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This is VAERS ID 42626

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 42626
VAERS Form:
Age:1.3
Sex:Male
Location:Texas
Vaccinated:1992-05-14
Onset:1992-05-26
Submitted:1992-06-01
Entered:1992-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT / CONNAUGHT LABS 1A31068 / 3 LL / IM
MMR: MMR II / MSD 1961T / 0 RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, RASH MAC PAP, FEBRILE SEIZURE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: had roseola 1 wk earlier
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': NONE

Write-up: High fever-febrile seizure; severe measles-like rash;


Changed on 12/8/2009

VAERS ID: 42626 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:Texas
Vaccinated:1992-05-14
Onset:1992-05-26
Submitted:1992-06-01
Entered:1992-06-11 1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT HIB (PROHIBIT) / CONNAUGHT LABS CONNAUGHT LABORATORIES 1A31068 / 3 LL / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1961T / 0 RA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Febrile convulsion, Pyrexia, Rash maculo-papular, FEVER, RASH MAC PAP, FEBRILE SEIZURE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: had roseola 1 wk earlier
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': NONE (blank)

Write-up: High fever-febrile seizure; severe measles-like rash;


Changed on 5/14/2017

VAERS ID: 42626 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:Texas
Vaccinated:1992-05-14
Onset:1992-05-26
Submitted:1992-06-01
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 1A31068 / 3 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1961T / 0 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Febrile convulsion, Pyrexia, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: had roseola 1 wk earlier
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: High fever-febrile seizure; severe measles-like rash;


Changed on 9/14/2017

VAERS ID: 42626 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Male
Location:Texas
Vaccinated:1992-05-14
Onset:1992-05-26
Submitted:1992-06-01
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 1A31068 / 3 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1961T / 0 1 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Febrile convulsion, Pyrexia, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: had roseola 1 wk earlier
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: High fever-febrile seizure; severe measles-like rash;


Changed on 2/14/2018

VAERS ID: 42626 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Texas
Vaccinated:1992-05-14
Onset:1992-05-26
Submitted:1992-06-01
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 1A31068 / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1961T / 1 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Febrile convulsion, Pyrexia, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: had roseola 1 wk earlier
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: High fever-febrile seizure; severe measles-like rash;


Changed on 6/14/2018

VAERS ID: 42626 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Texas
Vaccinated:1992-05-14
Onset:1992-05-26
Submitted:1992-06-01
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 1A31068 / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1961T / 1 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Febrile convulsion, Pyrexia, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: had roseola 1 wk earlier
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: High fever-febrile seizure; severe measles-like rash;


Changed on 8/14/2018

VAERS ID: 42626 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Texas
Vaccinated:1992-05-14
Onset:1992-05-26
Submitted:1992-06-01
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 1A31068 / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1961T / 1 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Febrile convulsion, Pyrexia, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: had roseola 1 wk earlier
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: High fever-febrile seizure; severe measles-like rash;


Changed on 9/14/2018

VAERS ID: 42626 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Texas
Vaccinated:1992-05-14
Onset:1992-05-26
Submitted:1992-06-01
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 1A31068 / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1961T / 1 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Febrile convulsion, Pyrexia, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: had roseola 1 wk earlier
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: High fever-febrile seizure; severe measles-like rash;


Changed on 10/14/2018

VAERS ID: 42626 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Texas
Vaccinated:1992-05-14
Onset:1992-05-26
Submitted:1992-06-01
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (PROHIBIT) / CONNAUGHT LABORATORIES 1A31068 / 4 LL / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1961T / 1 RA / SC

Administered by: Private      Purchased by: Private
Symptoms: Febrile convulsion, Pyrexia, Rash maculo-papular

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: had roseola 1 wk earlier
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: High fever-febrile seizure; severe measles-like rash;

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