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This is VAERS ID 26221

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26221
VAERS Form:
Age:19.1
Sex:Female
Location:New York
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-10-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: DIZZINESS, HYPOTENS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: B/P @ ofc. 60/40
CDC 'Split Type':

Write-up: Pt vaccinated /w MMR felt dizzy BP dropping 60/40, pt was admitted to hosp. received IV fluids. Pt was stabilized.


Changed on 12/8/2009

VAERS ID: 26221 Before After
VAERS Form:
Age:19.1
Sex:Female
Location:New York
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-10-16 1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / - RA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dizziness, Hypotension, DIZZINESS, HYPOTENS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: B/P @ ofc. 60/40
CDC 'Split Type':

Write-up: Pt vaccinated /w MMR felt dizzy BP dropping 60/40, pt was admitted to hosp. received IV fluids. Pt was stabilized.


Changed on 2/14/2017

VAERS ID: 26221 Before After
VAERS Form:
Age:19.1 19.0
Sex:Female
Location:New York
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Hypotension

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: B/P @ ofc. 60/40
CDC 'Split Type':

Write-up: Pt vaccinated /w MMR felt dizzy BP dropping 60/40, pt was admitted to hosp. received IV fluids. Pt was stabilized.


Changed on 5/14/2017

VAERS ID: 26221 Before After
VAERS Form:
Age:19.0
Sex:Female
Location:New York
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Hypotension

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: B/P @ ofc. 60/40
CDC 'Split Type':

Write-up: Pt vaccinated /w MMR felt dizzy BP dropping 60/40, pt was admitted to hosp. received IV fluids. Pt was stabilized.


Changed on 9/14/2017

VAERS ID: 26221 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Female
Location:New York
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Hypotension

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: B/P @ ofc. 60/40
CDC 'Split Type':

Write-up: Pt vaccinated /w MMR felt dizzy BP dropping 60/40, pt was admitted to hosp. received IV fluids. Pt was stabilized.


Changed on 2/14/2018

VAERS ID: 26221 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:New York
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Hypotension

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: B/P @ ofc. 60/40
CDC 'Split Type':

Write-up: Pt vaccinated /w MMR felt dizzy BP dropping 60/40, pt was admitted to hosp. received IV fluids. Pt was stabilized.


Changed on 6/14/2018

VAERS ID: 26221 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:New York
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Hypotension

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: B/P @ ofc. 60/40
CDC 'Split Type':

Write-up: Pt vaccinated /w MMR felt dizzy BP dropping 60/40, pt was admitted to hosp. received IV fluids. Pt was stabilized.


Changed on 8/14/2018

VAERS ID: 26221 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:New York
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Hypotension

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: B/P @ ofc. 60/40
CDC 'Split Type':

Write-up: Pt vaccinated /w MMR felt dizzy BP dropping 60/40, pt was admitted to hosp. received IV fluids. Pt was stabilized.


Changed on 9/14/2018

VAERS ID: 26221 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:New York
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Hypotension

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: B/P @ ofc. 60/40
CDC 'Split Type':

Write-up: Pt vaccinated /w MMR felt dizzy BP dropping 60/40, pt was admitted to hosp. received IV fluids. Pt was stabilized.


Changed on 10/14/2018

VAERS ID: 26221 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:New York
Vaccinated:1990-04-26
Onset:1990-04-26
Submitted:0000-00-00
Entered:1990-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Hypotension

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: B/P @ ofc. 60/40
CDC 'Split Type':

Write-up: Pt vaccinated /w MMR felt dizzy BP dropping 60/40, pt was admitted to hosp. received IV fluids. Pt was stabilized.

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