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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 25985 |
VAERS Form: | |
Age: | 1.3 |
Sex: | Female |
Location: | California |
Vaccinated: | 1990-08-30 |
Onset: | 1990-09-07 |
Submitted: | 1990-09-17 |
Entered: | 1990-09-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HIBV: HIBTITER / LEDERLE(PRAXIS) | M670FB / - | - / - |
MMR: MMR II / MSD | 05605 / - | - / - |
Administered by: Private Purchased by: Unknown
Symptoms: AGITATION, SOMNOLENCE
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt vaccinated with MMR/HIB developed fussiness, clinginess & increased sleepiness. Evaluated in office 12SEP without other signs suggestive of infection date of immunization 30AUG90
Vaccinated: | 1990-08-30 |
Onset: | 1990-09-07 |
Submitted: | 1990-09-17 |
Entered: | 1990-09-25 1990-09-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS | M670FB / - | - / - |
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. | 05605 / - | - / - |
Administered by: Private Purchased by: Unknown Private
Symptoms: Agitation, Somnolence, AGITATION, SOMNOLENCE
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt vaccinated with MMR/HIB developed fussiness, clinginess & increased sleepiness. Evaluated in office 12SEP without other signs suggestive of infection date of immunization 30AUG90
Vaccinated: | 1990-08-30 |
Onset: | 1990-09-07 |
Submitted: | 1990-09-17 |
Entered: | 1990-09-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH | M670FB / - | - / - |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 05605 / - | - / - |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Somnolence
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt vaccinated with MMR/HIB developed fussiness, clinginess & increased sleepiness. Evaluated in office 12SEP without other signs suggestive of infection date of immunization 30AUG90
Vaccinated: | 1990-08-30 |
Onset: | 1990-09-07 |
Submitted: | 1990-09-17 |
Entered: | 1990-09-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M670FB / - UNK | - / - |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 05605 / - UNK | - / - |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Somnolence
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt vaccinated with MMR/HIB developed fussiness, clinginess & increased sleepiness. Evaluated in office 12SEP without other signs suggestive of infection date of immunization 30AUG90
Vaccinated: | 1990-08-30 |
Onset: | 1990-09-07 |
Submitted: | 1990-09-17 |
Entered: | 1990-09-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M670FB / UNK | - / - |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 05605 / UNK | - / - |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Somnolence
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt vaccinated with MMR/HIB developed fussiness, clinginess & increased sleepiness. Evaluated in office 12SEP without other signs suggestive of infection date of immunization 30AUG90
Vaccinated: | 1990-08-30 |
Onset: | 1990-09-07 |
Submitted: | 1990-09-17 |
Entered: | 1990-09-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M670FB / UNK | - / - |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 05605 / UNK | - / - |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Somnolence
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt vaccinated with MMR/HIB developed fussiness, clinginess & increased sleepiness. Evaluated in office 12SEP without other signs suggestive of infection date of immunization 30AUG90
Vaccinated: | 1990-08-30 |
Onset: | 1990-09-07 |
Submitted: | 1990-09-17 |
Entered: | 1990-09-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M670FB / UNK | - / - |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 05605 / UNK | - / - |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Somnolence
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt vaccinated with MMR/HIB developed fussiness, clinginess & increased sleepiness. Evaluated in office 12SEP without other signs suggestive of infection date of immunization 30AUG90
Vaccinated: | 1990-08-30 |
Onset: | 1990-09-07 |
Submitted: | 1990-09-17 |
Entered: | 1990-09-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M670FB / UNK | - / - |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 05605 / UNK | - / - |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Somnolence
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt vaccinated with MMR/HIB developed fussiness, clinginess & increased sleepiness. Evaluated in office 12SEP without other signs suggestive of infection date of immunization 30AUG90
Vaccinated: | 1990-08-30 |
Onset: | 1990-09-07 |
Submitted: | 1990-09-17 |
Entered: | 1990-09-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M670FB / UNK | - / - |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 05605 / UNK | - / - |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Somnolence
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt vaccinated with MMR/HIB developed fussiness, clinginess & increased sleepiness. Evaluated in office 12SEP without other signs suggestive of infection date of immunization 30AUG90
Vaccinated: | 1990-08-30 |
Onset: | 1990-09-07 |
Submitted: | 1990-09-17 |
Entered: | 1990-09-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M670FB / UNK | - / - |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 05605 / UNK | - / - |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Somnolence
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt vaccinated with MMR/HIB developed fussiness, clinginess & increased sleepiness. Evaluated in office 12SEP without other signs suggestive of infection date of immunization 30AUG90
Vaccinated: | 1990-08-30 |
Onset: | 1990-09-07 |
Submitted: | 1990-09-17 |
Entered: | 1990-09-20 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HIBV: HIB (HIBTITER) / PFIZER/WYETH | M670FB / UNK | - / - |
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. | 05605 / UNK | - / - |
Administered by: Private Purchased by: Private
Symptoms: Agitation, Somnolence
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt vaccinated with MMR/HIB developed fussiness, clinginess & increased sleepiness. Evaluated in office 12SEP without other signs suggestive of infection date of immunization 30AUG90
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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=25985&WAYBACKHISTORY=ON
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