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This is VAERS ID 26275

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26275
VAERS Form:
Age:1.3
Sex:Male
Location:Florida
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-10-14
Entered:1990-10-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER / LEDERLE(PRAXIS) M030FC / 0 - / IM
MMR: MMR II / MSD 15685 / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: ECCHYMOSIS, PETECHIA, HEM GUM

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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC-NL; Platelet Count 10,000; Bone Marrow = ITP
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Haemophilus developed petechiae, bleeding from gums, bruising started about 7OCT90.


Changed on 12/8/2009

VAERS ID: 26275 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:Florida
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-10-14
Entered:1990-10-19 1990-10-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M030FC / 0 - / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 15685 / 0 - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Ecchymosis, Gingival bleeding, Petechiae, ECCHYMOSIS, PETECHIA, HEM GUM

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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC-NL; Platelet Count 10,000; Bone Marrow = ITP
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Haemophilus developed petechiae, bleeding from gums, bruising started about 7OCT90.


Changed on 5/14/2017

VAERS ID: 26275 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:Florida
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-10-14
Entered:1990-10-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M030FC / 0 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15685 / 0 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ecchymosis, Gingival bleeding, Petechiae

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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC-NL; Platelet Count 10,000; Bone Marrow = ITP
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Haemophilus developed petechiae, bleeding from gums, bruising started about 7OCT90.


Changed on 9/14/2017

VAERS ID: 26275 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Male
Location:Florida
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-10-14
Entered:1990-10-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 0 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15685 / 0 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ecchymosis, Gingival bleeding, Petechiae

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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC-NL; Platelet Count 10,000; Bone Marrow = ITP
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Haemophilus developed petechiae, bleeding from gums, bruising started about 7OCT90.


Changed on 2/14/2018

VAERS ID: 26275 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Florida
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-10-14
Entered:1990-10-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15685 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ecchymosis, Gingival bleeding, Petechiae

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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC-NL; Platelet Count 10,000; Bone Marrow = ITP
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Haemophilus developed petechiae, bleeding from gums, bruising started about 7OCT90.


Changed on 6/14/2018

VAERS ID: 26275 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Florida
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-10-14
Entered:1990-10-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15685 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ecchymosis, Gingival bleeding, Petechiae

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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC-NL; Platelet Count 10,000; Bone Marrow = ITP
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Haemophilus developed petechiae, bleeding from gums, bruising started about 7OCT90.


Changed on 8/14/2018

VAERS ID: 26275 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Florida
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-10-14
Entered:1990-10-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15685 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ecchymosis, Gingival bleeding, Petechiae

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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC-NL; Platelet Count 10,000; Bone Marrow = ITP
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Haemophilus developed petechiae, bleeding from gums, bruising started about 7OCT90.


Changed on 9/14/2018

VAERS ID: 26275 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Florida
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-10-14
Entered:1990-10-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15685 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ecchymosis, Gingival bleeding, Petechiae

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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC-NL; Platelet Count 10,000; Bone Marrow = ITP
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Haemophilus developed petechiae, bleeding from gums, bruising started about 7OCT90.


Changed on 10/14/2018

VAERS ID: 26275 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Florida
Vaccinated:1990-09-27
Onset:1990-10-07
Submitted:1990-10-14
Entered:1990-10-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / 1 - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15685 / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ecchymosis, Gingival bleeding, Petechiae

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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC-NL; Platelet Count 10,000; Bone Marrow = ITP
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Haemophilus developed petechiae, bleeding from gums, bruising started about 7OCT90.

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