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This is VAERS ID 25487

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25487
VAERS Form:
Age:1.5
Sex:Male
Location:New York
Vaccinated:1990-02-16
Onset:1990-03-17
Submitted:0000-00-00
Entered:1990-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 40967/2130R / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, RASH MAC PAP

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: none
CDC 'Split Type':

Write-up: 19 mon. male vaccinated /w MMRII vaccine. 17Mar90, developed a maculopapular rash of both arms, legs & cheek /w high fever. Rash became purpuric 2Apr90. Rash remitted spontaneously total duration 15-17 days. No further info. provided


Changed on 12/8/2009

VAERS ID: 25487 Before After
VAERS Form:
Age:1.5
Sex:Male
Location:New York
Vaccinated:1990-02-16
Onset:1990-03-17
Submitted:0000-00-00
Entered:1990-07-18 1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 40967/2130R / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular, FEVER, RASH MAC PAP

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: none
CDC 'Split Type': (blank) WAES90040109

Write-up: 19 mon. male vaccinated /w MMRII vaccine. 17Mar90, developed a maculopapular rash of both arms, legs & cheek /w high fever. Rash became purpuric 2Apr90. Rash remitted spontaneously total duration 15-17 days. No further info. provided


Changed on 5/14/2017

VAERS ID: 25487 Before After
VAERS Form:
Age:1.5
Sex:Male
Location:New York
Vaccinated:1990-02-16
Onset:1990-03-17
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: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: none
CDC 'Split Type': WAES90040109

Write-up: 19 mon. male vaccinated /w MMRII vaccine. 17Mar90, developed a maculopapular rash of both arms, legs & cheek /w high fever. Rash became purpuric 2Apr90. Rash remitted spontaneously total duration 15-17 days. No further info. provided


Changed on 9/14/2017

VAERS ID: 25487 Before After
VAERS Form:(blank) 1
Age:1.5
Sex:Male
Location:New York
Vaccinated:1990-02-16
Onset:1990-03-17
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: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: none
CDC 'Split Type': WAES90040109

Write-up: 19 mon. male vaccinated /w MMRII vaccine. 17Mar90, developed a maculopapular rash of both arms, legs & cheek /w high fever. Rash became purpuric 2Apr90. Rash remitted spontaneously total duration 15-17 days. No further info. provided


Changed on 2/14/2018

VAERS ID: 25487 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:New York
Vaccinated:1990-02-16
Onset:1990-03-17
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: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: none
CDC 'Split Type': WAES90040109

Write-up: 19 mon. male vaccinated /w MMRII vaccine. 17Mar90, developed a maculopapular rash of both arms, legs & cheek /w high fever. Rash became purpuric 2Apr90. Rash remitted spontaneously total duration 15-17 days. No further info. provided


Changed on 6/14/2018

VAERS ID: 25487 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:New York
Vaccinated:1990-02-16
Onset:1990-03-17
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: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: none
CDC 'Split Type': WAES90040109

Write-up: 19 mon. male vaccinated /w MMRII vaccine. 17Mar90, developed a maculopapular rash of both arms, legs & cheek /w high fever. Rash became purpuric 2Apr90. Rash remitted spontaneously total duration 15-17 days. No further info. provided


Changed on 8/14/2018

VAERS ID: 25487 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:New York
Vaccinated:1990-02-16
Onset:1990-03-17
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: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: none
CDC 'Split Type': WAES90040109

Write-up: 19 mon. male vaccinated /w MMRII vaccine. 17Mar90, developed a maculopapular rash of both arms, legs & cheek /w high fever. Rash became purpuric 2Apr90. Rash remitted spontaneously total duration 15-17 days. No further info. provided


Changed on 9/14/2018

VAERS ID: 25487 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:New York
Vaccinated:1990-02-16
Onset:1990-03-17
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: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: none
CDC 'Split Type': WAES90040109

Write-up: 19 mon. male vaccinated /w MMRII vaccine. 17Mar90, developed a maculopapular rash of both arms, legs & cheek /w high fever. Rash became purpuric 2Apr90. Rash remitted spontaneously total duration 15-17 days. No further info. provided


Changed on 10/14/2018

VAERS ID: 25487 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:New York
Vaccinated:1990-02-16
Onset:1990-03-17
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: Private      Purchased by: Unknown
Symptoms: Pyrexia, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: none
CDC 'Split Type': WAES90040109

Write-up: 19 mon. male vaccinated /w MMRII vaccine. 17Mar90, developed a maculopapular rash of both arms, legs & cheek /w high fever. Rash became purpuric 2Apr90. Rash remitted spontaneously total duration 15-17 days. No further info. provided

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