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This is VAERS ID 25532

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25532
VAERS Form:
Age:28.0
Sex:Male
Location:Florida
Vaccinated:1990-05-04
Onset:1990-05-04
Submitted:0000-00-00
Entered:1990-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MR: MR VAX II / MSD 461701053R / 1 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: ARTHRALGIA, MALAISE, COUGH INC, OTITIS MED, OVERDOSE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: chest x-ray- neg.
CDC 'Split Type':

Write-up: Pt was inadvertently revaccinated /w MMR vaccine twice within a 5 month period. 6May90 developed malaise, otitis media, viral pneumonia & tendinitis lt wrist. Also measle like symtoms/w rash & cough.Symtoms X 4 wks. Hosp.on 7Jun90. see WORM


Changed on 12/8/2009

VAERS ID: 25532 Before After
VAERS Form:
Age:28.0
Sex:Male
Location:Florida
Vaccinated:1990-05-04
Onset:1990-05-04
Submitted:0000-00-00
Entered:1990-07-19 1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 461701053R / 1 - / SC
MR: MR VAX II / MSD 461701053R / 1 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Cough, Malaise, Otitis media, Overdose, Pneumonia, Rash maculo-papular, Tendon disorder, ARTHRALGIA, MALAISE, COUGH INC, OTITIS MED, OVERDOSE

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: chest x-ray- neg.
CDC 'Split Type': (blank) WAES90060287

Write-up: Pt was inadvertently revaccinated /w MMR vaccine twice within a 5 month period. 6May90 developed malaise, otitis media, viral pneumonia & tendinitis lt wrist. Also measle like symtoms/w rash & cough.Symtoms X 4 wks. Hosp.on 7Jun90. see WORM


Changed on 5/14/2017

VAERS ID: 25532 Before After
VAERS Form:
Age:28.0
Sex:Male
Location:Florida
Vaccinated:1990-05-04
Onset:1990-05-04
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 461701053R / 1 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Cough, Malaise, Otitis media, Overdose, Pneumonia, Rash maculo-papular, Tendon disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: chest x-ray- neg.
CDC 'Split Type': WAES90060287

Write-up: Pt was inadvertently revaccinated /w MMR vaccine twice within a 5 month period. 6May90 developed malaise, otitis media, viral pneumonia & tendinitis lt wrist. Also measle like symtoms/w rash & cough.Symtoms X 4 wks. Hosp.on 7Jun90. see WORM


Changed on 9/14/2017

VAERS ID: 25532 Before After
VAERS Form:(blank) 1
Age:28.0
Sex:Male
Location:Florida
Vaccinated:1990-05-04
Onset:1990-05-04
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 461701053R / 1 2 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Cough, Malaise, Otitis media, Overdose, Pneumonia, Rash maculo-papular, Tendon disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: chest x-ray- neg.
CDC 'Split Type': WAES90060287

Write-up: Pt was inadvertently revaccinated /w MMR vaccine twice within a 5 month period. 6May90 developed malaise, otitis media, viral pneumonia & tendinitis lt wrist. Also measle like symtoms/w rash & cough.Symtoms X 4 wks. Hosp.on 7Jun90. see WORM


Changed on 2/14/2018

VAERS ID: 25532 Before After
VAERS Form:1
Age:28.0
Sex:Male
Location:Florida
Vaccinated:1990-05-04
Onset:1990-05-04
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 461701053R / 2 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Cough, Malaise, Otitis media, Overdose, Pneumonia, Rash maculo-papular, Tendon disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: chest x-ray- neg.
CDC 'Split Type': WAES90060287

Write-up: Pt was inadvertently revaccinated /w MMR vaccine twice within a 5 month period. 6May90 developed malaise, otitis media, viral pneumonia & tendinitis lt wrist. Also measle like symtoms/w rash & cough.Symtoms X 4 wks. Hosp.on 7Jun90. see WORM


Changed on 6/14/2018

VAERS ID: 25532 Before After
VAERS Form:1
Age:28.0
Sex:Male
Location:Florida
Vaccinated:1990-05-04
Onset:1990-05-04
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 461701053R / 2 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Cough, Malaise, Otitis media, Overdose, Pneumonia, Rash maculo-papular, Tendon disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: chest x-ray- neg.
CDC 'Split Type': WAES90060287

Write-up: Pt was inadvertently revaccinated /w MMR vaccine twice within a 5 month period. 6May90 developed malaise, otitis media, viral pneumonia & tendinitis lt wrist. Also measle like symtoms/w rash & cough.Symtoms X 4 wks. Hosp.on 7Jun90. see WORM


Changed on 8/14/2018

VAERS ID: 25532 Before After
VAERS Form:1
Age:28.0
Sex:Male
Location:Florida
Vaccinated:1990-05-04
Onset:1990-05-04
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 461701053R / 2 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Cough, Malaise, Otitis media, Overdose, Pneumonia, Rash maculo-papular, Tendon disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: chest x-ray- neg.
CDC 'Split Type': WAES90060287

Write-up: Pt was inadvertently revaccinated /w MMR vaccine twice within a 5 month period. 6May90 developed malaise, otitis media, viral pneumonia & tendinitis lt wrist. Also measle like symtoms/w rash & cough.Symtoms X 4 wks. Hosp.on 7Jun90. see WORM


Changed on 9/14/2018

VAERS ID: 25532 Before After
VAERS Form:1
Age:28.0
Sex:Male
Location:Florida
Vaccinated:1990-05-04
Onset:1990-05-04
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 461701053R / 2 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Cough, Malaise, Otitis media, Overdose, Pneumonia, Rash maculo-papular, Tendon disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: chest x-ray- neg.
CDC 'Split Type': WAES90060287

Write-up: Pt was inadvertently revaccinated /w MMR vaccine twice within a 5 month period. 6May90 developed malaise, otitis media, viral pneumonia & tendinitis lt wrist. Also measle like symtoms/w rash & cough.Symtoms X 4 wks. Hosp.on 7Jun90. see WORM


Changed on 10/14/2018

VAERS ID: 25532 Before After
VAERS Form:1
Age:28.0
Sex:Male
Location:Florida
Vaccinated:1990-05-04
Onset:1990-05-04
Submitted:0000-00-00
Entered:1990-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 461701053R / 2 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Arthralgia, Cough, Malaise, Otitis media, Overdose, Pneumonia, Rash maculo-papular, Tendon disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: chest x-ray- neg.
CDC 'Split Type': WAES90060287

Write-up: Pt was inadvertently revaccinated /w MMR vaccine twice within a 5 month period. 6May90 developed malaise, otitis media, viral pneumonia & tendinitis lt wrist. Also measle like symtoms/w rash & cough.Symtoms X 4 wks. Hosp.on 7Jun90. see WORM

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