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This is VAERS ID 26005

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26005
VAERS Form:
Age:3.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-08-28
Onset:1990-08-28
Submitted:0000-00-00
Entered:1990-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1470S / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: DYSPNEA, URTICARIA, VASODILAT

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: ANTIHISTAMINE ORDER BY MD PER PHONE CALL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PT VACCINATED WITH MMR DEVELOPED WELTS & FLUSHED SKIN ON ARM, FACE & EARS APPROX 1 HR AFTER VAX. MOM CALLED MD HE ORDER ANTIHISTAMINE; PT ALSO HAD DIFFICULTY BREATHING.


Changed on 12/8/2009

VAERS ID: 26005 Before After
VAERS Form:
Age:3.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-08-28
Onset:1990-08-28
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. 1470S / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Dyspnoea, Urticaria, Vasodilatation, DYSPNEA, URTICARIA, VASODILAT

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: ANTIHISTAMINE ORDER BY MD PER PHONE CALL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PT VACCINATED WITH MMR DEVELOPED WELTS & FLUSHED SKIN ON ARM, FACE & EARS APPROX 1 HR AFTER VAX. MOM CALLED MD HE ORDER ANTIHISTAMINE; PT ALSO HAD DIFFICULTY BREATHING.


Changed on 5/14/2017

VAERS ID: 26005 Before After
VAERS Form:
Age:3.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-08-28
Onset:1990-08-28
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1470S / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Dyspnoea, Urticaria, Vasodilatation

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: ANTIHISTAMINE ORDER BY MD PER PHONE CALL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PT VACCINATED WITH MMR DEVELOPED WELTS & FLUSHED SKIN ON ARM, FACE & EARS APPROX 1 HR AFTER VAX. MOM CALLED MD HE ORDER ANTIHISTAMINE; PT ALSO HAD DIFFICULTY BREATHING.


Changed on 9/14/2017

VAERS ID: 26005 Before After
VAERS Form:(blank) 1
Age:3.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-08-28
Onset:1990-08-28
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1470S / - UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Dyspnoea, Urticaria, Vasodilatation

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: ANTIHISTAMINE ORDER BY MD PER PHONE CALL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PT VACCINATED WITH MMR DEVELOPED WELTS & FLUSHED SKIN ON ARM, FACE & EARS APPROX 1 HR AFTER VAX. MOM CALLED MD HE ORDER ANTIHISTAMINE; PT ALSO HAD DIFFICULTY BREATHING.


Changed on 2/14/2018

VAERS ID: 26005 Before After
VAERS Form:1
Age:3.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-08-28
Onset:1990-08-28
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1470S / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Dyspnoea, Urticaria, Vasodilatation

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: ANTIHISTAMINE ORDER BY MD PER PHONE CALL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PT VACCINATED WITH MMR DEVELOPED WELTS & FLUSHED SKIN ON ARM, FACE & EARS APPROX 1 HR AFTER VAX. MOM CALLED MD HE ORDER ANTIHISTAMINE; PT ALSO HAD DIFFICULTY BREATHING.


Changed on 6/14/2018

VAERS ID: 26005 Before After
VAERS Form:1
Age:3.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-08-28
Onset:1990-08-28
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1470S / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Dyspnoea, Urticaria, Vasodilatation

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: ANTIHISTAMINE ORDER BY MD PER PHONE CALL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PT VACCINATED WITH MMR DEVELOPED WELTS & FLUSHED SKIN ON ARM, FACE & EARS APPROX 1 HR AFTER VAX. MOM CALLED MD HE ORDER ANTIHISTAMINE; PT ALSO HAD DIFFICULTY BREATHING.


Changed on 8/14/2018

VAERS ID: 26005 Before After
VAERS Form:1
Age:3.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-08-28
Onset:1990-08-28
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1470S / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Dyspnoea, Urticaria, Vasodilatation

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: ANTIHISTAMINE ORDER BY MD PER PHONE CALL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PT VACCINATED WITH MMR DEVELOPED WELTS & FLUSHED SKIN ON ARM, FACE & EARS APPROX 1 HR AFTER VAX. MOM CALLED MD HE ORDER ANTIHISTAMINE; PT ALSO HAD DIFFICULTY BREATHING.


Changed on 9/14/2018

VAERS ID: 26005 Before After
VAERS Form:1
Age:3.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-08-28
Onset:1990-08-28
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1470S / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Dyspnoea, Urticaria, Vasodilatation

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: ANTIHISTAMINE ORDER BY MD PER PHONE CALL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PT VACCINATED WITH MMR DEVELOPED WELTS & FLUSHED SKIN ON ARM, FACE & EARS APPROX 1 HR AFTER VAX. MOM CALLED MD HE ORDER ANTIHISTAMINE; PT ALSO HAD DIFFICULTY BREATHING.


Changed on 10/14/2018

VAERS ID: 26005 Before After
VAERS Form:1
Age:3.0
Sex:Female
Location:Wisconsin
Vaccinated:1990-08-28
Onset:1990-08-28
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1470S / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Dyspnoea, Urticaria, Vasodilatation

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: ANTIHISTAMINE ORDER BY MD PER PHONE CALL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PT VACCINATED WITH MMR DEVELOPED WELTS & FLUSHED SKIN ON ARM, FACE & EARS APPROX 1 HR AFTER VAX. MOM CALLED MD HE ORDER ANTIHISTAMINE; PT ALSO HAD DIFFICULTY BREATHING.

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