National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 26959

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26959
VAERS Form:
Age:33.2
Sex:Female
Location:California
Vaccinated:1990-11-09
Onset:1990-11-18
Submitted:1990-12-03
Entered:1990-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 2131R / - - / SC
TD: TD ADSORBED, ADULTS / WYETH 498061 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, PAIN, PHARYNGITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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 body aches, fever x 4 days. Sore throat.


Changed on 12/8/2009

VAERS ID: 26959 Before After
VAERS Form:
Age:33.2
Sex:Female
Location:California
Vaccinated:1990-11-09
Onset:1990-11-18
Submitted:1990-12-03
Entered:1990-12-13 1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 2131R / - - / SC
TD: TD ADSORBED, ADULTS TD ADSORBED (NO BRAND NAME) / WYETH WYETH PHARMACEUTICALS, INC 498061 / - - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Pain, Pharyngitis, Pyrexia, FEVER, PAIN, PHARYNGITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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 body aches, fever x 4 days. Sore throat.


Changed on 8/31/2010

VAERS ID: 26959 Before After
VAERS Form:
Age:33.2
Sex:Female
Location:California
Vaccinated:1990-11-09
Onset:1990-11-18
Submitted:1990-12-03
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2131R / - - / SC
TD: TD ADSORBED (NO BRAND NAME) / WYETH PHARMACEUTICALS, INC PFIZER/WYETH 498061 / - - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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 body aches, fever x 4 days. Sore throat.


Changed on 2/14/2017

VAERS ID: 26959 Before After
VAERS Form:
Age:33.2 33.0
Sex:Female
Location:California
Vaccinated:1990-11-09
Onset:1990-11-18
Submitted:1990-12-03
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2131R / - - / SC
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 498061 / - - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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 body aches, fever x 4 days. Sore throat.


Changed on 5/14/2017

VAERS ID: 26959 Before After
VAERS Form:
Age:33.0
Sex:Female
Location:California
Vaccinated:1990-11-09
Onset:1990-11-18
Submitted:1990-12-03
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2131R / - - / SC
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 498061 / - - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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 TD/MMR developed body aches, fever x 4 days. Sore throat.


Changed on 9/14/2017

VAERS ID: 26959 Before After
VAERS Form:(blank) 1
Age:33.0
Sex:Female
Location:California
Vaccinated:1990-11-09
Onset:1990-11-18
Submitted:1990-12-03
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2131R / - UNK - / SC
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 498061 / - UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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 TD/MMR developed body aches, fever x 4 days. Sore throat.


Changed on 2/14/2018

VAERS ID: 26959 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:California
Vaccinated:1990-11-09
Onset:1990-11-18
Submitted:1990-12-03
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2131R / UNK - / SC
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 498061 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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 TD/MMR developed body aches, fever x 4 days. Sore throat.


Changed on 6/14/2018

VAERS ID: 26959 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:California
Vaccinated:1990-11-09
Onset:1990-11-18
Submitted:1990-12-03
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2131R / UNK - / SC
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 498061 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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 TD/MMR developed body aches, fever x 4 days. Sore throat.


Changed on 8/14/2018

VAERS ID: 26959 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:California
Vaccinated:1990-11-09
Onset:1990-11-18
Submitted:1990-12-03
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2131R / UNK - / SC
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 498061 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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 TD/MMR developed body aches, fever x 4 days. Sore throat.


Changed on 9/14/2018

VAERS ID: 26959 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:California
Vaccinated:1990-11-09
Onset:1990-11-18
Submitted:1990-12-03
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2131R / UNK - / SC
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 498061 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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 TD/MMR developed body aches, fever x 4 days. Sore throat.


Changed on 10/14/2018

VAERS ID: 26959 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:California
Vaccinated:1990-11-09
Onset:1990-11-18
Submitted:1990-12-03
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2131R / UNK - / SC
TD: TD ADSORBED (NO BRAND NAME) / PFIZER/WYETH 498061 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Pain, Pharyngitis, Pyrexia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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 TD/MMR developed body aches, fever x 4 days. Sore throat.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26959&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166