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This is VAERS ID 25826

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25826
VAERS Form:
Age:5.7
Sex:Female
Location:Pennsylvania
Vaccinated:1990-08-26
Onset:1990-08-28
Submitted:1990-08-30
Entered:1990-09-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 271915 / - RA / IM
MMR: MMR II / MSD 06962 / 1 LA / SC
OPV: ORIMUNE / LEDERLE 00052004 / 4 - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: INJECT SITE REACT, FEVER, MASS INJECT SITE, RHINITIS, COUGH INC

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: URI 1 wk befor by hx reveals after react
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.


Changed on 12/8/2009

VAERS ID: 25826 Before After
VAERS Form:
Age:5.7
Sex:Female
Location:Pennsylvania
Vaccinated:1990-08-26
Onset:1990-08-28
Submitted:1990-08-30
Entered:1990-09-05 1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 271915 / - RA / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 06962 / 1 LA / SC
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 00052004 / 4 - / PO

Administered by: Private      Purchased by: Unknown Private
Symptoms: Cough, Injection site mass, Injection site reaction, Productive cough, Pyrexia, Rhinitis, Vasodilatation, INJECT SITE REACT, FEVER, MASS INJECT SITE, RHINITIS, COUGH INC

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: URI 1 wk befor by hx reveals after react
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.


Changed on 8/31/2010

VAERS ID: 25826 Before After
VAERS Form:
Age:5.7
Sex:Female
Location:Pennsylvania
Vaccinated:1990-08-26
Onset:1990-08-28
Submitted:1990-08-30
Entered:1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271915 / - RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06962 / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 00052004 / 4 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Cough, Injection site mass, Injection site reaction, Productive cough, Pyrexia, Rhinitis, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: URI 1 wk befor by hx reveals after react
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.


Changed on 4/13/2011

VAERS ID: 25826 Before After
VAERS Form:
Age:5.7
Sex:Female
Location:Pennsylvania
Vaccinated:1990-08-26
Onset:1990-08-28
Submitted:1990-08-30
Entered:1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271915 / - RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06962 / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 00052004 / 4 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Cough, Injection site mass, Injection site reaction, Productive cough, Pyrexia, Rhinitis, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: URI 1 wk befor by hx reveals after react
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.


Changed on 5/13/2011

VAERS ID: 25826 Before After
VAERS Form:
Age:5.7
Sex:Female
Location:Pennsylvania
Vaccinated:1990-08-26
Onset:1990-08-28
Submitted:1990-08-30
Entered:1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271915 / - RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06962 / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 00052004 / 4 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Cough, Injection site mass, Injection site reaction, Productive cough, Pyrexia, Rhinitis, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: URI 1 wk befor by hx reveals after react
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.


Changed on 6/11/2011

VAERS ID: 25826 Before After
VAERS Form:
Age:5.7
Sex:Female
Location:Pennsylvania
Vaccinated:1990-08-26
Onset:1990-08-28
Submitted:1990-08-30
Entered:1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271915 / - RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06962 / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 00052004 / 4 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Cough, Injection site mass, Injection site reaction, Productive cough, Pyrexia, Rhinitis, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: URI 1 wk befor by hx reveals after react
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.


Changed on 2/14/2017

VAERS ID: 25826 Before After
VAERS Form:
Age:5.7 5.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-08-26
Onset:1990-08-28
Submitted:1990-08-30
Entered:1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271915 / - RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06962 / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 00052004 / 4 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Cough, Injection site mass, Injection site reaction, Productive cough, Pyrexia, Rhinitis, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: URI 1 wk befor by hx reveals after react
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.


Changed on 5/14/2017

VAERS ID: 25826 Before After
VAERS Form:
Age:5.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-08-26
Onset:1990-08-28
Submitted:1990-08-30
Entered:1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271915 / - RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06962 / 1 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 00052004 / 4 - / PO

Administered by: Private      Purchased by: Private
Symptoms: Cough, Injection site mass, Injection site reaction, Productive cough, Pyrexia, Rhinitis, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: URI 1 wk befor by hx reveals after react
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.


Changed on 9/14/2017

VAERS ID: 25826 Before After
VAERS Form:(blank) 1
Age:5.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-08-26
Onset:1990-08-28
Submitted:1990-08-30
Entered:1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271915 / - UNK RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06962 / 1 2 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 00052004 / 4 5 - MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Cough, Injection site mass, Injection site reaction, Productive cough, Pyrexia, Rhinitis, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: URI 1 wk befor by hx reveals after react
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.


Changed on 2/14/2018

VAERS ID: 25826 Before After
VAERS Form:1
Age:5.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-08-26
Onset:1990-08-28
Submitted:1990-08-30
Entered:1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271915 / UNK RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06962 / 2 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 00052004 / 5 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Cough, Injection site mass, Injection site reaction, Productive cough, Pyrexia, Rhinitis, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: URI 1 wk befor by hx reveals after react
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.


Changed on 6/14/2018

VAERS ID: 25826 Before After
VAERS Form:1
Age:5.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-08-26
Onset:1990-08-28
Submitted:1990-08-30
Entered:1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271915 / UNK RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06962 / 2 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 00052004 / 5 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Cough, Injection site mass, Injection site reaction, Productive cough, Pyrexia, Rhinitis, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: URI 1 wk befor by hx reveals after react
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.


Changed on 8/14/2018

VAERS ID: 25826 Before After
VAERS Form:1
Age:5.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-08-26
Onset:1990-08-28
Submitted:1990-08-30
Entered:1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271915 / UNK RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06962 / 2 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 00052004 / 5 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Cough, Injection site mass, Injection site reaction, Productive cough, Pyrexia, Rhinitis, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: URI 1 wk befor by hx reveals after react
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.


Changed on 9/14/2018

VAERS ID: 25826 Before After
VAERS Form:1
Age:5.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-08-26
Onset:1990-08-28
Submitted:1990-08-30
Entered:1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271915 / UNK RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06962 / 2 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 00052004 / 5 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Cough, Injection site mass, Injection site reaction, Productive cough, Pyrexia, Rhinitis, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: URI 1 wk befor by hx reveals after react
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.


Changed on 10/14/2018

VAERS ID: 25826 Before After
VAERS Form:1
Age:5.0
Sex:Female
Location:Pennsylvania
Vaccinated:1990-08-26
Onset:1990-08-28
Submitted:1990-08-30
Entered:1990-09-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 271915 / UNK RA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06962 / 2 LA / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 00052004 / 5 MO / PO

Administered by: Private      Purchased by: Private
Symptoms: Cough, Injection site mass, Injection site reaction, Productive cough, Pyrexia, Rhinitis, Vasodilatation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: URI 1 wk befor by hx reveals after react
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Area around DTP 6cm X 7cm rash w/ hyperthermia elevated fever 101 27AUG90, by 28AUG90 warm soaks, upper arm erythema - cold compress gone by 29AUG90; Cough with clear nasal drainage fever 103.5by 28AUG90. 29AUG90 a febrile cough decreased.

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