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This is VAERS ID 25969

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25969
VAERS Form:
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-12
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER / LEDERLE(PRAXIS) PM240EC / - LL / IM
MMR: MMR II / MSD M15685 / 0 RL / SC

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER

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/HIBtiter experienced temp to 103+ 5-6 hrs after vaccine.


Changed on 12/8/2009

VAERS ID: 25969 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-12
Entered:1990-09-20 1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS PM240EC / - LL / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. M15685 / 0 RL / SC

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

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/HIBtiter experienced temp to 103+ 5-6 hrs after vaccine.


Changed on 5/14/2017

VAERS ID: 25969 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-12
Entered:1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH PM240EC / - LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. M15685 / 0 RL / SC

Administered by: Private      Purchased by: Private
Symptoms: 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:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIBtiter experienced temp to 103+ 5-6 hrs after vaccine.


Changed on 9/14/2017

VAERS ID: 25969 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-12
Entered:1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH PM240EC / - UNK LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. M15685 / 0 1 RL / SC

Administered by: Private      Purchased by: Private
Symptoms: 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:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIBtiter experienced temp to 103+ 5-6 hrs after vaccine.


Changed on 2/14/2018

VAERS ID: 25969 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-12
Entered:1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH PM240EC / UNK LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. M15685 / 1 RL / SC

Administered by: Private      Purchased by: Private
Symptoms: 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:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIBtiter experienced temp to 103+ 5-6 hrs after vaccine.


Changed on 6/14/2018

VAERS ID: 25969 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-12
Entered:1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH PM240EC / UNK LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. M15685 / 1 RL / SC

Administered by: Private      Purchased by: Private
Symptoms: 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:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIBtiter experienced temp to 103+ 5-6 hrs after vaccine.


Changed on 8/14/2018

VAERS ID: 25969 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-12
Entered:1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH PM240EC / UNK LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. M15685 / 1 RL / SC

Administered by: Private      Purchased by: Private
Symptoms: 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:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIBtiter experienced temp to 103+ 5-6 hrs after vaccine.


Changed on 9/14/2018

VAERS ID: 25969 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-12
Entered:1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH PM240EC / UNK LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. M15685 / 1 RL / SC

Administered by: Private      Purchased by: Private
Symptoms: 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:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIBtiter experienced temp to 103+ 5-6 hrs after vaccine.


Changed on 10/14/2018

VAERS ID: 25969 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-12
Entered:1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH PM240EC / UNK LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. M15685 / 1 RL / SC

Administered by: Private      Purchased by: Private
Symptoms: 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:
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/HIBtiter experienced temp to 103+ 5-6 hrs after vaccine.

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