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This is VAERS ID 31050

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 31050
VAERS Form:
Age:1.3
Sex:Female
Location:Kansas
Vaccinated:1991-03-22
Onset:1991-03-31
Submitted:1991-04-04
Entered:1991-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 0555S / 0 LL / -

Administered by: Public      Purchased by: Unknown
Symptoms: FEVER, RHINITIS, STUPOR, EDEMA FACE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Other Medications: Rondec
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CXR
CDC 'Split Type': NONE

Write-up: t99-100, congestion, swollen, mattery eyes 2-3 days prior to becoming non-responsive; taken to hosp & given oxygen, suctioned & breathing tx; given antibiotic, IV fluids, & APAP suppositories;


Changed on 12/8/2009

VAERS ID: 31050 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Kansas
Vaccinated:1991-03-22
Onset:1991-03-31
Submitted:1991-04-04
Entered:1991-06-10 1991-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0555S / 0 LL / -

Administered by: Public      Purchased by: Unknown Other
Symptoms: Face oedema, Pyrexia, Rhinitis, Stupor, FEVER, RHINITIS, STUPOR, EDEMA FACE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE
Other Medications: Rondec
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CXR
CDC 'Split Type': NONE KS9115

Write-up: t99-100, congestion, swollen, mattery eyes 2-3 days prior to becoming non-responsive; taken to hosp & given oxygen, suctioned & breathing tx; given antibiotic, IV fluids, & APAP suppositories;


Changed on 5/14/2017

VAERS ID: 31050 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Kansas
Vaccinated:1991-03-22
Onset:1991-03-31
Submitted:1991-04-04
Entered:1991-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0555S / 0 LL / -

Administered by: Public      Purchased by: Other
Symptoms: Face oedema, Pyrexia, Rhinitis, Stupor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE NONE~ ()~~~In patient
Other Medications: Rondec
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CXR
CDC 'Split Type': KS9115

Write-up: t99-100, congestion, swollen, mattery eyes 2-3 days prior to becoming non-responsive; taken to hosp & given oxygen, suctioned & breathing tx; given antibiotic, IV fluids, & APAP suppositories;


Changed on 9/14/2017

VAERS ID: 31050 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Female
Location:Kansas
Vaccinated:1991-03-22
Onset:1991-03-31
Submitted:1991-04-04
Entered:1991-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0555S / 0 1 LL / -

Administered by: Public      Purchased by: Other
Symptoms: Face oedema, Pyrexia, Rhinitis, Stupor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE~ ()~~~In patient
Other Medications: Rondec
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CXR
CDC 'Split Type': KS9115

Write-up: t99-100, congestion, swollen, mattery eyes 2-3 days prior to becoming non-responsive; taken to hosp & given oxygen, suctioned & breathing tx; given antibiotic, IV fluids, & APAP suppositories;


Changed on 2/14/2018

VAERS ID: 31050 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Kansas
Vaccinated:1991-03-22
Onset:1991-03-31
Submitted:1991-04-04
Entered:1991-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0555S / 1 LL / -

Administered by: Public      Purchased by: Other
Symptoms: Face oedema, Pyrexia, Rhinitis, Stupor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE~ ()~~~In patient
Other Medications: Rondec
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CXR
CDC 'Split Type': KS9115

Write-up: t99-100, congestion, swollen, mattery eyes 2-3 days prior to becoming non-responsive; taken to hosp & given oxygen, suctioned & breathing tx; given antibiotic, IV fluids, & APAP suppositories;


Changed on 6/14/2018

VAERS ID: 31050 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Kansas
Vaccinated:1991-03-22
Onset:1991-03-31
Submitted:1991-04-04
Entered:1991-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0555S / 1 LL / -

Administered by: Public      Purchased by: Other
Symptoms: Face oedema, Pyrexia, Rhinitis, Stupor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE~ ()~~~In patient
Other Medications: Rondec
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CXR
CDC 'Split Type': KS9115

Write-up: t99-100, congestion, swollen, mattery eyes 2-3 days prior to becoming non-responsive; taken to hosp & given oxygen, suctioned & breathing tx; given antibiotic, IV fluids, & APAP suppositories;


Changed on 8/14/2018

VAERS ID: 31050 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Kansas
Vaccinated:1991-03-22
Onset:1991-03-31
Submitted:1991-04-04
Entered:1991-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0555S / 1 LL / -

Administered by: Public      Purchased by: Other
Symptoms: Face oedema, Pyrexia, Rhinitis, Stupor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE~ ()~~~In patient
Other Medications: Rondec
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CXR
CDC 'Split Type': KS9115

Write-up: t99-100, congestion, swollen, mattery eyes 2-3 days prior to becoming non-responsive; taken to hosp & given oxygen, suctioned & breathing tx; given antibiotic, IV fluids, & APAP suppositories;


Changed on 9/14/2018

VAERS ID: 31050 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Kansas
Vaccinated:1991-03-22
Onset:1991-03-31
Submitted:1991-04-04
Entered:1991-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0555S / 1 LL / -

Administered by: Public      Purchased by: Other
Symptoms: Face oedema, Pyrexia, Rhinitis, Stupor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE~ ()~~~In patient
Other Medications: Rondec
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CXR
CDC 'Split Type': KS9115

Write-up: t99-100, congestion, swollen, mattery eyes 2-3 days prior to becoming non-responsive; taken to hosp & given oxygen, suctioned & breathing tx; given antibiotic, IV fluids, & APAP suppositories;


Changed on 10/14/2018

VAERS ID: 31050 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Kansas
Vaccinated:1991-03-22
Onset:1991-03-31
Submitted:1991-04-04
Entered:1991-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0555S / 1 LL / -

Administered by: Public      Purchased by: Other
Symptoms: Face oedema, Pyrexia, Rhinitis, Stupor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NONE~ ()~~~In patient
Other Medications: Rondec
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: CXR
CDC 'Split Type': KS9115

Write-up: t99-100, congestion, swollen, mattery eyes 2-3 days prior to becoming non-responsive; taken to hosp & given oxygen, suctioned & breathing tx; given antibiotic, IV fluids, & APAP suppositories;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=31050&WAYBACKHISTORY=ON


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