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This is VAERS ID 33336

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 33336
VAERS Form:
Age:1.3
Sex:Female
Location:New Jersey
Vaccinated:1990-06-18
Onset:1990-06-28
Submitted:0000-00-00
Entered:1991-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: UNK. DTP / UNCLASSIFIED - / - - / -
MMR: MMR II / MSD 1166R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, LYMPHADENO, PETECHIA

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: NONE
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Sepsis workup-neg; platelet count-normal;
CDC 'Split Type':

Write-up: Pt recvd MMR on 18JUN90; 10 days post vax pt devel fever, petechial rash & swollen lymph nodes neccessitating admission to Hosp; Sepsis workup was neg & platelet count was normal; Pt d/c & recovered p/3 days;


Changed on 12/8/2009

VAERS ID: 33336 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:New Jersey
Vaccinated:1990-06-18
Onset:1990-06-28
Submitted:0000-00-00
Entered:1991-08-08 1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: UNK. DTP DTP (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / -
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1166R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Lymphadenopathy, Petechiae, Pyrexia, FEVER, LYMPHADENO, PETECHIA

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: NONE
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Sepsis workup-neg; platelet count-normal;
CDC 'Split Type': (blank) WAES90070608

Write-up: Pt recvd MMR on 18JUN90; 10 days post vax pt devel fever, petechial rash & swollen lymph nodes neccessitating admission to Hosp; Sepsis workup was neg & platelet count was normal; Pt d/c & recovered p/3 days;


Changed on 5/14/2017

VAERS ID: 33336 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:New Jersey
Vaccinated:1990-06-18
Onset:1990-06-28
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1166R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Lymphadenopathy, Petechiae, Pyrexia

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: NONE
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Sepsis workup-neg; platelet count-normal;
CDC 'Split Type': WAES90070608

Write-up: Pt recvd MMR on 18JUN90; 10 days post vax pt devel fever, petechial rash & swollen lymph nodes neccessitating admission to Hosp; Sepsis workup was neg & platelet count was normal; Pt d/c & recovered p/3 days;


Changed on 9/14/2017

VAERS ID: 33336 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Female
Location:New Jersey
Vaccinated:1990-06-18
Onset:1990-06-28
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1166R / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Lymphadenopathy, Petechiae, Pyrexia

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: NONE
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Sepsis workup-neg; platelet count-normal;
CDC 'Split Type': WAES90070608

Write-up: Pt recvd MMR on 18JUN90; 10 days post vax pt devel fever, petechial rash & swollen lymph nodes neccessitating admission to Hosp; Sepsis workup was neg & platelet count was normal; Pt d/c & recovered p/3 days;


Changed on 2/14/2018

VAERS ID: 33336 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:New Jersey
Vaccinated:1990-06-18
Onset:1990-06-28
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1166R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Lymphadenopathy, Petechiae, Pyrexia

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: NONE
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Sepsis workup-neg; platelet count-normal;
CDC 'Split Type': WAES90070608

Write-up: Pt recvd MMR on 18JUN90; 10 days post vax pt devel fever, petechial rash & swollen lymph nodes neccessitating admission to Hosp; Sepsis workup was neg & platelet count was normal; Pt d/c & recovered p/3 days;


Changed on 6/14/2018

VAERS ID: 33336 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:New Jersey
Vaccinated:1990-06-18
Onset:1990-06-28
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1166R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Lymphadenopathy, Petechiae, Pyrexia

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: NONE
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Sepsis workup-neg; platelet count-normal;
CDC 'Split Type': WAES90070608

Write-up: Pt recvd MMR on 18JUN90; 10 days post vax pt devel fever, petechial rash & swollen lymph nodes neccessitating admission to Hosp; Sepsis workup was neg & platelet count was normal; Pt d/c & recovered p/3 days;


Changed on 8/14/2018

VAERS ID: 33336 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:New Jersey
Vaccinated:1990-06-18
Onset:1990-06-28
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1166R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Lymphadenopathy, Petechiae, Pyrexia

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: NONE
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Sepsis workup-neg; platelet count-normal;
CDC 'Split Type': WAES90070608

Write-up: Pt recvd MMR on 18JUN90; 10 days post vax pt devel fever, petechial rash & swollen lymph nodes neccessitating admission to Hosp; Sepsis workup was neg & platelet count was normal; Pt d/c & recovered p/3 days;


Changed on 9/14/2018

VAERS ID: 33336 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:New Jersey
Vaccinated:1990-06-18
Onset:1990-06-28
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1166R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Lymphadenopathy, Petechiae, Pyrexia

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: NONE
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Sepsis workup-neg; platelet count-normal;
CDC 'Split Type': WAES90070608

Write-up: Pt recvd MMR on 18JUN90; 10 days post vax pt devel fever, petechial rash & swollen lymph nodes neccessitating admission to Hosp; Sepsis workup was neg & platelet count was normal; Pt d/c & recovered p/3 days;


Changed on 10/14/2018

VAERS ID: 33336 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:New Jersey
Vaccinated:1990-06-18
Onset:1990-06-28
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1166R / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Lymphadenopathy, Petechiae, Pyrexia

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: NONE
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: Sepsis workup-neg; platelet count-normal;
CDC 'Split Type': WAES90070608

Write-up: Pt recvd MMR on 18JUN90; 10 days post vax pt devel fever, petechial rash & swollen lymph nodes neccessitating admission to Hosp; Sepsis workup was neg & platelet count was normal; Pt d/c & recovered p/3 days;

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