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This is VAERS ID 26007

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26007
VAERS Form:
Age:4.5
Sex:Female
Location:California
Vaccinated:1990-09-06
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP / CONNAUGHT LABS OB11061 / - - / SC
MMR: MMR II / MSD 14995 / - - / IM
OPV: ORIMUNE / LEDERLE 0612H / - - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, NECK RIGID

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 10SEP90 SPINAL TAP 17 WBC 1 RBC PR 20 PO 4 CULTURES - NEGATIVE
CDC 'Split Type':

Write-up: PT VACCINATED WITH DTP/MMR/OPV DEVELOPED FEVER, STIFF NECK


Changed on 12/8/2009

VAERS ID: 26007 Before After
VAERS Form:
Age:4.5
Sex:Female
Location:California
Vaccinated:1990-09-06
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-26 1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP DTP (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES OB11061 / - - / SC
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 14995 / - - / IM
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 0612H / - - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Nuchal rigidity, FEVER, NECK RIGID

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 10SEP90 SPINAL TAP 17 WBC 1 RBC PR 20 PO 4 CULTURES - NEGATIVE
CDC 'Split Type':

Write-up: PT VACCINATED WITH DTP/MMR/OPV DEVELOPED FEVER, STIFF NECK


Changed on 2/14/2017

VAERS ID: 26007 Before After
VAERS Form:
Age:4.5 4.0
Sex:Female
Location:California
Vaccinated:1990-09-06
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES OB11061 / - - / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 14995 / - - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES 0612H / - - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Nuchal rigidity

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 10SEP90 SPINAL TAP 17 WBC 1 RBC PR 20 PO 4 CULTURES - NEGATIVE
CDC 'Split Type':

Write-up: PT VACCINATED WITH DTP/MMR/OPV DEVELOPED FEVER, STIFF NECK


Changed on 5/14/2017

VAERS ID: 26007 Before After
VAERS Form:
Age:4.0
Sex:Female
Location:California
Vaccinated:1990-09-06
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES OB11061 / - - / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 14995 / - - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 0612H / - - / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Nuchal rigidity

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 10SEP90 SPINAL TAP 17 WBC 1 RBC PR 20 PO 4 CULTURES - NEGATIVE
CDC 'Split Type':

Write-up: PT VACCINATED WITH DTP/MMR/OPV DEVELOPED FEVER, STIFF NECK


Changed on 9/14/2017

VAERS ID: 26007 Before After
VAERS Form:(blank) 1
Age:4.0
Sex:Female
Location:California
Vaccinated:1990-09-06
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES OB11061 / - UNK - / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 14995 / - UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0612H / - UNK - MO / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Nuchal rigidity

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 10SEP90 SPINAL TAP 17 WBC 1 RBC PR 20 PO 4 CULTURES - NEGATIVE
CDC 'Split Type':

Write-up: PT VACCINATED WITH DTP/MMR/OPV DEVELOPED FEVER, STIFF NECK


Changed on 2/14/2018

VAERS ID: 26007 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:California
Vaccinated:1990-09-06
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES OB11061 / UNK - / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 14995 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0612H / UNK MO / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Nuchal rigidity

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 10SEP90 SPINAL TAP 17 WBC 1 RBC PR 20 PO 4 CULTURES - NEGATIVE
CDC 'Split Type':

Write-up: PT VACCINATED WITH DTP/MMR/OPV DEVELOPED FEVER, STIFF NECK


Changed on 6/14/2018

VAERS ID: 26007 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:California
Vaccinated:1990-09-06
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES OB11061 / UNK - / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 14995 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0612H / UNK MO / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Nuchal rigidity

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 10SEP90 SPINAL TAP 17 WBC 1 RBC PR 20 PO 4 CULTURES - NEGATIVE
CDC 'Split Type':

Write-up: PT VACCINATED WITH DTP/MMR/OPV DEVELOPED FEVER, STIFF NECK


Changed on 8/14/2018

VAERS ID: 26007 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:California
Vaccinated:1990-09-06
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES OB11061 / UNK - / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 14995 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0612H / UNK MO / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Nuchal rigidity

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 10SEP90 SPINAL TAP 17 WBC 1 RBC PR 20 PO 4 CULTURES - NEGATIVE
CDC 'Split Type':

Write-up: PT VACCINATED WITH DTP/MMR/OPV DEVELOPED FEVER, STIFF NECK


Changed on 9/14/2018

VAERS ID: 26007 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:California
Vaccinated:1990-09-06
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES OB11061 / UNK - / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 14995 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0612H / UNK MO / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Nuchal rigidity

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 10SEP90 SPINAL TAP 17 WBC 1 RBC PR 20 PO 4 CULTURES - NEGATIVE
CDC 'Split Type':

Write-up: PT VACCINATED WITH DTP/MMR/OPV DEVELOPED FEVER, STIFF NECK


Changed on 10/14/2018

VAERS ID: 26007 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:California
Vaccinated:1990-09-06
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / CONNAUGHT LABORATORIES OB11061 / UNK - / SC
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 14995 / UNK - / IM
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 0612H / UNK MO / PO

Administered by: Private      Purchased by: Unknown
Symptoms: Pyrexia, Nuchal rigidity

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: 10SEP90 SPINAL TAP 17 WBC 1 RBC PR 20 PO 4 CULTURES - NEGATIVE
CDC 'Split Type':

Write-up: PT VACCINATED WITH DTP/MMR/OPV DEVELOPED FEVER, STIFF NECK

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