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This is VAERS ID 27815

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27815
VAERS Form:
Age:1.3
Sex:Male
Location:Michigan
Vaccinated:1991-01-25
Onset:1991-01-29
Submitted:1991-01-31
Entered:1991-02-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1921S / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: ECCHYMOSIS, PETECHIA, THROMBOCYTOPENIA

Life Threatening? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC: platelets less than 10,000
CDC 'Split Type':

Write-up: Thrombocytopenia, cause petechiae all over the body, ecchymosis on tibia 5 days post vax. Referred to hosp.


Changed on 12/8/2009

VAERS ID: 27815 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:Michigan
Vaccinated:1991-01-25
Onset:1991-01-29
Submitted:1991-01-31
Entered:1991-02-12 1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1921S / 0 - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Ecchymosis, Petechiae, Thrombocytopenia, ECCHYMOSIS, PETECHIA, THROMBOCYTOPENIA

Life Threatening? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC: platelets less than 10,000
CDC 'Split Type':

Write-up: Thrombocytopenia, cause petechiae all over the body, ecchymosis on tibia 5 days post vax. Referred to hosp.


Changed on 5/14/2017

VAERS ID: 27815 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:Michigan
Vaccinated:1991-01-25
Onset:1991-01-29
Submitted:1991-01-31
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1921S / 0 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ecchymosis, Petechiae, Thrombocytopenia

Life Threatening? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC: platelets less than 10,000
CDC 'Split Type':

Write-up: Thrombocytopenia, cause petechiae all over the body, ecchymosis on tibia 5 days post vax. Referred to hosp.


Changed on 9/14/2017

VAERS ID: 27815 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Male
Location:Michigan
Vaccinated:1991-01-25
Onset:1991-01-29
Submitted:1991-01-31
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1921S / 0 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ecchymosis, Petechiae, Thrombocytopenia

Life Threatening? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC: platelets less than 10,000
CDC 'Split Type':

Write-up: Thrombocytopenia, cause petechiae all over the body, ecchymosis on tibia 5 days post vax. Referred to hosp.


Changed on 2/14/2018

VAERS ID: 27815 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Michigan
Vaccinated:1991-01-25
Onset:1991-01-29
Submitted:1991-01-31
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1921S / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ecchymosis, Petechiae, Thrombocytopenia

Life Threatening? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC: platelets less than 10,000
CDC 'Split Type':

Write-up: Thrombocytopenia, cause petechiae all over the body, ecchymosis on tibia 5 days post vax. Referred to hosp.


Changed on 6/14/2018

VAERS ID: 27815 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Michigan
Vaccinated:1991-01-25
Onset:1991-01-29
Submitted:1991-01-31
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1921S / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ecchymosis, Petechiae, Thrombocytopenia

Life Threatening? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC: platelets less than 10,000
CDC 'Split Type':

Write-up: Thrombocytopenia, cause petechiae all over the body, ecchymosis on tibia 5 days post vax. Referred to hosp.


Changed on 8/14/2018

VAERS ID: 27815 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Michigan
Vaccinated:1991-01-25
Onset:1991-01-29
Submitted:1991-01-31
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1921S / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ecchymosis, Petechiae, Thrombocytopenia

Life Threatening? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC: platelets less than 10,000
CDC 'Split Type':

Write-up: Thrombocytopenia, cause petechiae all over the body, ecchymosis on tibia 5 days post vax. Referred to hosp.


Changed on 9/14/2018

VAERS ID: 27815 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Michigan
Vaccinated:1991-01-25
Onset:1991-01-29
Submitted:1991-01-31
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1921S / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ecchymosis, Petechiae, Thrombocytopenia

Life Threatening? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC: platelets less than 10,000
CDC 'Split Type':

Write-up: Thrombocytopenia, cause petechiae all over the body, ecchymosis on tibia 5 days post vax. Referred to hosp.


Changed on 10/14/2018

VAERS ID: 27815 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Michigan
Vaccinated:1991-01-25
Onset:1991-01-29
Submitted:1991-01-31
Entered:1991-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1921S / 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Ecchymosis, Petechiae, Thrombocytopenia

Life Threatening? No
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC: platelets less than 10,000
CDC 'Split Type':

Write-up: Thrombocytopenia, cause petechiae all over the body, ecchymosis on tibia 5 days post vax. Referred to hosp.

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