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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 25792 |
VAERS Form: | |
Age: | 19.0 |
Sex: | Female |
Location: | Pennsylvania |
Vaccinated: | 1990-08-07 |
Onset: | 1990-08-07 |
Submitted: | 0000-00-00 |
Entered: | 1990-08-29 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MMR II / MSD | 10215 / - | - / IM |
Administered by: Private Purchased by: Unknown
Symptoms: RASH, ARTHRALGIA, ARTHROSIS
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: Lyme test - negative
CDC 'Split Type':
Write-up: Rash on arm, joints swollen, aches.
Vaccinated: | 1990-08-07 |
Onset: | 1990-08-07 |
Submitted: | 0000-00-00 |
Entered: | 1990-08-29 1990-08-28 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. | 10215 / - | - / IM |
Administered by: Private Purchased by: Unknown
Symptoms: Arthralgia, Osteoarthritis, Rash, RASH, ARTHRALGIA, ARTHROSIS
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: Lyme test - negative
CDC 'Split Type':
Write-up: Rash on arm, joints swollen, aches.
Vaccinated: | 1990-08-07 |
Onset: | 1990-08-07 |
Submitted: | 0000-00-00 |
Entered: | 1990-08-28 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 10215 / - | - / IM |
Administered by: Private Purchased by: Unknown
Symptoms: Arthralgia, Osteoarthritis, Rash
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: Lyme test - negative
CDC 'Split Type':
Write-up: Rash on arm, joints swollen, aches.
Vaccinated: | 1990-08-07 |
Onset: | 1990-08-07 |
Submitted: | 0000-00-00 |
Entered: | 1990-08-28 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 10215 / - UNK | - / IM |
Administered by: Private Purchased by: Unknown
Symptoms: Arthralgia, Osteoarthritis, Rash
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: Lyme test - negative
CDC 'Split Type':
Write-up: Rash on arm, joints swollen, aches.
Vaccinated: | 1990-08-07 |
Onset: | 1990-08-07 |
Submitted: | 0000-00-00 |
Entered: | 1990-08-28 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 10215 / UNK | - / IM |
Administered by: Private Purchased by: Unknown
Symptoms: Arthralgia, Osteoarthritis, Rash
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: Lyme test - negative
CDC 'Split Type':
Write-up: Rash on arm, joints swollen, aches.
Vaccinated: | 1990-08-07 |
Onset: | 1990-08-07 |
Submitted: | 0000-00-00 |
Entered: | 1990-08-28 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 10215 / UNK | - / IM |
Administered by: Private Purchased by: Unknown
Symptoms: Arthralgia, Osteoarthritis, Rash
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: Lyme test - negative
CDC 'Split Type':
Write-up: Rash on arm, joints swollen, aches.
Vaccinated: | 1990-08-07 |
Onset: | 1990-08-07 |
Submitted: | 0000-00-00 |
Entered: | 1990-08-28 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 10215 / UNK | - / IM |
Administered by: Private Purchased by: Unknown
Symptoms: Arthralgia, Osteoarthritis, Rash
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: Lyme test - negative
CDC 'Split Type':
Write-up: Rash on arm, joints swollen, aches.
Vaccinated: | 1990-08-07 |
Onset: | 1990-08-07 |
Submitted: | 0000-00-00 |
Entered: | 1990-08-28 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 10215 / UNK | - / IM |
Administered by: Private Purchased by: Unknown
Symptoms: Arthralgia, Osteoarthritis, Rash
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: Lyme test - negative
CDC 'Split Type':
Write-up: Rash on arm, joints swollen, aches.
Vaccinated: | 1990-08-07 |
Onset: | 1990-08-07 |
Submitted: | 0000-00-00 |
Entered: | 1990-08-28 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 10215 / UNK | - / IM |
Administered by: Private Purchased by: Unknown
Symptoms: Arthralgia, Osteoarthritis, Rash
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: Lyme test - negative
CDC 'Split Type':
Write-up: Rash on arm, joints swollen, aches.
Vaccinated: | 1990-08-07 |
Onset: | 1990-08-07 |
Submitted: | 0000-00-00 |
Entered: | 1990-08-28 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 10215 / UNK | - / IM |
Administered by: Private Purchased by: Unknown
Symptoms: Arthralgia, Osteoarthritis, Rash
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: Lyme test - negative
CDC 'Split Type':
Write-up: Rash on arm, joints swollen, aches.
Vaccinated: | 1990-08-07 |
Onset: | 1990-08-07 |
Submitted: | 0000-00-00 |
Entered: | 1990-08-28 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 10215 / UNK | - / IM |
Administered by: Private Purchased by: Unknown
Symptoms: Arthralgia, Osteoarthritis, Rash
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: Lyme test - negative
CDC 'Split Type':
Write-up: Rash on arm, joints swollen, aches.
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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=25792&WAYBACKHISTORY=ON
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