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This is VAERS ID 33909

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History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 33909
VAERS Form:
Age:38.4
Sex:Female
Location:Kansas
Vaccinated:1989-08-08
Onset:1989-09-09
Submitted:1991-08-15
Entered:1991-08-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, ARTHRALGIA, AMBLYOPIA, AMNESIA, ABORTION

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: UNK
Other Medications: Pain pills
Current Illness: pregnant
Preexisting Conditions: rxn to ATB
Allergies:
Diagnostic Lab Data: alot
CDC 'Split Type': rxn to ATB

Write-up: Pt exp rashes, fevers, numbness & tingling in arms & legs, sore throat, joint & muscle pains, in fingers & toes also, h/a, chest pains severe @ times;


Changed on 12/8/2009

VAERS ID: 33909 Before After
VAERS Form:
Age:38.4
Sex:Female
Location:Kansas
Vaccinated:1989-08-08
Onset:1989-09-09
Submitted:1991-08-15
Entered:1991-08-21 1991-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / - RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abortion, Amblyopia, Amnesia, Arthralgia, Chest pain, Myalgia, Paraesthesia, Pyrexia, FEVER, ARTHRALGIA, AMBLYOPIA, AMNESIA, ABORTION

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: UNK
Other Medications: Pain pills
Current Illness: pregnant
Preexisting Conditions: rxn to ATB
Allergies:
Diagnostic Lab Data: alot
CDC 'Split Type': rxn to ATB (blank)

Write-up: Pt exp rashes, fevers, numbness & tingling in arms & legs, sore throat, joint & muscle pains, in fingers & toes also, h/a, chest pains severe @ times;


Changed on 2/14/2017

VAERS ID: 33909 Before After
VAERS Form:
Age:38.4 38.0
Sex:Female
Location:Kansas
Vaccinated:1989-08-08
Onset:1989-09-09
Submitted:1991-08-15
Entered:1991-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abortion, Amblyopia, Amnesia, Arthralgia, Chest pain, Myalgia, Paraesthesia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: UNK
Other Medications: Pain pills
Current Illness: pregnant
Preexisting Conditions: rxn to ATB
Allergies:
Diagnostic Lab Data: alot
CDC 'Split Type':

Write-up: Pt exp rashes, fevers, numbness & tingling in arms & legs, sore throat, joint & muscle pains, in fingers & toes also, h/a, chest pains severe @ times;


Changed on 5/14/2017

VAERS ID: 33909 Before After
VAERS Form:
Age:38.0
Sex:Female
Location:Kansas
Vaccinated:1989-08-08
Onset:1989-09-09
Submitted:1991-08-15
Entered:1991-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abortion, Amblyopia, Amnesia, Arthralgia, Chest pain, Myalgia, Paraesthesia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: UNK UNK~ ()~~~In patient
Other Medications: Pain pills
Current Illness: pregnant
Preexisting Conditions: rxn to ATB
Allergies:
Diagnostic Lab Data: alot
CDC 'Split Type':

Write-up: Pt exp rashes, fevers, numbness & tingling in arms & legs, sore throat, joint & muscle pains, in fingers & toes also, h/a, chest pains severe @ times;


Changed on 9/14/2017

VAERS ID: 33909 Before After
VAERS Form:(blank) 1
Age:38.0
Sex:Female
Location:Kansas
Vaccinated:1989-08-08
Onset:1989-09-09
Submitted:1991-08-15
Entered:1991-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abortion, Amblyopia, Amnesia, Arthralgia, Chest pain, Myalgia, Paraesthesia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: Pain pills
Current Illness: pregnant
Preexisting Conditions: rxn to ATB
Allergies:
Diagnostic Lab Data: alot
CDC 'Split Type':

Write-up: Pt exp rashes, fevers, numbness & tingling in arms & legs, sore throat, joint & muscle pains, in fingers & toes also, h/a, chest pains severe @ times;


Changed on 2/14/2018

VAERS ID: 33909 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Kansas
Vaccinated:1989-08-08
Onset:1989-09-09
Submitted:1991-08-15
Entered:1991-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abortion, Amblyopia, Amnesia, Arthralgia, Chest pain, Myalgia, Paraesthesia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: Pain pills
Current Illness: pregnant
Preexisting Conditions: rxn to ATB
Allergies:
Diagnostic Lab Data: alot
CDC 'Split Type':

Write-up: Pt exp rashes, fevers, numbness & tingling in arms & legs, sore throat, joint & muscle pains, in fingers & toes also, h/a, chest pains severe @ times;


