National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 26942

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26942
VAERS Form:
Age:24.5
Sex:Male
Location:D.C.
Vaccinated:1990-11-26
Onset:1990-11-27
Submitted:1990-12-05
Entered:1990-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1880S / 1 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: DEAF, VESTIBUL DIS

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: Cap Prilosec
Current Illness:
Preexisting Conditions: Allergy, doxycycline; Reflux esophagitis.
Allergies:
Diagnostic Lab Data: MRI - Negative; Cochleogram - Menier''s disease
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR developed hearing loss in rt ear; Cochleogram was consistent w/Meniers disease.


Changed on 12/30/2006

VAERS ID: 26942 Before After
VAERS Form:
Age:24.5
Sex:Male
Location:D.C.
Vaccinated:1990-11-26
Onset:1990-11-27
Submitted:1990-12-05
Entered:1990-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1880S / 1 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: DEAF, VESTIBUL DIS

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: Cap Prilosec
Current Illness:
Preexisting Conditions: Allergy, doxycycline; Reflux esophagitis.
Allergies:
Diagnostic Lab Data: MRI - Negative; Cochleogram - Menier''s Menier''''s disease
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR developed hearing loss in rt ear; Cochleogram was consistent w/Meniers disease.


Changed on 12/8/2009

VAERS ID: 26942 Before After
VAERS Form:
Age:24.5
Sex:Male
Location:D.C.
Vaccinated:1990-11-26
Onset:1990-11-27
Submitted:1990-12-05
Entered:1990-12-12 1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1880S / 1 - / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Deafness, Vestibular disorder, DEAF, VESTIBUL DIS

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: Cap Prilosec
Current Illness:
Preexisting Conditions: Allergy, doxycycline; Reflux esophagitis.
Allergies:
Diagnostic Lab Data: MRI - Negative; Cochleogram - Menier''''s Menier''s disease
CDC 'Split Type': (blank) WAES90120276

Write-up: Pt vaccinated w/MMR developed hearing loss in rt ear; Cochleogram was consistent w/Meniers disease.


Changed on 2/14/2017

VAERS ID: 26942 Before After
VAERS Form:
Age:24.5 24.0
Sex:Male
Location:D.C.
Vaccinated:1990-11-26
Onset:1990-11-27
Submitted:1990-12-05
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1880S / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Deafness, Vestibular disorder

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: Cap Prilosec
Current Illness:
Preexisting Conditions: Allergy, doxycycline; Reflux esophagitis.
Allergies:
Diagnostic Lab Data: MRI - Negative; Cochleogram - Menier''s disease
CDC 'Split Type': WAES90120276

Write-up: Pt vaccinated w/MMR developed hearing loss in rt ear; Cochleogram was consistent w/Meniers disease.


Changed on 5/14/2017

VAERS ID: 26942 Before After
VAERS Form:
Age:24.0
Sex:Male
Location:D.C.
Vaccinated:1990-11-26
Onset:1990-11-27
Submitted:1990-12-05
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1880S / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Deafness, Vestibular disorder

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: Cap Prilosec Prilosec, PPD
Current Illness: Reflux esophagitis
Preexisting Conditions: Allergy, doxycycline; Reflux esophagitis. stuttering
Allergies:
Diagnostic Lab Data: MRI - Negative; Cochleogram - Menier''s disease MRI-Negative
CDC 'Split Type': WAES90120276 (blank)

Write-up: Pt vaccinated w/MMR with MMR developed sudden hearing loss in rt ear; Cochleogram was ear, pt lifts weight regularly, cochleogram consistent w/Meniers disease. w/meniers.


Changed on 9/14/2017

VAERS ID: 26942 Before After
VAERS Form:(blank) 1
Age:24.0
Sex:Male
Location:D.C.
Vaccinated:1990-11-26
Onset:1990-11-27
Submitted:1990-12-05
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1880S / 1 2 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Deafness, Vestibular disorder

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: Prilosec, PPD
Current Illness: Reflux esophagitis
Preexisting Conditions: stuttering
Allergies:
Diagnostic Lab Data: MRI-Negative
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed sudden hearing loss rt ear, pt lifts weight regularly, cochleogram consistent w/meniers.


Changed on 2/14/2018

VAERS ID: 26942 Before After
VAERS Form:1
Age:24.0
Sex:Male
Location:D.C.
Vaccinated:1990-11-26
Onset:1990-11-27
Submitted:1990-12-05
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1880S / 2 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Deafness, Vestibular disorder

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: Prilosec, PPD
Current Illness: Reflux esophagitis
Preexisting Conditions: stuttering
Allergies:
Diagnostic Lab Data: MRI-Negative
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed sudden hearing loss rt ear, pt lifts weight regularly, cochleogram consistent w/meniers.


Changed on 6/14/2018

VAERS ID: 26942 Before After
VAERS Form:1
Age:24.0
Sex:Male
Location:D.C.
Vaccinated:1990-11-26
Onset:1990-11-27
Submitted:1990-12-05
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1880S / 2 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Deafness, Vestibular disorder

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: Prilosec, PPD
Current Illness: Reflux esophagitis
Preexisting Conditions: stuttering
Allergies:
Diagnostic Lab Data: MRI-Negative
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed sudden hearing loss rt ear, pt lifts weight regularly, cochleogram consistent w/meniers.


Changed on 8/14/2018

VAERS ID: 26942 Before After
VAERS Form:1
Age:24.0
Sex:Male
Location:D.C.
Vaccinated:1990-11-26
Onset:1990-11-27
Submitted:1990-12-05
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1880S / 2 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Deafness, Vestibular disorder

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: Prilosec, PPD
Current Illness: Reflux esophagitis
Preexisting Conditions: stuttering
Allergies:
Diagnostic Lab Data: MRI-Negative
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed sudden hearing loss rt ear, pt lifts weight regularly, cochleogram consistent w/meniers.


Changed on 9/14/2018

VAERS ID: 26942 Before After
VAERS Form:1
Age:24.0
Sex:Male
Location:D.C.
Vaccinated:1990-11-26
Onset:1990-11-27
Submitted:1990-12-05
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1880S / 2 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Deafness, Vestibular disorder

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: Prilosec, PPD
Current Illness: Reflux esophagitis
Preexisting Conditions: stuttering
Allergies:
Diagnostic Lab Data: MRI-Negative
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed sudden hearing loss rt ear, pt lifts weight regularly, cochleogram consistent w/meniers.


Changed on 10/14/2018

VAERS ID: 26942 Before After
VAERS Form:1
Age:24.0
Sex:Male
Location:D.C.
Vaccinated:1990-11-26
Onset:1990-11-27
Submitted:1990-12-05
Entered:1990-12-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1880S / 2 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Deafness, Vestibular disorder

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: Prilosec, PPD
Current Illness: Reflux esophagitis
Preexisting Conditions: stuttering
Allergies:
Diagnostic Lab Data: MRI-Negative
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed sudden hearing loss rt ear, pt lifts weight regularly, cochleogram consistent w/meniers.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=26942&WAYBACKHISTORY=ON


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