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This is VAERS ID 25960

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25960
VAERS Form:
Age:1.2
Sex:Female
Location:Kentucky
Vaccinated:1990-08-31
Onset:1990-09-08
Submitted:1990-09-11
Entered:1990-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 16985 / - RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: CONVULS, FEVER, OTITIS MED

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Healthy Child
Allergies:
Diagnostic Lab Data: EEG - Normal 10SEP90
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced generalized seizure associated with fever - otitis media 8 days after MMR administration.


Changed on 12/8/2009

VAERS ID: 25960 Before After
VAERS Form:
Age:1.2
Sex:Female
Location:Kentucky
Vaccinated:1990-08-31
Onset:1990-09-08
Submitted:1990-09-11
Entered:1990-09-20 1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 16985 / - RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Otitis media, Pyrexia, CONVULS, FEVER, OTITIS MED

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Healthy Child
Allergies:
Diagnostic Lab Data: EEG - Normal 10SEP90
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced generalized seizure associated with fever - otitis media 8 days after MMR administration.


Changed on 5/14/2017

VAERS ID: 25960 Before After
VAERS Form:
Age:1.2
Sex:Female
Location:Kentucky
Vaccinated:1990-08-31
Onset:1990-09-08
Submitted:1990-09-11
Entered:1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 16985 / - RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Otitis media, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Healthy Child
Allergies:
Diagnostic Lab Data: EEG - Normal 10SEP90
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced generalized seizure associated with fever - otitis media 8 days after MMR administration.


Changed on 9/14/2017

VAERS ID: 25960 Before After
VAERS Form:(blank) 1
Age:1.2
Sex:Female
Location:Kentucky
Vaccinated:1990-08-31
Onset:1990-09-08
Submitted:1990-09-11
Entered:1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 16985 / - UNK RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Otitis media, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Healthy Child
Allergies:
Diagnostic Lab Data: EEG - Normal 10SEP90
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced generalized seizure associated with fever - otitis media 8 days after MMR administration.


Changed on 2/14/2018

VAERS ID: 25960 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Kentucky
Vaccinated:1990-08-31
Onset:1990-09-08
Submitted:1990-09-11
Entered:1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 16985 / UNK RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Otitis media, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Healthy Child
Allergies:
Diagnostic Lab Data: EEG - Normal 10SEP90
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced generalized seizure associated with fever - otitis media 8 days after MMR administration.


Changed on 6/14/2018

VAERS ID: 25960 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Kentucky
Vaccinated:1990-08-31
Onset:1990-09-08
Submitted:1990-09-11
Entered:1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 16985 / UNK RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Otitis media, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Healthy Child
Allergies:
Diagnostic Lab Data: EEG - Normal 10SEP90
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced generalized seizure associated with fever - otitis media 8 days after MMR administration.


Changed on 8/14/2018

VAERS ID: 25960 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Kentucky
Vaccinated:1990-08-31
Onset:1990-09-08
Submitted:1990-09-11
Entered:1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 16985 / UNK RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Otitis media, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Healthy Child
Allergies:
Diagnostic Lab Data: EEG - Normal 10SEP90
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced generalized seizure associated with fever - otitis media 8 days after MMR administration.


Changed on 9/14/2018

VAERS ID: 25960 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Kentucky
Vaccinated:1990-08-31
Onset:1990-09-08
Submitted:1990-09-11
Entered:1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 16985 / UNK RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Otitis media, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Healthy Child
Allergies:
Diagnostic Lab Data: EEG - Normal 10SEP90
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced generalized seizure associated with fever - otitis media 8 days after MMR administration.


Changed on 10/14/2018

VAERS ID: 25960 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Kentucky
Vaccinated:1990-08-31
Onset:1990-09-08
Submitted:1990-09-11
Entered:1990-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 16985 / UNK RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Otitis media, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Healthy Child
Allergies:
Diagnostic Lab Data: EEG - Normal 10SEP90
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced generalized seizure associated with fever - otitis media 8 days after MMR administration.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=25960&WAYBACKHISTORY=ON


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