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This is VAERS ID 26914

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26914
VAERS Form:
Age:18.2
Sex:Female
Location:Alabama
Vaccinated:1990-09-21
Onset:1990-09-21
Submitted:1990-12-04
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1696S / - RA / SC
TD: TD ADSORBED, ADULTS / CONNAUGHT LABS 0G21157 / - LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: RASH, URTICARIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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 TD/MMR developed a rash & hives all over body following immunization. She was seen by the MD & dx as having allergic event.


Changed on 12/8/2009

VAERS ID: 26914 Before After
VAERS Form:
Age:18.2
Sex:Female
Location:Alabama
Vaccinated:1990-09-21
Onset:1990-09-21
Submitted:1990-12-04
Entered:1990-12-11 1990-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1696S / - RA / SC
TD: TD ADSORBED, ADULTS TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0G21157 / - LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Rash, Urticaria, RASH, URTICARIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': (blank) AL900004

Write-up: Pt vaccinated with TD/MMR developed a rash & hives all over body following immunization. She was seen by the MD & dx as having allergic event.


Changed on 2/14/2017

VAERS ID: 26914 Before After
VAERS Form:
Age:18.2 18.0
Sex:Female
Location:Alabama
Vaccinated:1990-09-21
Onset:1990-09-21
Submitted:1990-12-04
Entered:1990-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1696S / - RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G21157 / - LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': AL900004

Write-up: Pt vaccinated with TD/MMR developed a rash & hives all over body following immunization. She was seen by the MD & dx as having allergic event.


Changed on 5/14/2017

VAERS ID: 26914 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Alabama
Vaccinated:1990-09-21
Onset:1990-09-21
Submitted:1990-12-04
Entered:1990-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1696S / - RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G21157 / - LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': AL900004

Write-up: Pt vaccinated with TD/MMR developed a rash & hives all over body following immunization. She was seen by the MD & dx as having allergic event.


Changed on 9/14/2017

VAERS ID: 26914 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:Alabama
Vaccinated:1990-09-21
Onset:1990-09-21
Submitted:1990-12-04
Entered:1990-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1696S / - UNK RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G21157 / - UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': AL900004

Write-up: Pt vaccinated with TD/MMR developed a rash & hives all over body following immunization. She was seen by the MD & dx as having allergic event.


Changed on 2/14/2018

VAERS ID: 26914 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Alabama
Vaccinated:1990-09-21
Onset:1990-09-21
Submitted:1990-12-04
Entered:1990-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1696S / UNK RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G21157 / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': AL900004

Write-up: Pt vaccinated with TD/MMR developed a rash & hives all over body following immunization. She was seen by the MD & dx as having allergic event.


Changed on 6/14/2018

VAERS ID: 26914 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Alabama
Vaccinated:1990-09-21
Onset:1990-09-21
Submitted:1990-12-04
Entered:1990-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1696S / UNK RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G21157 / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': AL900004

Write-up: Pt vaccinated with TD/MMR developed a rash & hives all over body following immunization. She was seen by the MD & dx as having allergic event.


Changed on 8/14/2018

VAERS ID: 26914 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Alabama
Vaccinated:1990-09-21
Onset:1990-09-21
Submitted:1990-12-04
Entered:1990-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1696S / UNK RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G21157 / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': AL900004

Write-up: Pt vaccinated with TD/MMR developed a rash & hives all over body following immunization. She was seen by the MD & dx as having allergic event.


Changed on 9/14/2018

VAERS ID: 26914 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Alabama
Vaccinated:1990-09-21
Onset:1990-09-21
Submitted:1990-12-04
Entered:1990-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1696S / UNK RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G21157 / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': AL900004

Write-up: Pt vaccinated with TD/MMR developed a rash & hives all over body following immunization. She was seen by the MD & dx as having allergic event.


Changed on 10/14/2018

VAERS ID: 26914 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Alabama
Vaccinated:1990-09-21
Onset:1990-09-21
Submitted:1990-12-04
Entered:1990-12-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1696S / UNK RA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0G21157 / UNK LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Rash, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': AL900004

Write-up: Pt vaccinated with TD/MMR developed a rash & hives all over body following immunization. She was seen by the MD & dx as having allergic event.

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