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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 25484 |
VAERS Form: | |
Age: | 1.5 |
Sex: | Female |
Location: | New York |
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-17 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MMR II / MSD | 40967/2130R / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: FEVER, RASH MAC PAP, VASCULITIS
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: 18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs. The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis. No further details.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-17 1990-06-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. | 40967/2130R / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular, Vasculitis, FEVER, RASH MAC PAP, VASCULITIS
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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) WAES90040110
Write-up: 18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs. The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis. No further details.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-06-11 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 40967/2130R / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular, Vasculitis
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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': WAES90040110
Write-up: 18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs. The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis. No further details.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 40967/2130R / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular, Vasculitis
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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': WAES90040110
Write-up: 18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs. The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis. No further details.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 40967/2130R / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular, Vasculitis
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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': WAES90040110
Write-up: 18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs. The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis. No further details.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 40967/2130R / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular, Vasculitis
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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 ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90040110
Write-up: 18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs. The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis. No further details.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 40967/2130R / - UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular, Vasculitis
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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': WAES90040110
Write-up: 18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs. The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis. No further details.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 40967/2130R / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular, Vasculitis
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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': WAES90040110
Write-up: 18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs. The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis. No further details.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 40967/2130R / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular, Vasculitis
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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': WAES90040110
Write-up: 18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs. The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis. No further details.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 40967/2130R / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular, Vasculitis
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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': WAES90040110
Write-up: 18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs. The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis. No further details.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 40967/2130R / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular, Vasculitis
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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': WAES90040110
Write-up: 18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs. The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis. No further details.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 40967/2130R / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular, Vasculitis
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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': WAES90040110
Write-up: 18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs. The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis. No further details.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 40967/2130R / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular, Vasculitis
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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': WAES90040110
Write-up: 18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs. The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis. No further details.
Vaccinated: | 0000-00-00 |
Onset: | 0000-00-00 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 40967/2130R / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular, Vasculitis
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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': WAES90040110
Write-up: 18month-old vaccinated w/MMR eighteen days after vaccination she developed a fever of 104 and macular rash of the face, torso & legs. The symptoms remitted spontaneously, recurred 2 wks later described as vasculitis. No further details.
Link To This Search Result:
https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=25484&WAYBACKHISTORY=ON
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