This is VAERS ID 25020

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID:	25020
VAERS Form:
Age:	4.5
Gender:	Female
Location:	New York

Vaccinated:	1990-06-14
Onset:	1990-06-14
Submitted:	0000-00-00
Entered:	1990-07-10

Vaccination / Manufacturer	Lot / Dose	Site / Route
MMR: MMR II / MSD	1227S / -	- / SC

Administered by: Private Purchased by: Unknown
Symptoms: EDEMA FACE, ASTHMA, URTICARIA

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? Yes, days: Extended hospital stay? No
Previous Vaccinations:
Other Medications: Subcut- Epinephrine, Bendryl & Solumedrol IV
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Urticaria, wheezy, & periorbital edema which abated /p administration of subcut. epinephrine, Bendryl IV, Solumendrol IV

Changed on 12/8/2009

VAERS ID:	25020 Before After
VAERS Form:
Age:	4.5
Gender:	Female
Location:	New York

Vaccinated:	1990-06-14
Onset:	1990-06-14
Submitted:	0000-00-00
Entered:	1990-07-10 1990-07-09

Vaccination / Manufacturer	Lot / Dose	Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC.	1227S / -	- / SC

Administered by: Private Purchased by: Unknown
Symptoms: Asthma, Face oedema, Urticaria, EDEMA FACE, ASTHMA, URTICARIA

Write-up: Urticaria, wheezy, & periorbital edema which abated /p administration of subcut. epinephrine, Bendryl IV, Solumendrol IV

Changed on 2/14/2017

VAERS ID:	25020 Before After
VAERS Form:
Age:	4.5 4.0
Gender:	Female
Location:	New York

Vaccinated:	1990-06-14
Onset:	1990-06-14
Submitted:	0000-00-00
Entered:	1990-07-09

Vaccination / Manufacturer	Lot / Dose	Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC.	1227S / -	- / SC

Administered by: Private Purchased by: Unknown
Symptoms: Asthma, Face oedema, Urticaria

Write-up: Urticaria, wheezy, & periorbital edema which abated /p administration of subcut. epinephrine, Bendryl IV, Solumendrol IV

Changed on 5/14/2017

VAERS ID:	25020 Before After
VAERS Form:
Age:	4.0
Gender:	Female
Location:	New York

Vaccinated:	1990-06-14
Onset:	1990-06-14
Submitted:	0000-00-00
Entered:	1990-07-09

Vaccination / Manufacturer	Lot / Dose	Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC.	1227S / -	- / SC

Administered by: Private Purchased by: Unknown
Symptoms: Asthma, Face oedema, Urticaria

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? Yes, days: Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Subcut- Epinephrine, Bendryl & Solumedrol IV
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Urticaria, wheezy, & periorbital edema which abated /p administration of subcut. epinephrine, Bendryl IV, Solumendrol IV

Changed on 9/14/2017

VAERS ID:	25020 Before After
VAERS Form:	(blank) 1
Age:	4.0
Gender:	Female
Location:	New York

Vaccinated:	1990-06-14
Onset:	1990-06-14
Submitted:	0000-00-00
Entered:	1990-07-09

Vaccination / Manufacturer	Lot / Dose	Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC.	1227S / - UNK	- / SC

Administered by: Private Purchased by: Unknown
Symptoms: Asthma, Face oedema, Urticaria

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? Yes, days: Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Subcut- Epinephrine, Bendryl & Solumedrol IV
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Urticaria, wheezy, & periorbital edema which abated /p administration of subcut. epinephrine, Bendryl IV, Solumendrol IV

Changed on 2/14/2018

VAERS ID:	25020 Before After
VAERS Form:	1
Age:	4.0
Gender:	Female
Location:	New York

Vaccinated:	1990-06-14
Onset:	1990-06-14
Submitted:	0000-00-00
Entered:	1990-07-09

Vaccination / Manufacturer	Lot / Dose	Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC.	1227S / UNK	- / SC

Administered by: Private Purchased by: Unknown
Symptoms: Asthma, Face oedema, Urticaria

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? Yes, days: Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Subcut- Epinephrine, Bendryl & Solumedrol IV
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Urticaria, wheezy, & periorbital edema which abated /p administration of subcut. epinephrine, Bendryl IV, Solumendrol IV

Changed on 6/14/2018

VAERS ID:	25020 Before After
VAERS Form:	1
Age:	4.0
Gender:	Female
Location:	New York

Vaccinated:	1990-06-14
Onset:	1990-06-14
Submitted:	0000-00-00
Entered:	1990-07-09

Vaccination / Manufacturer	Lot / Dose	Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC.	1227S / UNK	- / SC

Administered by: Private Purchased by: Unknown
Symptoms: Asthma, Face oedema, Urticaria

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? Yes, days: Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Subcut- Epinephrine, Bendryl & Solumedrol IV
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Urticaria, wheezy, & periorbital edema which abated /p administration of subcut. epinephrine, Bendryl IV, Solumendrol IV

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