National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 26300

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26300
VAERS Form:
Age:1.3
Sex:Female
Location:New York
Vaccinated:1990-09-21
Onset:1990-10-02
Submitted:0000-00-00
Entered:1990-10-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 0895S / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: CONVULS, FEVER

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: No history of allergies
Allergies:
Diagnostic Lab Data: EEG-Normal; Serum Glucose -CE+ - PO4 -MG+ - All Normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced atonic seizure followed by temp elevation to 102 lasting 3-4hrs. Seizure lasted 2 min.


Changed on 12/8/2009

VAERS ID: 26300 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:New York
Vaccinated:1990-09-21
Onset:1990-10-02
Submitted:0000-00-00
Entered:1990-10-29 1990-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0895S / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia, CONVULS, FEVER

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: No history of allergies
Allergies:
Diagnostic Lab Data: EEG-Normal; Serum Glucose -CE+ - PO4 -MG+ - All Normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced atonic seizure followed by temp elevation to 102 lasting 3-4hrs. Seizure lasted 2 min.


Changed on 5/14/2017

VAERS ID: 26300 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:New York
Vaccinated:1990-09-21
Onset:1990-10-02
Submitted:0000-00-00
Entered:1990-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0895S / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia

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: No history of allergies
Allergies:
Diagnostic Lab Data: EEG-Normal; Serum Glucose -CE+ - PO4 -MG+ - All Normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced atonic seizure followed by temp elevation to 102 lasting 3-4hrs. Seizure lasted 2 min.


Changed on 9/14/2017

VAERS ID: 26300 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Female
Location:New York
Vaccinated:1990-09-21
Onset:1990-10-02
Submitted:0000-00-00
Entered:1990-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0895S / - UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia

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: No history of allergies
Allergies:
Diagnostic Lab Data: EEG-Normal; Serum Glucose -CE+ - PO4 -MG+ - All Normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced atonic seizure followed by temp elevation to 102 lasting 3-4hrs. Seizure lasted 2 min.


Changed on 2/14/2018

VAERS ID: 26300 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:New York
Vaccinated:1990-09-21
Onset:1990-10-02
Submitted:0000-00-00
Entered:1990-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0895S / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia

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: No history of allergies
Allergies:
Diagnostic Lab Data: EEG-Normal; Serum Glucose -CE+ - PO4 -MG+ - All Normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced atonic seizure followed by temp elevation to 102 lasting 3-4hrs. Seizure lasted 2 min.


Changed on 6/14/2018

VAERS ID: 26300 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:New York
Vaccinated:1990-09-21
Onset:1990-10-02
Submitted:0000-00-00
Entered:1990-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0895S / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia

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: No history of allergies
Allergies:
Diagnostic Lab Data: EEG-Normal; Serum Glucose -CE+ - PO4 -MG+ - All Normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced atonic seizure followed by temp elevation to 102 lasting 3-4hrs. Seizure lasted 2 min.


Changed on 8/14/2018

VAERS ID: 26300 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:New York
Vaccinated:1990-09-21
Onset:1990-10-02
Submitted:0000-00-00
Entered:1990-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0895S / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia

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: No history of allergies
Allergies:
Diagnostic Lab Data: EEG-Normal; Serum Glucose -CE+ - PO4 -MG+ - All Normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced atonic seizure followed by temp elevation to 102 lasting 3-4hrs. Seizure lasted 2 min.


Changed on 9/14/2018

VAERS ID: 26300 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:New York
Vaccinated:1990-09-21
Onset:1990-10-02
Submitted:0000-00-00
Entered:1990-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0895S / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia

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: No history of allergies
Allergies:
Diagnostic Lab Data: EEG-Normal; Serum Glucose -CE+ - PO4 -MG+ - All Normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced atonic seizure followed by temp elevation to 102 lasting 3-4hrs. Seizure lasted 2 min.


Changed on 10/14/2018

VAERS ID: 26300 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:New York
Vaccinated:1990-09-21
Onset:1990-10-02
Submitted:0000-00-00
Entered:1990-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0895S / UNK - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia

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: No history of allergies
Allergies:
Diagnostic Lab Data: EEG-Normal; Serum Glucose -CE+ - PO4 -MG+ - All Normal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced atonic seizure followed by temp elevation to 102 lasting 3-4hrs. Seizure lasted 2 min.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=26300&WAYBACKHISTORY=ON


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166