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This is VAERS ID 26003

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26003
VAERS Form:
Age:10.0
Sex:Female
Location:California
Vaccinated:1990-09-10
Onset:1990-09-10
Submitted:0000-00-00
Entered:1990-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1705S / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: RHINITIS, DYSPNEA, EDEMA FACE, ASTHMA

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 DEVELOPED SWOLLEN EYES WHEEZES ALL LUNG FIELDS. 1HR AFTER INJECTION DEVELOPED WHEEZING, SOB, SWELLNG FACE,SNEEZING.


Changed on 12/8/2009

VAERS ID: 26003 Before After
VAERS Form:
Age:10.0
Sex:Female
Location:California
Vaccinated:1990-09-10
Onset:1990-09-10
Submitted:0000-00-00
Entered:1990-09-26 1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1705S / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Face oedema, Rhinitis, RHINITIS, DYSPNEA, EDEMA FACE, ASTHMA

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 DEVELOPED SWOLLEN EYES WHEEZES ALL LUNG FIELDS. 1HR AFTER INJECTION DEVELOPED WHEEZING, SOB, SWELLNG FACE,SNEEZING.


Changed on 5/14/2017

VAERS ID: 26003 Before After
VAERS Form:
Age:10.0
Sex:Female
Location:California
Vaccinated:1990-09-10
Onset:1990-09-10
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1705S / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Face oedema, Rhinitis

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 DEVELOPED SWOLLEN EYES WHEEZES ALL LUNG FIELDS. 1HR AFTER INJECTION DEVELOPED WHEEZING, SOB, SWELLNG FACE,SNEEZING.


Changed on 9/14/2017

VAERS ID: 26003 Before After
VAERS Form:(blank) 1
Age:10.0
Sex:Female
Location:California
Vaccinated:1990-09-10
Onset:1990-09-10
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1705S / - UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Face oedema, Rhinitis

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 DEVELOPED SWOLLEN EYES WHEEZES ALL LUNG FIELDS. 1HR AFTER INJECTION DEVELOPED WHEEZING, SOB, SWELLNG FACE,SNEEZING.


Changed on 2/14/2018

VAERS ID: 26003 Before After
VAERS Form:1
Age:10.0
Sex:Female
Location:California
Vaccinated:1990-09-10
Onset:1990-09-10
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1705S / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Face oedema, Rhinitis

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 DEVELOPED SWOLLEN EYES WHEEZES ALL LUNG FIELDS. 1HR AFTER INJECTION DEVELOPED WHEEZING, SOB, SWELLNG FACE,SNEEZING.


Changed on 6/14/2018

VAERS ID: 26003 Before After
VAERS Form:1
Age:10.0
Sex:Female
Location:California
Vaccinated:1990-09-10
Onset:1990-09-10
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1705S / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Face oedema, Rhinitis

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 DEVELOPED SWOLLEN EYES WHEEZES ALL LUNG FIELDS. 1HR AFTER INJECTION DEVELOPED WHEEZING, SOB, SWELLNG FACE,SNEEZING.


Changed on 8/14/2018

VAERS ID: 26003 Before After
VAERS Form:1
Age:10.0
Sex:Female
Location:California
Vaccinated:1990-09-10
Onset:1990-09-10
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1705S / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Face oedema, Rhinitis

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 DEVELOPED SWOLLEN EYES WHEEZES ALL LUNG FIELDS. 1HR AFTER INJECTION DEVELOPED WHEEZING, SOB, SWELLNG FACE,SNEEZING.


Changed on 9/14/2018

VAERS ID: 26003 Before After
VAERS Form:1
Age:10.0
Sex:Female
Location:California
Vaccinated:1990-09-10
Onset:1990-09-10
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1705S / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Face oedema, Rhinitis

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 DEVELOPED SWOLLEN EYES WHEEZES ALL LUNG FIELDS. 1HR AFTER INJECTION DEVELOPED WHEEZING, SOB, SWELLNG FACE,SNEEZING.


Changed on 10/14/2018

VAERS ID: 26003 Before After
VAERS Form:1
Age:10.0
Sex:Female
Location:California
Vaccinated:1990-09-10
Onset:1990-09-10
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1705S / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Asthma, Dyspnoea, Face oedema, Rhinitis

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 DEVELOPED SWOLLEN EYES WHEEZES ALL LUNG FIELDS. 1HR AFTER INJECTION DEVELOPED WHEEZING, SOB, SWELLNG FACE,SNEEZING.

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