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This is VAERS ID 29343

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 29343
VAERS Form:
Age:38.9
Sex:Female
Location:Washington
Vaccinated:1991-01-14
Onset:1991-01-17
Submitted:1991-03-11
Entered:1991-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1884S / - LA / SC
TD: TD ADSORBED, ADULTS / CONNAUGHT LABS 0E21103 / - LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: EDEMA INJECT SITE, NAUSEA, PAIN INJECT SITE, HEADACHE, HEM

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: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NONE

Write-up: Onset swollen tender arm @ inject site, w/h/a, nausea 3rd day post; denied fever, chills; 8 days post inject vomited; broken blood vessels in face;


Changed on 12/8/2009

VAERS ID: 29343 Before After
VAERS Form:
Age:38.9
Sex:Female
Location:Washington
Vaccinated:1991-01-14
Onset:1991-01-17
Submitted:1991-03-11
Entered:1991-03-29 1991-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1884S / - LA / SC
TD: TD ADSORBED, ADULTS TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABS CONNAUGHT LABORATORIES 0E21103 / - LA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Headache, Injection site oedema, Injection site pain, Nausea, Vomiting, Haemorrhage, EDEMA INJECT SITE, NAUSEA, PAIN INJECT SITE, HEADACHE, HEM

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: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NONE WA91527

Write-up: Onset swollen tender arm @ inject site, w/h/a, nausea 3rd day post; denied fever, chills; 8 days post inject vomited; broken blood vessels in face;


Changed on 2/14/2017

VAERS ID: 29343 Before After
VAERS Form:
Age:38.9 38.0
Sex:Female
Location:Washington
Vaccinated:1991-01-14
Onset:1991-01-17
Submitted:1991-03-11
Entered:1991-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1884S / - LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0E21103 / - LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Headache, Injection site oedema, Injection site pain, Nausea, Vomiting, Haemorrhage

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: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA91527

Write-up: Onset swollen tender arm @ inject site, w/h/a, nausea 3rd day post; denied fever, chills; 8 days post inject vomited; broken blood vessels in face;


Changed on 5/14/2017

VAERS ID: 29343 Before After
VAERS Form:
Age:38.0
Sex:Female
Location:Washington
Vaccinated:1991-01-14
Onset:1991-01-17
Submitted:1991-03-11
Entered:1991-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1884S / - LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0E21103 / - LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Headache, Injection site oedema, Injection site pain, Nausea, Vomiting, Haemorrhage

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: NONE NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA91527

Write-up: Onset swollen tender arm @ inject site, w/h/a, nausea 3rd day post; denied fever, chills; 8 days post inject vomited; broken blood vessels in face;


Changed on 9/14/2017

VAERS ID: 29343 Before After
VAERS Form:(blank) 1
Age:38.0
Sex:Female
Location:Washington
Vaccinated:1991-01-14
Onset:1991-01-17
Submitted:1991-03-11
Entered:1991-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1884S / - UNK LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0E21103 / - UNK LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Headache, Injection site oedema, Injection site pain, Nausea, Vomiting, Haemorrhage

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA91527

Write-up: Onset swollen tender arm @ inject site, w/h/a, nausea 3rd day post; denied fever, chills; 8 days post inject vomited; broken blood vessels in face;


Changed on 2/14/2018

VAERS ID: 29343 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Washington
Vaccinated:1991-01-14
Onset:1991-01-17
Submitted:1991-03-11
Entered:1991-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1884S / UNK LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0E21103 / UNK LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Headache, Injection site oedema, Injection site pain, Nausea, Vomiting, Haemorrhage

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA91527

Write-up: Onset swollen tender arm @ inject site, w/h/a, nausea 3rd day post; denied fever, chills; 8 days post inject vomited; broken blood vessels in face;


Changed on 6/14/2018

VAERS ID: 29343 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Washington
Vaccinated:1991-01-14
Onset:1991-01-17
Submitted:1991-03-11
Entered:1991-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1884S / UNK LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0E21103 / UNK LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Headache, Injection site oedema, Injection site pain, Nausea, Vomiting, Haemorrhage

