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This is VAERS ID 31520

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 31520
VAERS Form:
Age:1.5
Sex:Female
Location:New York
Vaccinated:1990-11-05
Onset:1990-11-09
Submitted:0000-00-00
Entered:1991-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: UNK. HAEMOPHILUS B / UNCLASSIFIED - / - - / IM
MMR: MMR II / MSD 1707S / - RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: HYPOKINESIA, FEVER, CYANOSIS, STUPOR, MALAISE

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Rhinorrhea
Allergies:
Diagnostic Lab Data: CSF - neg; Blood culture - neg.
CDC 'Split Type':

Write-up: 05Nov90 pt vax w/ MMR; along w/ HIB conj. 09Nov90 devel temp 102F + 2 days later 104F. found listless + tremulous w/ twitching. Temp rose 105.6F and tx w/ cold compress. Fever dropped to 102.5F. Tx w/ Augmentin. See worm...


Changed on 12/8/2009

VAERS ID: 31520 Before After
VAERS Form:
Age:1.5
Sex:Female
Location:New York
Vaccinated:1990-11-05
Onset:1990-11-09
Submitted:0000-00-00
Entered:1991-06-26 1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: UNK. HAEMOPHILUS B HIB (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1707S / - RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cyanosis, Hypokinesia, Malaise, Muscle twitching, Pyrexia, Stupor, Tremor, HYPOKINESIA, FEVER, CYANOSIS, STUPOR, MALAISE

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Rhinorrhea
Allergies:
Diagnostic Lab Data: CSF - neg; Blood culture - neg.
CDC 'Split Type': (blank) WAES91010527

Write-up: 05Nov90 pt vax w/ MMR; along w/ HIB conj. 09Nov90 devel temp 102F + 2 days later 104F. found listless + tremulous w/ twitching. Temp rose 105.6F and tx w/ cold compress. Fever dropped to 102.5F. Tx w/ Augmentin. See worm...


Changed on 5/14/2017

VAERS ID: 31520 Before After
VAERS Form:
Age:1.5
Sex:Female
Location:New York
Vaccinated:1990-11-05
Onset:1990-11-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / - RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cyanosis, Hypokinesia, Malaise, Muscle twitching, Pyrexia, Stupor, Tremor

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Rhinorrhea
Allergies:
Diagnostic Lab Data: CSF - neg; Blood culture - neg.
CDC 'Split Type': WAES91010527

Write-up: 05Nov90 pt vax w/ MMR; along w/ HIB conj. 09Nov90 devel temp 102F + 2 days later 104F. found listless + tremulous w/ twitching. Temp rose 105.6F and tx w/ cold compress. Fever dropped to 102.5F. Tx w/ Augmentin. See worm...


Changed on 9/14/2017

VAERS ID: 31520 Before After
VAERS Form:(blank) 1
Age:1.5
Sex:Female
Location:New York
Vaccinated:1990-11-05
Onset:1990-11-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / - UNK RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cyanosis, Hypokinesia, Malaise, Muscle twitching, Pyrexia, Stupor, Tremor

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Rhinorrhea
Allergies:
Diagnostic Lab Data: CSF - neg; Blood culture - neg.
CDC 'Split Type': WAES91010527

Write-up: 05Nov90 pt vax w/ MMR; along w/ HIB conj. 09Nov90 devel temp 102F + 2 days later 104F. found listless + tremulous w/ twitching. Temp rose 105.6F and tx w/ cold compress. Fever dropped to 102.5F. Tx w/ Augmentin. See worm...


Changed on 2/14/2018

VAERS ID: 31520 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:New York
Vaccinated:1990-11-05
Onset:1990-11-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / UNK RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cyanosis, Hypokinesia, Malaise, Muscle twitching, Pyrexia, Stupor, Tremor

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Rhinorrhea
Allergies:
Diagnostic Lab Data: CSF - neg; Blood culture - neg.
CDC 'Split Type': WAES91010527

Write-up: 05Nov90 pt vax w/ MMR; along w/ HIB conj. 09Nov90 devel temp 102F + 2 days later 104F. found listless + tremulous w/ twitching. Temp rose 105.6F and tx w/ cold compress. Fever dropped to 102.5F. Tx w/ Augmentin. See worm...


Changed on 6/14/2018

VAERS ID: 31520 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:New York
Vaccinated:1990-11-05
Onset:1990-11-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / UNK RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cyanosis, Hypokinesia, Malaise, Muscle twitching, Pyrexia, Stupor, Tremor

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Rhinorrhea
Allergies:
Diagnostic Lab Data: CSF - neg; Blood culture - neg.
CDC 'Split Type': WAES91010527

Write-up: 05Nov90 pt vax w/ MMR; along w/ HIB conj. 09Nov90 devel temp 102F + 2 days later 104F. found listless + tremulous w/ twitching. Temp rose 105.6F and tx w/ cold compress. Fever dropped to 102.5F. Tx w/ Augmentin. See worm...


Changed on 8/14/2018

VAERS ID: 31520 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:New York
Vaccinated:1990-11-05
Onset:1990-11-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / UNK RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cyanosis, Hypokinesia, Malaise, Muscle twitching, Pyrexia, Stupor, Tremor

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Rhinorrhea
Allergies:
Diagnostic Lab Data: CSF - neg; Blood culture - neg.
CDC 'Split Type': WAES91010527

Write-up: 05Nov90 pt vax w/ MMR; along w/ HIB conj. 09Nov90 devel temp 102F + 2 days later 104F. found listless + tremulous w/ twitching. Temp rose 105.6F and tx w/ cold compress. Fever dropped to 102.5F. Tx w/ Augmentin. See worm...


Changed on 9/14/2018

VAERS ID: 31520 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:New York
Vaccinated:1990-11-05
Onset:1990-11-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / UNK RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cyanosis, Hypokinesia, Malaise, Muscle twitching, Pyrexia, Stupor, Tremor

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Rhinorrhea
Allergies:
Diagnostic Lab Data: CSF - neg; Blood culture - neg.
CDC 'Split Type': WAES91010527

Write-up: 05Nov90 pt vax w/ MMR; along w/ HIB conj. 09Nov90 devel temp 102F + 2 days later 104F. found listless + tremulous w/ twitching. Temp rose 105.6F and tx w/ cold compress. Fever dropped to 102.5F. Tx w/ Augmentin. See worm...


Changed on 10/14/2018

VAERS ID: 31520 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:New York
Vaccinated:1990-11-05
Onset:1990-11-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / UNK RA / SC

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cyanosis, Hypokinesia, Malaise, Muscle twitching, Pyrexia, Stupor, Tremor

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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Rhinorrhea
Allergies:
Diagnostic Lab Data: CSF - neg; Blood culture - neg.
CDC 'Split Type': WAES91010527

Write-up: 05Nov90 pt vax w/ MMR; along w/ HIB conj. 09Nov90 devel temp 102F + 2 days later 104F. found listless + tremulous w/ twitching. Temp rose 105.6F and tx w/ cold compress. Fever dropped to 102.5F. Tx w/ Augmentin. See worm...

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