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This is VAERS ID 27533

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27533
VAERS Form:
Age:1.7
Sex:Unknown
Location:Pennsylvania
Vaccinated:1990-07-16
Onset:1990-08-16
Submitted:1991-01-22
Entered:1991-01-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT / CONNAUGHT LABS 0J11036 / - LA / IM
MMR: MMR II / MSD 0897F / 0 RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: ANEMIA APLAST

Life Threatening? Yes
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: 7     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR/HIB & 4 wks later developed aplastic anemia.


Changed on 12/8/2009

VAERS ID: 27533 Before After
VAERS Form:
Age:1.7
Sex:Unknown
Location:Pennsylvania
Vaccinated:1990-07-16
Onset:1990-08-16
Submitted:1991-01-22
Entered:1991-01-25 1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT HIB (PROHIBIT) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0J11036 / - LA / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0897F / 0 RA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Aplastic anaemia, ANEMIA APLAST

Life Threatening? Yes
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: 7     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR/HIB & 4 wks later developed aplastic anemia.


Changed on 5/14/2017

VAERS ID: 27533 Before After
VAERS Form:
Age:1.7
Sex:Unknown
Location:Pennsylvania
Vaccinated:1990-07-16
Onset:1990-08-16
Submitted:1991-01-22
Entered:1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J11036 / - LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0897F / 0 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Aplastic anaemia

Life Threatening? Yes
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: 7     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR/HIB & 4 wks later developed aplastic anemia.


Changed on 9/14/2017

VAERS ID: 27533 Before After
VAERS Form:(blank) 1
Age:1.7
Sex:Unknown
Location:Pennsylvania
Vaccinated:1990-07-16
Onset:1990-08-16
Submitted:1991-01-22
Entered:1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J11036 / - UNK LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0897F / 0 1 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Aplastic anaemia

Life Threatening? Yes
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: 7     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR/HIB & 4 wks later developed aplastic anemia.


Changed on 2/14/2018

VAERS ID: 27533 Before After
VAERS Form:1
Age:1.7
Sex:Unknown
Location:Pennsylvania
Vaccinated:1990-07-16
Onset:1990-08-16
Submitted:1991-01-22
Entered:1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J11036 / UNK LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0897F / 1 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Aplastic anaemia

Life Threatening? Yes
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: 7     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR/HIB & 4 wks later developed aplastic anemia.


Changed on 6/14/2018

VAERS ID: 27533 Before After
VAERS Form:1
Age:1.7
Sex:Unknown
Location:Pennsylvania
Vaccinated:1990-07-16
Onset:1990-08-16
Submitted:1991-01-22
Entered:1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J11036 / UNK LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0897F / 1 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Aplastic anaemia

Life Threatening? Yes
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: 7     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR/HIB & 4 wks later developed aplastic anemia.


Changed on 8/14/2018

VAERS ID: 27533 Before After
VAERS Form:1
Age:1.7
Sex:Unknown
Location:Pennsylvania
Vaccinated:1990-07-16
Onset:1990-08-16
Submitted:1991-01-22
Entered:1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J11036 / UNK LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0897F / 1 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Aplastic anaemia

Life Threatening? Yes
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: 7     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR/HIB & 4 wks later developed aplastic anemia.


Changed on 9/14/2018

VAERS ID: 27533 Before After
VAERS Form:1
Age:1.7
Sex:Unknown
Location:Pennsylvania
Vaccinated:1990-07-16
Onset:1990-08-16
Submitted:1991-01-22
Entered:1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J11036 / UNK LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0897F / 1 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Aplastic anaemia

Life Threatening? Yes
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: 7     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR/HIB & 4 wks later developed aplastic anemia.


Changed on 10/14/2018

VAERS ID: 27533 Before After
VAERS Form:1
Age:1.7
Sex:Unknown
Location:Pennsylvania
Vaccinated:1990-07-16
Onset:1990-08-16
Submitted:1991-01-22
Entered:1991-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 0J11036 / UNK LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0897F / 1 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Aplastic anaemia

Life Threatening? Yes
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: 7     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR/HIB & 4 wks later developed aplastic anemia.

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