National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 26027

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26027
VAERS Form:
Age:1.4
Sex:Male
Location:Illinois
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-13
Entered:1990-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER / LEDERLE(PRAXIS) M030FC / - A / IM
MMR: MMR II / MSD 1705S / 0 A / SC

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, INJECT SITE REACT, VOMIT, RASH, ANOREXIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: no previous reaction
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shot lt arm red, the day /p red streak from shot to elbow, throwing up. Won''t eat or anything. Real cranky, erythematous skin, Rxn to MMR


Changed on 12/30/2006

VAERS ID: 26027 Before After
VAERS Form:
Age:1.4
Sex:Male
Location:Illinois
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-13
Entered:1990-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER / LEDERLE(PRAXIS) M030FC / - A / IM
MMR: MMR II / MSD 1705S / 0 A / SC

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, INJECT SITE REACT, VOMIT, RASH, ANOREXIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: no previous reaction
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shot lt arm red, the day /p red streak from shot to elbow, throwing up. Won''t Won''''t eat or anything. Real cranky, erythematous skin, Rxn to MMR


Changed on 12/8/2009

VAERS ID: 26027 Before After
VAERS Form:
Age:1.4
Sex:Male
Location:Illinois
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-13
Entered:1990-09-25 1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIBTITER HIB (HIBTITER) / LEDERLE(PRAXIS) LEDERLE PRAXSIS M030FC / - A / IM
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1705S / 0 A / SC

Administered by: Private      Purchased by: Unknown Public
Symptoms: Agitation, Anorexia, Injection site reaction, Rash, Vomiting, AGITATION, INJECT SITE REACT, VOMIT, RASH, ANOREXIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: no previous reaction
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shot lt arm red, the day /p red streak from shot to elbow, throwing up. Won''''t Won''t eat or anything. Real cranky, erythematous skin, Rxn to MMR


Changed on 5/14/2017

VAERS ID: 26027 Before After
VAERS Form:
Age:1.4
Sex:Male
Location:Illinois
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-13
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / LEDERLE PRAXSIS PFIZER/WYETH M030FC / - A - / IM IM A
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1705S / 0 A - / SC SC A

Administered by: Private      Purchased by: Public
Symptoms: Agitation, Anorexia, Injection site reaction, Rash, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: no previous reaction reaction~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shot lt arm red, the day /p red streak from shot to elbow, throwing up. Won''t eat or anything. Real cranky, erythematous skin, Rxn to MMR


Changed on 9/14/2017

VAERS ID: 26027 Before After
VAERS Form:(blank) 1
Age:1.4
Sex:Male
Location:Illinois
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-13
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / - UNK - / IM A
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1705S / 0 1 - / SC A

Administered by: Private      Purchased by: Public
Symptoms: Agitation, Anorexia, Injection site reaction, Rash, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: no previous reaction~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shot lt arm red, the day /p red streak from shot to elbow, throwing up. Won''t eat or anything. Real cranky, erythematous skin, Rxn to MMR


Changed on 2/14/2018

VAERS ID: 26027 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Illinois
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-13
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / UNK - / IM A
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1705S / 1 - / SC A

Administered by: Private      Purchased by: Public
Symptoms: Agitation, Anorexia, Injection site reaction, Rash, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: no previous reaction~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shot lt arm red, the day /p red streak from shot to elbow, throwing up. Won''t eat or anything. Real cranky, erythematous skin, Rxn to MMR


Changed on 6/14/2018

VAERS ID: 26027 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Illinois
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-13
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / UNK - / IM A
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1705S / 1 - / SC A

Administered by: Private      Purchased by: Public
Symptoms: Agitation, Anorexia, Injection site reaction, Rash, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: no previous reaction~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shot lt arm red, the day /p red streak from shot to elbow, throwing up. Won''t eat or anything. Real cranky, erythematous skin, Rxn to MMR


Changed on 8/14/2018

VAERS ID: 26027 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Illinois
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-13
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / UNK - / IM A
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1705S / 1 - / SC A

Administered by: Private      Purchased by: Public
Symptoms: Agitation, Anorexia, Injection site reaction, Rash, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: no previous reaction~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shot lt arm red, the day /p red streak from shot to elbow, throwing up. Won''t eat or anything. Real cranky, erythematous skin, Rxn to MMR


Changed on 9/14/2018

VAERS ID: 26027 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Illinois
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-13
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / UNK - / IM A
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1705S / 1 - / SC A

Administered by: Private      Purchased by: Public
Symptoms: Agitation, Anorexia, Injection site reaction, Rash, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: no previous reaction~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shot lt arm red, the day /p red streak from shot to elbow, throwing up. Won''t eat or anything. Real cranky, erythematous skin, Rxn to MMR


Changed on 10/14/2018

VAERS ID: 26027 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Illinois
Vaccinated:1990-09-12
Onset:1990-09-12
Submitted:1990-09-13
Entered:1990-09-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: HIB (HIBTITER) / PFIZER/WYETH M030FC / UNK - / IM A
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1705S / 1 - / SC A

Administered by: Private      Purchased by: Public
Symptoms: Agitation, Anorexia, Injection site reaction, Rash, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: no previous reaction~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Shot lt arm red, the day /p red streak from shot to elbow, throwing up. Won''t eat or anything. Real cranky, erythematous skin, Rxn to MMR

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=26027&WAYBACKHISTORY=ON


Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166