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This is VAERS ID 25873

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25873
VAERS Form:
Age:23.4
Sex:Male
Location:Maryland
Vaccinated:1990-07-06
Onset:1990-08-16
Submitted:1990-09-06
Entered:1990-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / 1 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: NO DRUG EFFECT

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 MMR Revacc 6JUL90 on 16AUG90 Titer test result came back marked no immunity.


Changed on 12/8/2009

VAERS ID: 25873 Before After
VAERS Form:
Age:23.4
Sex:Male
Location:Maryland
Vaccinated:1990-07-06
Onset:1990-08-16
Submitted:1990-09-06
Entered:1990-09-13 1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / 1 - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Drug ineffective, NO DRUG EFFECT

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 MMR Revacc 6JUL90 on 16AUG90 Titer test result came back marked no immunity.


Changed on 2/14/2017

VAERS ID: 25873 Before After
VAERS Form:
Age:23.4 23.0
Sex:Male
Location:Maryland
Vaccinated:1990-07-06
Onset:1990-08-16
Submitted:1990-09-06
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Drug ineffective

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 MMR Revacc 6JUL90 on 16AUG90 Titer test result came back marked no immunity.


Changed on 5/14/2017

VAERS ID: 25873 Before After
VAERS Form:
Age:23.0
Sex:Male
Location:Maryland
Vaccinated:1990-07-06
Onset:1990-08-16
Submitted:1990-09-06
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Drug ineffective

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 MMR Revacc 6JUL90 on 16AUG90 Titer test result came back marked no immunity.


Changed on 9/14/2017

VAERS ID: 25873 Before After
VAERS Form:(blank) 1
Age:23.0
Sex:Male
Location:Maryland
Vaccinated:1990-07-06
Onset:1990-08-16
Submitted:1990-09-06
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Drug ineffective

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 MMR Revacc 6JUL90 on 16AUG90 Titer test result came back marked no immunity.


Changed on 2/14/2018

VAERS ID: 25873 Before After
VAERS Form:1
Age:23.0
Sex:Male
Location:Maryland
Vaccinated:1990-07-06
Onset:1990-08-16
Submitted:1990-09-06
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Drug ineffective

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 MMR Revacc 6JUL90 on 16AUG90 Titer test result came back marked no immunity.


Changed on 6/14/2018

VAERS ID: 25873 Before After
VAERS Form:1
Age:23.0
Sex:Male
Location:Maryland
Vaccinated:1990-07-06
Onset:1990-08-16
Submitted:1990-09-06
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Drug ineffective

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 MMR Revacc 6JUL90 on 16AUG90 Titer test result came back marked no immunity.


Changed on 8/14/2018

VAERS ID: 25873 Before After
VAERS Form:1
Age:23.0
Sex:Male
Location:Maryland
Vaccinated:1990-07-06
Onset:1990-08-16
Submitted:1990-09-06
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Drug ineffective

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 MMR Revacc 6JUL90 on 16AUG90 Titer test result came back marked no immunity.


Changed on 9/14/2018

VAERS ID: 25873 Before After
VAERS Form:1
Age:23.0
Sex:Male
Location:Maryland
Vaccinated:1990-07-06
Onset:1990-08-16
Submitted:1990-09-06
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Drug ineffective

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 MMR Revacc 6JUL90 on 16AUG90 Titer test result came back marked no immunity.


Changed on 10/14/2018

VAERS ID: 25873 Before After
VAERS Form:1
Age:23.0
Sex:Male
Location:Maryland
Vaccinated:1990-07-06
Onset:1990-08-16
Submitted:1990-09-06
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Private      Purchased by: Private
Symptoms: Drug ineffective

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 MMR Revacc 6JUL90 on 16AUG90 Titer test result came back marked no immunity.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=25873&WAYBACKHISTORY=ON


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