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This is VAERS ID 26247

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26247
VAERS Form:
Age:18.3
Sex:Male
Location:Utah
Vaccinated:1989-05-22
Onset:1989-07-15
Submitted:1990-10-09
Entered:1990-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 0411R / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: DIABETES MELL

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? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Confirmatory for diabetes mellitus
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed insulin dependent diabetes mellitus 6 wks following MMR immunation.


Changed on 12/8/2009

VAERS ID: 26247 Before After
VAERS Form:
Age:18.3
Sex:Male
Location:Utah
Vaccinated:1989-05-22
Onset:1989-07-15
Submitted:1990-10-09
Entered:1990-10-17 1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0411R / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Diabetes mellitus, DIABETES MELL

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? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Confirmatory for diabetes mellitus
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed insulin dependent diabetes mellitus 6 wks following MMR immunation.


Changed on 2/14/2017

VAERS ID: 26247 Before After
VAERS Form:
Age:18.3 18.0
Sex:Male
Location:Utah
Vaccinated:1989-05-22
Onset:1989-07-15
Submitted:1990-10-09
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0411R / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Diabetes mellitus

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? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Confirmatory for diabetes mellitus
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed insulin dependent diabetes mellitus 6 wks following MMR immunation.


Changed on 5/14/2017

VAERS ID: 26247 Before After
VAERS Form:
Age:18.0
Sex:Male
Location:Utah
Vaccinated:1989-05-22
Onset:1989-07-15
Submitted:1990-10-09
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0411R / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Diabetes mellitus

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? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Confirmatory for diabetes mellitus
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed insulin dependent diabetes mellitus 6 wks following MMR immunation.


Changed on 9/14/2017

VAERS ID: 26247 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Male
Location:Utah
Vaccinated:1989-05-22
Onset:1989-07-15
Submitted:1990-10-09
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0411R / - UNK - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Diabetes mellitus

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? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Confirmatory for diabetes mellitus
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed insulin dependent diabetes mellitus 6 wks following MMR immunation.


Changed on 2/14/2018

VAERS ID: 26247 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Utah
Vaccinated:1989-05-22
Onset:1989-07-15
Submitted:1990-10-09
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0411R / UNK - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Diabetes mellitus

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? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Confirmatory for diabetes mellitus
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed insulin dependent diabetes mellitus 6 wks following MMR immunation.


Changed on 6/14/2018

VAERS ID: 26247 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Utah
Vaccinated:1989-05-22
Onset:1989-07-15
Submitted:1990-10-09
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0411R / UNK - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Diabetes mellitus

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? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Confirmatory for diabetes mellitus
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed insulin dependent diabetes mellitus 6 wks following MMR immunation.


Changed on 8/14/2018

VAERS ID: 26247 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Utah
Vaccinated:1989-05-22
Onset:1989-07-15
Submitted:1990-10-09
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0411R / UNK - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Diabetes mellitus

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? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Confirmatory for diabetes mellitus
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed insulin dependent diabetes mellitus 6 wks following MMR immunation.


Changed on 9/14/2018

VAERS ID: 26247 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Utah
Vaccinated:1989-05-22
Onset:1989-07-15
Submitted:1990-10-09
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0411R / UNK - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Diabetes mellitus

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? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Confirmatory for diabetes mellitus
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed insulin dependent diabetes mellitus 6 wks following MMR immunation.


Changed on 10/14/2018

VAERS ID: 26247 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:Utah
Vaccinated:1989-05-22
Onset:1989-07-15
Submitted:1990-10-09
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0411R / UNK - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Diabetes mellitus

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? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Confirmatory for diabetes mellitus
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed insulin dependent diabetes mellitus 6 wks following MMR immunation.

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