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This is VAERS ID 33160

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 33160
VAERS Form:
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-31
Onset:1990-06-09
Submitted:0000-00-00
Entered:1991-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 0891S / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: FLU SYND, RASH MAC PAP, FEBRILE SEIZURE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type':

Write-up: 31May90 pt vax; devel maculopapular eruption. 09Jun90 exp febrile convulsion. Dx of viral syndrome & reaction vax considered.


Changed on 12/8/2009

VAERS ID: 33160 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-31
Onset:1990-06-09
Submitted:0000-00-00
Entered:1991-08-06 1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0891S / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Febrile convulsion, Influenza, Rash maculo-papular, FLU SYND, RASH MAC PAP, FEBRILE SEIZURE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': (blank) WAES90060553

Write-up: 31May90 pt vax; devel maculopapular eruption. 09Jun90 exp febrile convulsion. Dx of viral syndrome & reaction vax considered.


Changed on 5/14/2017

VAERS ID: 33160 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-31
Onset:1990-06-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0891S / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Febrile convulsion, Influenza, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90060553

Write-up: 31May90 pt vax; devel maculopapular eruption. 09Jun90 exp febrile convulsion. Dx of viral syndrome & reaction vax considered.


Changed on 9/14/2017

VAERS ID: 33160 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-31
Onset:1990-06-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0891S / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Febrile convulsion, Influenza, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90060553

Write-up: 31May90 pt vax; devel maculopapular eruption. 09Jun90 exp febrile convulsion. Dx of viral syndrome & reaction vax considered.


Changed on 2/14/2018

VAERS ID: 33160 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-31
Onset:1990-06-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0891S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Febrile convulsion, Influenza, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90060553

Write-up: 31May90 pt vax; devel maculopapular eruption. 09Jun90 exp febrile convulsion. Dx of viral syndrome & reaction vax considered.


Changed on 6/14/2018

VAERS ID: 33160 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-31
Onset:1990-06-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0891S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Febrile convulsion, Influenza, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90060553

Write-up: 31May90 pt vax; devel maculopapular eruption. 09Jun90 exp febrile convulsion. Dx of viral syndrome & reaction vax considered.


Changed on 8/14/2018

VAERS ID: 33160 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-31
Onset:1990-06-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0891S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Febrile convulsion, Influenza, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90060553

Write-up: 31May90 pt vax; devel maculopapular eruption. 09Jun90 exp febrile convulsion. Dx of viral syndrome & reaction vax considered.


Changed on 9/14/2018

VAERS ID: 33160 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-31
Onset:1990-06-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0891S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Febrile convulsion, Influenza, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90060553

Write-up: 31May90 pt vax; devel maculopapular eruption. 09Jun90 exp febrile convulsion. Dx of viral syndrome & reaction vax considered.


Changed on 10/14/2018

VAERS ID: 33160 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:Pennsylvania
Vaccinated:1990-05-31
Onset:1990-06-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0891S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Febrile convulsion, Influenza, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90060553

Write-up: 31May90 pt vax; devel maculopapular eruption. 09Jun90 exp febrile convulsion. Dx of viral syndrome & reaction vax considered.

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