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This is VAERS ID 26122

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26122
VAERS Form:
Age:18.0
Sex:Male
Location:California
Vaccinated:1990-07-20
Onset:1990-08-29
Submitted:1990-09-06
Entered:1990-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: UNK. MEASLES, MUMPS & RUBELLA VIRUS LIVE / UNCLASSIFIED - / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, ORCHITIS

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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Viral Cultures of blood & Urine pending At LA County Urology lab.
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR developed bilateral orchitis one mo folowing MMR vaccination. Temp 101 L testicle 1XN size tender. Also tender epididymison on lt. Seen by Dr 29AUG90 treated w/Motrin & bactrim DS; F-UP 6SEP90 complete resolution.


Changed on 12/8/2009

VAERS ID: 26122 Before After
VAERS Form:
Age:18.0
Sex:Male
Location:California
Vaccinated:1990-07-20
Onset:1990-08-29
Submitted:1990-09-06
Entered:1990-10-02 1990-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: UNK. MEASLES, MUMPS & RUBELLA VIRUS LIVE MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Orchitis, Pyrexia, FEVER, ORCHITIS

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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Viral Cultures of blood & Urine pending At LA County Urology lab.
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR developed bilateral orchitis one mo folowing MMR vaccination. Temp 101 L testicle 1XN size tender. Also tender epididymison on lt. Seen by Dr 29AUG90 treated w/Motrin & bactrim DS; F-UP 6SEP90 complete resolution.


Changed on 5/14/2017

VAERS ID: 26122 Before After
VAERS Form:
Age:18.0
Sex:Male
Location:California
Vaccinated:1990-07-20
Onset:1990-08-29
Submitted:1990-09-06
Entered:1990-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Orchitis, Pyrexia

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Viral Cultures of blood & Urine pending At LA County Urology lab.
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR developed bilateral orchitis one mo folowing MMR vaccination. Temp 101 L testicle 1XN size tender. Also tender epididymison on lt. Seen by Dr 29AUG90 treated w/Motrin & bactrim DS; F-UP 6SEP90 complete resolution.


Changed on 9/14/2017

VAERS ID: 26122 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Male
Location:California
Vaccinated:1990-07-20
Onset:1990-08-29
Submitted:1990-09-06
Entered:1990-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Orchitis, Pyrexia

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Viral Cultures of blood & Urine pending At LA County Urology lab.
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR developed bilateral orchitis one mo folowing MMR vaccination. Temp 101 L testicle 1XN size tender. Also tender epididymison on lt. Seen by Dr 29AUG90 treated w/Motrin & bactrim DS; F-UP 6SEP90 complete resolution.


Changed on 2/14/2018

VAERS ID: 26122 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:California
Vaccinated:1990-07-20
Onset:1990-08-29
Submitted:1990-09-06
Entered:1990-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Orchitis, Pyrexia

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Viral Cultures of blood & Urine pending At LA County Urology lab.
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR developed bilateral orchitis one mo folowing MMR vaccination. Temp 101 L testicle 1XN size tender. Also tender epididymison on lt. Seen by Dr 29AUG90 treated w/Motrin & bactrim DS; F-UP 6SEP90 complete resolution.


Changed on 6/14/2018

VAERS ID: 26122 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:California
Vaccinated:1990-07-20
Onset:1990-08-29
Submitted:1990-09-06
Entered:1990-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Orchitis, Pyrexia

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Viral Cultures of blood & Urine pending At LA County Urology lab.
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR developed bilateral orchitis one mo folowing MMR vaccination. Temp 101 L testicle 1XN size tender. Also tender epididymison on lt. Seen by Dr 29AUG90 treated w/Motrin & bactrim DS; F-UP 6SEP90 complete resolution.


Changed on 8/14/2018

VAERS ID: 26122 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:California
Vaccinated:1990-07-20
Onset:1990-08-29
Submitted:1990-09-06
Entered:1990-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Orchitis, Pyrexia

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Viral Cultures of blood & Urine pending At LA County Urology lab.
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR developed bilateral orchitis one mo folowing MMR vaccination. Temp 101 L testicle 1XN size tender. Also tender epididymison on lt. Seen by Dr 29AUG90 treated w/Motrin & bactrim DS; F-UP 6SEP90 complete resolution.


Changed on 9/14/2018

VAERS ID: 26122 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:California
Vaccinated:1990-07-20
Onset:1990-08-29
Submitted:1990-09-06
Entered:1990-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Orchitis, Pyrexia

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Viral Cultures of blood & Urine pending At LA County Urology lab.
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR developed bilateral orchitis one mo folowing MMR vaccination. Temp 101 L testicle 1XN size tender. Also tender epididymison on lt. Seen by Dr 29AUG90 treated w/Motrin & bactrim DS; F-UP 6SEP90 complete resolution.


Changed on 10/14/2018

VAERS ID: 26122 Before After
VAERS Form:1
Age:18.0
Sex:Male
Location:California
Vaccinated:1990-07-20
Onset:1990-08-29
Submitted:1990-09-06
Entered:1990-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Orchitis, Pyrexia

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Viral Cultures of blood & Urine pending At LA County Urology lab.
CDC 'Split Type':

Write-up: Pt vaccinated w/MMR developed bilateral orchitis one mo folowing MMR vaccination. Temp 101 L testicle 1XN size tender. Also tender epididymison on lt. Seen by Dr 29AUG90 treated w/Motrin & bactrim DS; F-UP 6SEP90 complete resolution.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=26122&WAYBACKHISTORY=ON


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