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This is VAERS ID 29744

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29744
VAERS Form:
Age:1.5
Sex:Female
Location:Michigan
Vaccinated:1991-03-07
Onset:1991-03-16
Submitted:1991-03-25
Entered:1991-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1711S / 0 RL / SC
OPV: ORIMUNE / LEDERLE 291946 / 2 - / PO

Administered by: Public      Purchased by: Unknown
Symptoms: FEVER, RASH, ANOREXIA

Life Threatening? No
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: CXR=bronchialitis, loose infiltrates
CDC 'Split Type':

Write-up: MMR admit approx 2 wks,approx 9 days following MMR inject.developed a generalized rash & T of 104, T lasted 3 days then on 21Mar91 T remained.Admitted to hosp on 21Mar91 /w T of 105.6.Demonstrates loss of appetite.


Changed on 12/8/2009

VAERS ID: 29744 Before After
VAERS Form:
Age:1.5
Sex:Female
Location:Michigan
Vaccinated:1991-03-07
Onset:1991-03-16
Submitted:1991-03-25
Entered:1991-04-11 1991-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1711S / 0 RL / SC
OPV: ORIMUNE POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LEDERLE LABORATORIES 291946 / 2 - / PO

Administered by: Public      Purchased by: Unknown Public
Symptoms: Anorexia, Pyrexia, Rash, FEVER, RASH, ANOREXIA

Life Threatening? No
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: 2     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: CXR=bronchialitis, loose infiltrates
CDC 'Split Type': (blank) MI9118

Write-up: MMR admit approx 2 wks,approx 9 days following MMR inject.developed a generalized rash & T of 104, T lasted 3 days then on 21Mar91 T remained.Admitted to hosp on 21Mar91 /w T of 105.6.Demonstrates loss of appetite.


Changed on 5/14/2017

VAERS ID: 29744 Before After
VAERS Form:
Age:1.5
Sex:Female
Location:Michigan
Vaccinated:1991-03-07
Onset:1991-03-16
Submitted:1991-03-25
Entered:1991-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1711S / 0 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / LEDERLE LABORATORIES PFIZER/WYETH 291946 / 2 - / PO

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Pyrexia, Rash

Life Threatening? No
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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: CXR=bronchialitis, loose infiltrates
CDC 'Split Type': MI9118

Write-up: MMR admit approx 2 wks,approx 9 days following MMR inject.developed a generalized rash & T of 104, T lasted 3 days then on 21Mar91 T remained.Admitted to hosp on 21Mar91 /w T of 105.6.Demonstrates loss of appetite.


Changed on 9/14/2017

VAERS ID: 29744 Before After
VAERS Form:(blank) 1
Age:1.5
Sex:Female
Location:Michigan
Vaccinated:1991-03-07
Onset:1991-03-16
Submitted:1991-03-25
Entered:1991-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1711S / 0 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291946 / 2 3 - MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Pyrexia, Rash

Life Threatening? No
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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: CXR=bronchialitis, loose infiltrates
CDC 'Split Type': MI9118

Write-up: MMR admit approx 2 wks,approx 9 days following MMR inject.developed a generalized rash & T of 104, T lasted 3 days then on 21Mar91 T remained.Admitted to hosp on 21Mar91 /w T of 105.6.Demonstrates loss of appetite.


Changed on 2/14/2018

VAERS ID: 29744 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:Michigan
Vaccinated:1991-03-07
Onset:1991-03-16
Submitted:1991-03-25
Entered:1991-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1711S / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291946 / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Pyrexia, Rash

Life Threatening? No
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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: CXR=bronchialitis, loose infiltrates
CDC 'Split Type': MI9118

Write-up: MMR admit approx 2 wks,approx 9 days following MMR inject.developed a generalized rash & T of 104, T lasted 3 days then on 21Mar91 T remained.Admitted to hosp on 21Mar91 /w T of 105.6.Demonstrates loss of appetite.


Changed on 6/14/2018

VAERS ID: 29744 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:Michigan
Vaccinated:1991-03-07
Onset:1991-03-16
Submitted:1991-03-25
Entered:1991-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1711S / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291946 / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Pyrexia, Rash

Life Threatening? No
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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: CXR=bronchialitis, loose infiltrates
CDC 'Split Type': MI9118

Write-up: MMR admit approx 2 wks,approx 9 days following MMR inject.developed a generalized rash & T of 104, T lasted 3 days then on 21Mar91 T remained.Admitted to hosp on 21Mar91 /w T of 105.6.Demonstrates loss of appetite.


Changed on 8/14/2018

VAERS ID: 29744 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:Michigan
Vaccinated:1991-03-07
Onset:1991-03-16
Submitted:1991-03-25
Entered:1991-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1711S / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291946 / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Pyrexia, Rash

Life Threatening? No
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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: CXR=bronchialitis, loose infiltrates
CDC 'Split Type': MI9118

Write-up: MMR admit approx 2 wks,approx 9 days following MMR inject.developed a generalized rash & T of 104, T lasted 3 days then on 21Mar91 T remained.Admitted to hosp on 21Mar91 /w T of 105.6.Demonstrates loss of appetite.


Changed on 9/14/2018

VAERS ID: 29744 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:Michigan
Vaccinated:1991-03-07
Onset:1991-03-16
Submitted:1991-03-25
Entered:1991-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1711S / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291946 / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Pyrexia, Rash

Life Threatening? No
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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: CXR=bronchialitis, loose infiltrates
CDC 'Split Type': MI9118

Write-up: MMR admit approx 2 wks,approx 9 days following MMR inject.developed a generalized rash & T of 104, T lasted 3 days then on 21Mar91 T remained.Admitted to hosp on 21Mar91 /w T of 105.6.Demonstrates loss of appetite.


Changed on 10/14/2018

VAERS ID: 29744 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:Michigan
Vaccinated:1991-03-07
Onset:1991-03-16
Submitted:1991-03-25
Entered:1991-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1711S / 1 RL / SC
OPV: POLIO VIRUS, ORAL (ORIMUNE) / PFIZER/WYETH 291946 / 3 MO / PO

Administered by: Public      Purchased by: Public
Symptoms: Anorexia, Pyrexia, Rash

Life Threatening? No
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: 2     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: CXR=bronchialitis, loose infiltrates
CDC 'Split Type': MI9118

Write-up: MMR admit approx 2 wks,approx 9 days following MMR inject.developed a generalized rash & T of 104, T lasted 3 days then on 21Mar91 T remained.Admitted to hosp on 21Mar91 /w T of 105.6.Demonstrates loss of appetite.

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