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This is VAERS ID 27530

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27530
VAERS Form:
Age:16.0
Sex:Female
Location:Massachusetts
Vaccinated:1990-11-13
Onset:1990-11-13
Submitted:0000-00-00
Entered:1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -
OPV: ORIMUNE / LEDERLE - / - - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: ASTHMA, ANAPHYL, SALIVA INC

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD
Current Illness:
Preexisting Conditions: asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Immediately after vac developed a burning & tightness in throat, wheezing & salivation. To ER treated for anaphylaxis w/ Epinephrine & diphenhydramine & unspecified steroids. Symptoms resolved w/in 1-2 hrs. MD felt condition due to vax.


Changed on 12/8/2009

VAERS ID: 27530 Before After
VAERS Form:
Age:16.0
Sex:Female
Location:Massachusetts
Vaccinated:1990-11-13
Onset:1990-11-13
Submitted:0000-00-00
Entered:1991-01-25 1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / - - / -
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES - / - - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Asthma, Salivary hypersecretion, ASTHMA, ANAPHYL, SALIVA INC

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PPD
Current Illness:
Preexisting Conditions: asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES90120347

Write-up: Immediately after vac developed a burning & tightness in throat, wheezing & salivation. To ER treated for anaphylaxis w/ Epinephrine & diphenhydramine & unspecified steroids. Symptoms resolved w/in 1-2 hrs. MD felt condition due to vax.


Changed on 5/14/2017

VAERS ID: 27530 Before After
VAERS Form:
Age:16.0
Sex:Female
Location:Massachusetts
Vaccinated:1990-11-13
Onset:1990-11-13
Submitted:0000-00-00
Entered:1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH - / - - / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Asthma, Salivary hypersecretion

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD
Current Illness:
Preexisting Conditions: asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90120347

Write-up: Immediately after vac developed a burning & tightness in throat, wheezing & salivation. To ER treated for anaphylaxis w/ Epinephrine & diphenhydramine & unspecified steroids. Symptoms resolved w/in 1-2 hrs. MD felt condition due to vax.


Changed on 9/14/2017

VAERS ID: 27530 Before After
VAERS Form:(blank) 1
Age:16.0
Sex:Female
Location:Massachusetts
Vaccinated:1990-11-13
Onset:1990-11-13
Submitted:0000-00-00
Entered:1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / - UNK - MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Asthma, Salivary hypersecretion

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD
Current Illness:
Preexisting Conditions: asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90120347

Write-up: Immediately after vac developed a burning & tightness in throat, wheezing & salivation. To ER treated for anaphylaxis w/ Epinephrine & diphenhydramine & unspecified steroids. Symptoms resolved w/in 1-2 hrs. MD felt condition due to vax.


Changed on 2/14/2018

VAERS ID: 27530 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Massachusetts
Vaccinated:1990-11-13
Onset:1990-11-13
Submitted:0000-00-00
Entered:1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Asthma, Salivary hypersecretion

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD
Current Illness:
Preexisting Conditions: asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90120347

Write-up: Immediately after vac developed a burning & tightness in throat, wheezing & salivation. To ER treated for anaphylaxis w/ Epinephrine & diphenhydramine & unspecified steroids. Symptoms resolved w/in 1-2 hrs. MD felt condition due to vax.


Changed on 6/14/2018

VAERS ID: 27530 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Massachusetts
Vaccinated:1990-11-13
Onset:1990-11-13
Submitted:0000-00-00
Entered:1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Asthma, Salivary hypersecretion

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD
Current Illness:
Preexisting Conditions: asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90120347

Write-up: Immediately after vac developed a burning & tightness in throat, wheezing & salivation. To ER treated for anaphylaxis w/ Epinephrine & diphenhydramine & unspecified steroids. Symptoms resolved w/in 1-2 hrs. MD felt condition due to vax.


Changed on 8/14/2018

VAERS ID: 27530 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Massachusetts
Vaccinated:1990-11-13
Onset:1990-11-13
Submitted:0000-00-00
Entered:1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Asthma, Salivary hypersecretion

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD
Current Illness:
Preexisting Conditions: asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90120347

Write-up: Immediately after vac developed a burning & tightness in throat, wheezing & salivation. To ER treated for anaphylaxis w/ Epinephrine & diphenhydramine & unspecified steroids. Symptoms resolved w/in 1-2 hrs. MD felt condition due to vax.


Changed on 9/14/2018

VAERS ID: 27530 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Massachusetts
Vaccinated:1990-11-13
Onset:1990-11-13
Submitted:0000-00-00
Entered:1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Asthma, Salivary hypersecretion

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD
Current Illness:
Preexisting Conditions: asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90120347

Write-up: Immediately after vac developed a burning & tightness in throat, wheezing & salivation. To ER treated for anaphylaxis w/ Epinephrine & diphenhydramine & unspecified steroids. Symptoms resolved w/in 1-2 hrs. MD felt condition due to vax.


Changed on 10/14/2018

VAERS ID: 27530 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Massachusetts
Vaccinated:1990-11-13
Onset:1990-11-13
Submitted:0000-00-00
Entered:1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH - / UNK MO / PO

Administered by: Unknown      Purchased by: Unknown
Symptoms: Anaphylactoid reaction, Asthma, Salivary hypersecretion

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD
Current Illness:
Preexisting Conditions: asthma
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90120347

Write-up: Immediately after vac developed a burning & tightness in throat, wheezing & salivation. To ER treated for anaphylaxis w/ Epinephrine & diphenhydramine & unspecified steroids. Symptoms resolved w/in 1-2 hrs. MD felt condition due to vax.

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