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This is VAERS ID 37422

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 37422
VAERS Form:
Age:1.4
Sex:Male
Location:California
Vaccinated:1990-04-23
Onset:1991-05-20
Submitted:0000-00-00
Entered:1992-07-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 0434S / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: INFECT, DEHYDRAT, COUGH INC, LEUKOPENIA, HYPERGLYCEM

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy PCN
Allergies:
Diagnostic Lab Data: 25MAY91 WBC Count-3.2; Glucose 115; Serum creatinine-0.5; BUN-2;
CDC 'Split Type':

Write-up: Pt recvd MMR vax 23APR90 & 20MAY91 exp a fever & cough; 24MAY91 hospitalized w/diffuse erythematous maculopapular rash x 2 days; nares & lips were dry & cracked; koplick spot seen; cranky & irritable; dx measles, dehydration & OM;


Changed on 12/8/2009

VAERS ID: 37422 Before After
VAERS Form:
Age:1.4
Sex:Male
Location:California
Vaccinated:1990-04-23
Onset:1991-05-20
Submitted:0000-00-00
Entered:1992-07-27 1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0434S / - - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Cough, Dehydration, Drug ineffective, Hyperglycaemia, Infection, Leukopenia, Otitis media, Rash maculo-papular, INFECT, DEHYDRAT, COUGH INC, LEUKOPENIA, HYPERGLYCEM

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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy PCN
Allergies:
Diagnostic Lab Data: 25MAY91 WBC Count-3.2; Glucose 115; Serum creatinine-0.5; BUN-2;
CDC 'Split Type': (blank) WAES91060277

Write-up: Pt recvd MMR vax 23APR90 & 20MAY91 exp a fever & cough; 24MAY91 hospitalized w/diffuse erythematous maculopapular rash x 2 days; nares & lips were dry & cracked; koplick spot seen; cranky & irritable; dx measles, dehydration & OM;


Changed on 5/14/2017

VAERS ID: 37422 Before After
VAERS Form:
Age:1.4
Sex:Male
Location:California
Vaccinated:1990-04-23
Onset:1991-05-20
Submitted:0000-00-00
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0434S / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Cough, Dehydration, Drug ineffective, Hyperglycaemia, Infection, Leukopenia, Otitis media, Rash maculo-papular

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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy PCN
Allergies:
Diagnostic Lab Data: 25MAY91 WBC Count-3.2; Glucose 115; Serum creatinine-0.5; BUN-2;
CDC 'Split Type': WAES91060277

Write-up: Pt recvd MMR vax 23APR90 & 20MAY91 exp a fever & cough; 24MAY91 hospitalized w/diffuse erythematous maculopapular rash x 2 days; nares & lips were dry & cracked; koplick spot seen; cranky & irritable; dx measles, dehydration & OM;


Changed on 9/14/2017

VAERS ID: 37422 Before After
VAERS Form:(blank) 1
Age:1.4
Sex:Male
Location:California
Vaccinated:1990-04-23
Onset:1991-05-20
Submitted:0000-00-00
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0434S / - UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Cough, Dehydration, Drug ineffective, Hyperglycaemia, Infection, Leukopenia, Otitis media, Rash maculo-papular

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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy PCN
Allergies:
Diagnostic Lab Data: 25MAY91 WBC Count-3.2; Glucose 115; Serum creatinine-0.5; BUN-2;
CDC 'Split Type': WAES91060277

Write-up: Pt recvd MMR vax 23APR90 & 20MAY91 exp a fever & cough; 24MAY91 hospitalized w/diffuse erythematous maculopapular rash x 2 days; nares & lips were dry & cracked; koplick spot seen; cranky & irritable; dx measles, dehydration & OM;


Changed on 2/14/2018

VAERS ID: 37422 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:California
Vaccinated:1990-04-23
Onset:1991-05-20
Submitted:0000-00-00
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0434S / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Cough, Dehydration, Drug ineffective, Hyperglycaemia, Infection, Leukopenia, Otitis media, Rash maculo-papular

