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This is VAERS ID 30325

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 30325
VAERS Form:
Age:0.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MR: MR VAX II / MSD 0208S / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: ANOMALY CONGEN, FETAL DIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': NONE

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes


Changed on 12/8/2009

VAERS ID: 30325 Before After
VAERS Form:
Age:0.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-10 1991-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 0208S / - - / -
MR: MR VAX II / MSD 0208S / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder, ANOMALY CONGEN, FETAL DIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': NONE WAES91041891

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes


Changed on 2/4/2011

VAERS ID: 30325 Before After
VAERS Form:
Age:0.0 (blank)
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 0208S / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': WAES91041891

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes


Changed on 2/14/2017

VAERS ID: 30325 Before After
VAERS Form:
Age:(blank) 0.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 0208S / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': WAES91041891

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes


Changed on 5/14/2017

VAERS ID: 30325 Before After
VAERS Form:
Age:0.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 0208S / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': WAES91041891

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes


Changed on 9/14/2017

VAERS ID: 30325 Before After
VAERS Form:(blank) 1
Age:0.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 0208S / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': WAES91041891

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes


Changed on 2/14/2018

VAERS ID: 30325 Before After
VAERS Form:1
Age:0.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 0208S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': WAES91041891

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes


Changed on 6/14/2018

VAERS ID: 30325 Before After
VAERS Form:1
Age:0.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 0208S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': WAES91041891

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes


Changed on 8/14/2018

VAERS ID: 30325 Before After
VAERS Form:1
Age:0.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 0208S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': WAES91041891

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes


Changed on 9/14/2018

VAERS ID: 30325 Before After
VAERS Form:1
Age:0.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 0208S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': WAES91041891

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes


Changed on 10/14/2018

VAERS ID: 30325 Before After
VAERS Form:1
Age:0.0
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 0208S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': WAES91041891

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes


Changed on 7/14/2019

VAERS ID: 30325 Before After
VAERS Form:1
Age:0.0 (blank)
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 0208S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': WAES91041891

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes


Changed on 12/24/2020

VAERS ID: 30325 Before After
VAERS Form:1
Age:
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 0208S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': WAES91041891

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes


Changed on 12/30/2020

VAERS ID: 30325 Before After
VAERS Form:1
Age:
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 0208S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': WAES91041891

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes


Changed on 5/7/2021

VAERS ID: 30325 Before After
VAERS Form:1
Age:
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 0208S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': WAES91041891

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes


Changed on 5/21/2021

VAERS ID: 30325 Before After
VAERS Form:1
Age:
Sex:Male
Location:Pennsylvania
Vaccinated:1990-10-22
Onset:1991-03-29
Submitted:0000-00-00
Entered:1991-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 0208S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Congenital anomaly, Foetal disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: Ultrasound - normal
CDC 'Split Type': WAES91041891

Write-up: MD reported a pregnant 14yo adm MR on 29MAR91 had emergency c-sect due to fetal distress & inc BP WAES90120184; pt born w/pilonidal sinus, mildly deformed lt ear lobe, lt index finger w/only half nail bed, mild micrognathia & nevus flammes

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