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This is VAERS ID 25131

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25131
VAERS Form:
Age:18.0
Gender:Female
Location:Connecticut
Vaccinated:1990-06-25
Onset:1990-06-28
Submitted:0000-00-00
Entered:1990-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 2130R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, ARTHRALGIA, ASTHENIA

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: Fever of 102 F, achy joints, fatigue


Changed on 12/8/2009

VAERS ID: 25131 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Connecticut
Vaccinated:1990-06-25
Onset:1990-06-28
Submitted:0000-00-00
Entered:1990-07-17 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 2130R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia, FEVER, ARTHRALGIA, ASTHENIA

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: Fever of 102 F, achy joints, fatigue


Changed on 5/14/2017

VAERS ID: 25131 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Connecticut
Vaccinated:1990-06-25
Onset:1990-06-28
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2130R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia

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':

Write-up: Fever of 102 F, achy joints, fatigue


Changed on 9/14/2017

VAERS ID: 25131 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Connecticut
Vaccinated:1990-06-25
Onset:1990-06-28
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2130R / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia

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':

Write-up: Fever of 102 F, achy joints, fatigue


Changed on 2/14/2018

VAERS ID: 25131 Before After
VAERS Form:1
Age:18.0
Gender:Female
Location:Connecticut
Vaccinated:1990-06-25
Onset:1990-06-28
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2130R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia

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':

Write-up: Fever of 102 F, achy joints, fatigue


Changed on 6/14/2018

VAERS ID: 25131 Before After
VAERS Form:1
Age:18.0
Gender:Female
Location:Connecticut
Vaccinated:1990-06-25
Onset:1990-06-28
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2130R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia

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':

Write-up: Fever of 102 F, achy joints, fatigue

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=25131&WAYBACKHISTORY=ON


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