08-05
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. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Headache, Hepatitis, Malaise, Myalgia, Pyrexia, FEVER, HEADACHE, MYALGIA, MALAISE, HEPATITIS

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: SGOT - 182, SGPT elevated and serum alkaline phosphatase was normal.
CDC 'Split Type': (blank) WAES90080653

Write-up: Pt vaccinated with MMR on 16JUL90. Subsequently experienced malaise, headache and myalgia and was hospitalized on 5AUG90 for fever and hepattis. Additional details being requested.


Changed on 5/14/2017

VAERS ID: 25820 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Florida
Vaccinated:1990-07-16
Onset:1990-08-05
Submitted:0000-00-00
Entered:1990-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Headache, Hepatitis, Malaise, Myalgia, 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:
Allergies:
Diagnostic Lab Data: SGOT - 182, SGPT elevated and serum alkaline phosphatase was normal.
CDC 'Split Type': WAES90080653

Write-up: Pt vaccinated with MMR on 16JUL90. Subsequently experienced malaise, headache and myalgia and was hospitalized on 5AUG90 for fever and hepattis. Additional details being requested.


Changed on 9/14/2017

VAERS ID: 25820 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:Florida
Vaccinated:1990-07-16
Onset:1990-08-05
Submitted:0000-00-00
Entered:1990-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Headache, Hepatitis, Malaise, Myalgia, 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:
Allergies:
Diagnostic Lab Data: SGOT - 182, SGPT elevated and serum alkaline phosphatase was normal.
CDC 'Split Type': WAES90080653

Write-up: Pt vaccinated with MMR on 16JUL90. Subsequently experienced malaise, headache and myalgia and was hospitalized on 5AUG90 for fever and hepattis. Additional details being requested.


Changed on 2/14/2018

VAERS ID: 25820 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Florida
Vaccinated:1990-07-16
Onset:1990-08-05
Submitted:0000-00-00
Entered:1990-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Headache, Hepatitis, Malaise, Myalgia, 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:
Allergies:
Diagnostic Lab Data: SGOT - 182, SGPT elevated and serum alkaline phosphatase was normal.
CDC 'Split Type': WAES90080653

Write-up: Pt vaccinated with MMR on 16JUL90. Subsequently experienced malaise, headache and myalgia and was hospitalized on 5AUG90 for fever and hepattis. Additional details being requested.


Changed on 6/14/2018

VAERS ID: 25820 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Florida
Vaccinated:1990-07-16
Onset:1990-08-05
Submitted:0000-00-00
Entered:1990-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Headache, Hepatitis, Malaise, Myalgia, 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:
Allergies:
Diagnostic Lab Data: SGOT - 182, SGPT elevated and serum alkaline phosphatase was normal.
CDC 'Split Type': WAES90080653

Write-up: Pt vaccinated with MMR on 16JUL90. Subsequently experienced malaise, headache and myalgia and was hospitalized on 5AUG90 for fever and hepattis. Additional details being requested.


Changed on 8/14/2018

VAERS ID: 25820 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Florida
Vaccinated:1990-07-16
Onset:1990-08-05
Submitted:0000-00-00
Entered:1990-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Headache, Hepatitis, Malaise, Myalgia, 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:
Allergies:
Diagnostic Lab Data: SGOT - 182, SGPT elevated and serum alkaline phosphatase was normal.
CDC 'Split Type': WAES90080653

Write-up: Pt vaccinated with MMR on 16JUL90. Subsequently experienced malaise, headache and myalgia and was hospitalized on 5AUG90 for fever and hepattis. Additional details being requested.


Changed on 9/14/2018

VAERS ID: 25820 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Florida
Vaccinated:1990-07-16
Onset:1990-08-05
Submitted:0000-00-00
Entered:1990-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Headache, Hepatitis, Malaise, Myalgia, 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:
Allergies:
Diagnostic Lab Data: SGOT - 182, SGPT elevated and serum alkaline phosphatase was normal.
CDC 'Split Type': WAES90080653

Write-up: Pt vaccinated with MMR on 16JUL90. Subsequently experienced malaise, headache and myalgia and was hospitalized on 5AUG90 for fever and hepattis. Additional details being requested.


Changed on 10/14/2018

VAERS ID: 25820 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Florida
Vaccinated:1990-07-16
Onset:1990-08-05
Submitted:0000-00-00
Entered:1990-08-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Headache, Hepatitis, Malaise, Myalgia, 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:
Allergies:
Diagnostic Lab Data: SGOT - 182, SGPT elevated and serum alkaline phosphatase was normal.
CDC 'Split Type': WAES90080653

Write-up: Pt vaccinated with MMR on 16JUL90. Subsequently experienced malaise, headache and myalgia and was hospitalized on 5AUG90 for fever and hepattis. Additional details being requested.

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