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA91527

Write-up: Onset swollen tender arm @ inject site, w/h/a, nausea 3rd day post; denied fever, chills; 8 days post inject vomited; broken blood vessels in face;


Changed on 8/14/2018

VAERS ID: 29343 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Washington
Vaccinated:1991-01-14
Onset:1991-01-17
Submitted:1991-03-11
Entered:1991-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1884S / UNK LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0E21103 / UNK LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Headache, Injection site oedema, Injection site pain, Nausea, Vomiting, Haemorrhage

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA91527

Write-up: Onset swollen tender arm @ inject site, w/h/a, nausea 3rd day post; denied fever, chills; 8 days post inject vomited; broken blood vessels in face;


Changed on 9/14/2018

VAERS ID: 29343 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Washington
Vaccinated:1991-01-14
Onset:1991-01-17
Submitted:1991-03-11
Entered:1991-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1884S / UNK LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0E21103 / UNK LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Headache, Injection site oedema, Injection site pain, Nausea, Vomiting, Haemorrhage

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA91527

Write-up: Onset swollen tender arm @ inject site, w/h/a, nausea 3rd day post; denied fever, chills; 8 days post inject vomited; broken blood vessels in face;


Changed on 10/14/2018

VAERS ID: 29343 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Washington
Vaccinated:1991-01-14
Onset:1991-01-17
Submitted:1991-03-11
Entered:1991-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1884S / UNK LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0E21103 / UNK LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Headache, Injection site oedema, Injection site pain, Nausea, Vomiting, Haemorrhage

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA91527

Write-up: Onset swollen tender arm @ inject site, w/h/a, nausea 3rd day post; denied fever, chills; 8 days post inject vomited; broken blood vessels in face;


Changed on 12/24/2020

VAERS ID: 29343 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Washington
Vaccinated:1991-01-14
Onset:1991-01-17
Submitted:1991-03-11
Entered:1991-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1884S / UNK LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0E21103 / UNK LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Headache, Injection site oedema, Injection site pain, Nausea, Vomiting, Haemorrhage

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA91527

Write-up: Onset swollen tender arm @ inject site, w/h/a, nausea 3rd day post; denied fever, chills; 8 days post inject vomited; broken blood vessels in face;


Changed on 12/30/2020

VAERS ID: 29343 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Washington
Vaccinated:1991-01-14
Onset:1991-01-17
Submitted:1991-03-11
Entered:1991-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1884S / UNK LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0E21103 / UNK LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Headache, Injection site oedema, Injection site pain, Nausea, Vomiting, Haemorrhage

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA91527

Write-up: Onset swollen tender arm @ inject site, w/h/a, nausea 3rd day post; denied fever, chills; 8 days post inject vomited; broken blood vessels in face;


Changed on 5/7/2021

VAERS ID: 29343 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Washington
Vaccinated:1991-01-14
Onset:1991-01-17
Submitted:1991-03-11
Entered:1991-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1884S / UNK LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0E21103 / UNK LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Headache, Injection site oedema, Injection site pain, Nausea, Vomiting, Haemorrhage

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA91527

Write-up: Onset swollen tender arm @ inject site, w/h/a, nausea 3rd day post; denied fever, chills; 8 days post inject vomited; broken blood vessels in face;


Changed on 5/21/2021

VAERS ID: 29343 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Washington
Vaccinated:1991-01-14
Onset:1991-01-17
Submitted:1991-03-11
Entered:1991-03-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1884S / UNK LA / SC
TD: TD ADSORBED (NO BRAND NAME) / CONNAUGHT LABORATORIES 0E21103 / UNK LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Headache, Injection site oedema, Injection site pain, Nausea, Vomiting, Haemorrhage

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: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WA91527

Write-up: Onset swollen tender arm @ inject site, w/h/a, nausea 3rd day post; denied fever, chills; 8 days post inject vomited; broken blood vessels in face;

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