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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy PCN
Allergies:
Diagnostic Lab Data: 25MAY91 WBC Count-3.2; Glucose 115; Serum creatinine-0.5; BUN-2;
CDC 'Split Type': WAES91060277

Write-up: Pt recvd MMR vax 23APR90 & 20MAY91 exp a fever & cough; 24MAY91 hospitalized w/diffuse erythematous maculopapular rash x 2 days; nares & lips were dry & cracked; koplick spot seen; cranky & irritable; dx measles, dehydration & OM;


Changed on 6/14/2018

VAERS ID: 37422 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:California
Vaccinated:1990-04-23
Onset:1991-05-20
Submitted:0000-00-00
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0434S / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Cough, Dehydration, Drug ineffective, Hyperglycaemia, Infection, Leukopenia, Otitis media, Rash maculo-papular

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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy PCN
Allergies:
Diagnostic Lab Data: 25MAY91 WBC Count-3.2; Glucose 115; Serum creatinine-0.5; BUN-2;
CDC 'Split Type': WAES91060277

Write-up: Pt recvd MMR vax 23APR90 & 20MAY91 exp a fever & cough; 24MAY91 hospitalized w/diffuse erythematous maculopapular rash x 2 days; nares & lips were dry & cracked; koplick spot seen; cranky & irritable; dx measles, dehydration & OM;


Changed on 8/14/2018

VAERS ID: 37422 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:California
Vaccinated:1990-04-23
Onset:1991-05-20
Submitted:0000-00-00
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0434S / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Cough, Dehydration, Drug ineffective, Hyperglycaemia, Infection, Leukopenia, Otitis media, Rash maculo-papular

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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy PCN
Allergies:
Diagnostic Lab Data: 25MAY91 WBC Count-3.2; Glucose 115; Serum creatinine-0.5; BUN-2;
CDC 'Split Type': WAES91060277

Write-up: Pt recvd MMR vax 23APR90 & 20MAY91 exp a fever & cough; 24MAY91 hospitalized w/diffuse erythematous maculopapular rash x 2 days; nares & lips were dry & cracked; koplick spot seen; cranky & irritable; dx measles, dehydration & OM;


Changed on 9/14/2018

VAERS ID: 37422 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:California
Vaccinated:1990-04-23
Onset:1991-05-20
Submitted:0000-00-00
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0434S / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Cough, Dehydration, Drug ineffective, Hyperglycaemia, Infection, Leukopenia, Otitis media, Rash maculo-papular

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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy PCN
Allergies:
Diagnostic Lab Data: 25MAY91 WBC Count-3.2; Glucose 115; Serum creatinine-0.5; BUN-2;
CDC 'Split Type': WAES91060277

Write-up: Pt recvd MMR vax 23APR90 & 20MAY91 exp a fever & cough; 24MAY91 hospitalized w/diffuse erythematous maculopapular rash x 2 days; nares & lips were dry & cracked; koplick spot seen; cranky & irritable; dx measles, dehydration & OM;


Changed on 10/14/2018

VAERS ID: 37422 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:California
Vaccinated:1990-04-23
Onset:1991-05-20
Submitted:0000-00-00
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0434S / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Cough, Dehydration, Drug ineffective, Hyperglycaemia, Infection, Leukopenia, Otitis media, Rash maculo-papular

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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions: allergy PCN
Allergies:
Diagnostic Lab Data: 25MAY91 WBC Count-3.2; Glucose 115; Serum creatinine-0.5; BUN-2;
CDC 'Split Type': WAES91060277

Write-up: Pt recvd MMR vax 23APR90 & 20MAY91 exp a fever & cough; 24MAY91 hospitalized w/diffuse erythematous maculopapular rash x 2 days; nares & lips were dry & cracked; koplick spot seen; cranky & irritable; dx measles, dehydration & OM;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=37422&WAYBACKHISTORY=ON


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