National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 26969

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26969
VAERS Form:
Age:1.2
Sex:Female
Location:California
Vaccinated:1990-11-16
Onset:1990-11-20
Submitted:1990-11-20
Entered:1990-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 383970 / 2 LA / IM
MMR: MMR II / MSD 11835 / 0 RA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: AGITATION, FEVER, EDEMA, PAIN, MALAISE

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/DTP would not be allowed to be put down & won''t walk, listless, sleepy all the time, fever, soreness & swelling gone w/Tylenol.


Changed on 12/30/2006

VAERS ID: 26969 Before After
VAERS Form:
Age:1.2
Sex:Female
Location:California
Vaccinated:1990-11-16
Onset:1990-11-20
Submitted:1990-11-20
Entered:1990-12-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL / LEDERLE 383970 / 2 LA / IM
MMR: MMR II / MSD 11835 / 0 RA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: AGITATION, FEVER, EDEMA, PAIN, MALAISE

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/DTP would not be allowed to be put down & won''t won''''t walk, listless, sleepy all the time, fever, soreness & swelling gone w/Tylenol.


Changed on 12/8/2009

VAERS ID: 26969 Before After
VAERS Form:
Age:1.2
Sex:Female
Location:California
Vaccinated:1990-11-16
Onset:1990-11-20
Submitted:1990-11-20
Entered:1990-12-14 1990-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: TRI-IMMUNOL DTP (TRI-IMMUNOL) / LEDERLE LEDERLE LABORATORIES 383970 / 2 LA / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 11835 / 0 RA / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Agitation, Malaise, Oedema, Pain, Pyrexia, Somnolence, AGITATION, FEVER, EDEMA, PAIN, MALAISE

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': (blank) CA9013

Write-up: Pt vaccinated with MMR/DTP would not be allowed to be put down & won''''t won''t walk, listless, sleepy all the time, fever, soreness & swelling gone w/Tylenol.


Changed on 5/14/2017

VAERS ID: 26969 Before After
VAERS Form:
Age:1.2
Sex:Female
Location:California
Vaccinated:1990-11-16
Onset:1990-11-20
Submitted:1990-11-20
Entered:1990-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 383970 / 2 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11835 / 0 RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Malaise, Oedema, Pain, Pyrexia, Somnolence

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': CA9013

Write-up: Pt vaccinated with MMR/DTP would not be allowed to be put down & won''t walk, listless, sleepy all the time, fever, soreness & swelling gone w/Tylenol.


Changed on 9/14/2017

VAERS ID: 26969 Before After
VAERS Form:(blank) 1
Age:1.2
Sex:Female
Location:California
Vaccinated:1990-11-16
Onset:1990-11-20
Submitted:1990-11-20
Entered:1990-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 383970 / 2 3 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11835 / 0 1 RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Malaise, Oedema, Pain, Pyrexia, Somnolence

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': CA9013

Write-up: Pt vaccinated with MMR/DTP would not be allowed to be put down & won''t walk, listless, sleepy all the time, fever, soreness & swelling gone w/Tylenol.


Changed on 2/14/2018

VAERS ID: 26969 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:California
Vaccinated:1990-11-16
Onset:1990-11-20
Submitted:1990-11-20
Entered:1990-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 383970 / 3 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11835 / 1 RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Malaise, Oedema, Pain, Pyrexia, Somnolence

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': CA9013

Write-up: Pt vaccinated with MMR/DTP would not be allowed to be put down & won''t walk, listless, sleepy all the time, fever, soreness & swelling gone w/Tylenol.


Changed on 6/14/2018

VAERS ID: 26969 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:California
Vaccinated:1990-11-16
Onset:1990-11-20
Submitted:1990-11-20
Entered:1990-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 383970 / 3 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11835 / 1 RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Malaise, Oedema, Pain, Pyrexia, Somnolence

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': CA9013

Write-up: Pt vaccinated with MMR/DTP would not be allowed to be put down & won''t walk, listless, sleepy all the time, fever, soreness & swelling gone w/Tylenol.


Changed on 8/14/2018

VAERS ID: 26969 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:California
Vaccinated:1990-11-16
Onset:1990-11-20
Submitted:1990-11-20
Entered:1990-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 383970 / 3 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11835 / 1 RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Malaise, Oedema, Pain, Pyrexia, Somnolence

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': CA9013

Write-up: Pt vaccinated with MMR/DTP would not be allowed to be put down & won''t walk, listless, sleepy all the time, fever, soreness & swelling gone w/Tylenol.


Changed on 9/14/2018

VAERS ID: 26969 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:California
Vaccinated:1990-11-16
Onset:1990-11-20
Submitted:1990-11-20
Entered:1990-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 383970 / 3 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11835 / 1 RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Malaise, Oedema, Pain, Pyrexia, Somnolence

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': CA9013

Write-up: Pt vaccinated with MMR/DTP would not be allowed to be put down & won''t walk, listless, sleepy all the time, fever, soreness & swelling gone w/Tylenol.


Changed on 10/14/2018

VAERS ID: 26969 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:California
Vaccinated:1990-11-16
Onset:1990-11-20
Submitted:1990-11-20
Entered:1990-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (TRI-IMMUNOL) / LEDERLE LABORATORIES 383970 / 3 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 11835 / 1 RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Agitation, Malaise, Oedema, Pain, Pyrexia, Somnolence

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': CA9013

Write-up: Pt vaccinated with MMR/DTP would not be allowed to be put down & won''t walk, listless, sleepy all the time, fever, soreness & swelling gone w/Tylenol.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=26969&WAYBACKHISTORY=ON


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