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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 25131 |
VAERS Form: | |
Age: | 18.0 |
Sex: | Female |
Location: | Connecticut |
Vaccinated: | 1990-06-25 |
Onset: | 1990-06-28 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-17 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MMR II / MSD | 2130R / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: FEVER, ARTHRALGIA, ASTHENIA
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Fever of 102 F, achy joints, fatigue
Vaccinated: | 1990-06-25 |
Onset: | 1990-06-28 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-17 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. | 2130R / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia, FEVER, ARTHRALGIA, ASTHENIA
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Fever of 102 F, achy joints, fatigue
Vaccinated: | 1990-06-25 |
Onset: | 1990-06-28 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 2130R / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Fever of 102 F, achy joints, fatigue
Vaccinated: | 1990-06-25 |
Onset: | 1990-06-28 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 2130R / - UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Fever of 102 F, achy joints, fatigue
Vaccinated: | 1990-06-25 |
Onset: | 1990-06-28 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 2130R / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Fever of 102 F, achy joints, fatigue
Vaccinated: | 1990-06-25 |
Onset: | 1990-06-28 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 2130R / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Fever of 102 F, achy joints, fatigue
Vaccinated: | 1990-06-25 |
Onset: | 1990-06-28 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 2130R / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Fever of 102 F, achy joints, fatigue
Vaccinated: | 1990-06-25 |
Onset: | 1990-06-28 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 2130R / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Fever of 102 F, achy joints, fatigue
Vaccinated: | 1990-06-25 |
Onset: | 1990-06-28 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 2130R / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Fever of 102 F, achy joints, fatigue
Vaccinated: | 1990-06-25 |
Onset: | 1990-06-28 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 2130R / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Fever of 102 F, achy joints, fatigue
Vaccinated: | 1990-06-25 |
Onset: | 1990-06-28 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-09 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 2130R / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Arthralgia, Asthenia, Pyrexia
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Fever of 102 F, achy joints, fatigue
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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=25131&WAYBACKHISTORY=ON
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