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This is VAERS ID 28320

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 28320
VAERS Form:
Age:21.6
Sex:Female
Location:New Hampshire
Vaccinated:1991-01-28
Onset:1991-02-05
Submitted:1991-02-12
Entered:1991-02-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1492S / - LA / -

Administered by: Other      Purchased by: Unknown
Symptoms: MENINGITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: lumbar puncture
CDC 'Split Type':

Write-up: Dx of viral menigitis 6Feb91.


Changed on 12/8/2009

VAERS ID: 28320 Before After
VAERS Form:
Age:21.6
Sex:Female
Location:New Hampshire
Vaccinated:1991-01-28
Onset:1991-02-05
Submitted:1991-02-12
Entered:1991-02-20 1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1492S / - LA / -

Administered by: Other      Purchased by: Unknown Public
Symptoms: Meningitis, MENINGITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: lumbar puncture
CDC 'Split Type':

Write-up: Dx of viral menigitis 6Feb91.


Changed on 2/14/2017

VAERS ID: 28320 Before After
VAERS Form:
Age:21.6 21.0
Sex:Female
Location:New Hampshire
Vaccinated:1991-01-28
Onset:1991-02-05
Submitted:1991-02-12
Entered:1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1492S / - LA / -

Administered by: Other      Purchased by: Public
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: lumbar puncture
CDC 'Split Type':

Write-up: Dx of viral menigitis 6Feb91.


Changed on 5/14/2017

VAERS ID: 28320 Before After
VAERS Form:
Age:21.0
Sex:Female
Location:New Hampshire
Vaccinated:1991-01-28
Onset:1991-02-05
Submitted:1991-02-12
Entered:1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1492S / - LA / -

Administered by: Other      Purchased by: Public
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: lumbar puncture
CDC 'Split Type':

Write-up: Dx of viral menigitis 6Feb91.


Changed on 9/14/2017

VAERS ID: 28320 Before After
VAERS Form:(blank) 1
Age:21.0
Sex:Female
Location:New Hampshire
Vaccinated:1991-01-28
Onset:1991-02-05
Submitted:1991-02-12
Entered:1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1492S / - UNK LA / -

Administered by: Other      Purchased by: Public
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: lumbar puncture
CDC 'Split Type':

Write-up: Dx of viral menigitis 6Feb91.


Changed on 2/14/2018

VAERS ID: 28320 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:New Hampshire
Vaccinated:1991-01-28
Onset:1991-02-05
Submitted:1991-02-12
Entered:1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1492S / UNK LA / -

Administered by: Other      Purchased by: Public
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: lumbar puncture
CDC 'Split Type':

Write-up: Dx of viral menigitis 6Feb91.


Changed on 6/14/2018

VAERS ID: 28320 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:New Hampshire
Vaccinated:1991-01-28
Onset:1991-02-05
Submitted:1991-02-12
Entered:1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1492S / UNK LA / -

Administered by: Other      Purchased by: Public
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: lumbar puncture
CDC 'Split Type':

Write-up: Dx of viral menigitis 6Feb91.


Changed on 8/14/2018

VAERS ID: 28320 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:New Hampshire
Vaccinated:1991-01-28
Onset:1991-02-05
Submitted:1991-02-12
Entered:1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1492S / UNK LA / -

Administered by: Other      Purchased by: Public
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: lumbar puncture
CDC 'Split Type':

Write-up: Dx of viral menigitis 6Feb91.


Changed on 9/14/2018

VAERS ID: 28320 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:New Hampshire
Vaccinated:1991-01-28
Onset:1991-02-05
Submitted:1991-02-12
Entered:1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1492S / UNK LA / -

Administered by: Other      Purchased by: Public
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: lumbar puncture
CDC 'Split Type':

Write-up: Dx of viral menigitis 6Feb91.


Changed on 10/14/2018

VAERS ID: 28320 Before After
VAERS Form:1
Age:21.0
Sex:Female
Location:New Hampshire
Vaccinated:1991-01-28
Onset:1991-02-05
Submitted:1991-02-12
Entered:1991-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1492S / UNK LA / -

Administered by: Other      Purchased by: Public
Symptoms: Meningitis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: None
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: lumbar puncture
CDC 'Split Type':

Write-up: Dx of viral menigitis 6Feb91.

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