Changed on 6/14/2018

VAERS ID: 33909 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Kansas
Vaccinated:1989-08-08
Onset:1989-09-09
Submitted:1991-08-15
Entered:1991-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abortion, Amblyopia, Amnesia, Arthralgia, Chest pain, Myalgia, Paraesthesia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: Pain pills
Current Illness: pregnant
Preexisting Conditions: rxn to ATB
Allergies:
Diagnostic Lab Data: alot
CDC 'Split Type':

Write-up: Pt exp rashes, fevers, numbness & tingling in arms & legs, sore throat, joint & muscle pains, in fingers & toes also, h/a, chest pains severe @ times;


Changed on 8/14/2018

VAERS ID: 33909 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Kansas
Vaccinated:1989-08-08
Onset:1989-09-09
Submitted:1991-08-15
Entered:1991-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abortion, Amblyopia, Amnesia, Arthralgia, Chest pain, Myalgia, Paraesthesia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: Pain pills
Current Illness: pregnant
Preexisting Conditions: rxn to ATB
Allergies:
Diagnostic Lab Data: alot
CDC 'Split Type':

Write-up: Pt exp rashes, fevers, numbness & tingling in arms & legs, sore throat, joint & muscle pains, in fingers & toes also, h/a, chest pains severe @ times;


Changed on 9/14/2018

VAERS ID: 33909 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Kansas
Vaccinated:1989-08-08
Onset:1989-09-09
Submitted:1991-08-15
Entered:1991-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abortion, Amblyopia, Amnesia, Arthralgia, Chest pain, Myalgia, Paraesthesia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: Pain pills
Current Illness: pregnant
Preexisting Conditions: rxn to ATB
Allergies:
Diagnostic Lab Data: alot
CDC 'Split Type':

Write-up: Pt exp rashes, fevers, numbness & tingling in arms & legs, sore throat, joint & muscle pains, in fingers & toes also, h/a, chest pains severe @ times;


Changed on 10/14/2018

VAERS ID: 33909 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Kansas
Vaccinated:1989-08-08
Onset:1989-09-09
Submitted:1991-08-15
Entered:1991-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abortion, Amblyopia, Amnesia, Arthralgia, Chest pain, Myalgia, Paraesthesia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: Pain pills
Current Illness: pregnant
Preexisting Conditions: rxn to ATB
Allergies:
Diagnostic Lab Data: alot
CDC 'Split Type':

Write-up: Pt exp rashes, fevers, numbness & tingling in arms & legs, sore throat, joint & muscle pains, in fingers & toes also, h/a, chest pains severe @ times;


Changed on 12/24/2020

VAERS ID: 33909 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Kansas
Vaccinated:1989-08-08
Onset:1989-09-09
Submitted:1991-08-15
Entered:1991-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abortion, Amblyopia, Amnesia, Arthralgia, Chest pain, Myalgia, Paraesthesia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: Pain pills
Current Illness: pregnant
Preexisting Conditions: rxn to ATB
Allergies:
Diagnostic Lab Data: alot
CDC 'Split Type':

Write-up: Pt exp rashes, fevers, numbness & tingling in arms & legs, sore throat, joint & muscle pains, in fingers & toes also, h/a, chest pains severe @ times;


Changed on 12/30/2020

VAERS ID: 33909 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Kansas
Vaccinated:1989-08-08
Onset:1989-09-09
Submitted:1991-08-15
Entered:1991-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abortion, Amblyopia, Amnesia, Arthralgia, Chest pain, Myalgia, Paraesthesia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: Pain pills
Current Illness: pregnant
Preexisting Conditions: rxn to ATB
Allergies:
Diagnostic Lab Data: alot
CDC 'Split Type':

Write-up: Pt exp rashes, fevers, numbness & tingling in arms & legs, sore throat, joint & muscle pains, in fingers & toes also, h/a, chest pains severe @ times;


Changed on 5/7/2021

VAERS ID: 33909 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Kansas
Vaccinated:1989-08-08
Onset:1989-09-09
Submitted:1991-08-15
Entered:1991-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abortion, Amblyopia, Amnesia, Arthralgia, Chest pain, Myalgia, Paraesthesia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: Pain pills
Current Illness: pregnant
Preexisting Conditions: rxn to ATB
Allergies:
Diagnostic Lab Data: alot
CDC 'Split Type':

Write-up: Pt exp rashes, fevers, numbness & tingling in arms & legs, sore throat, joint & muscle pains, in fingers & toes also, h/a, chest pains severe @ times;


Changed on 5/14/2021

VAERS ID: 33909 Before After
VAERS Form:1
Age:38.0
Sex:Female
Location:Kansas
Vaccinated:1989-08-08
Onset:1989-09-09
Submitted:1991-08-15
Entered:1991-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Abortion, Amblyopia, Amnesia, Arthralgia, Chest pain, Myalgia, Paraesthesia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications: Pain pills
Current Illness: pregnant
Preexisting Conditions: rxn to ATB
Allergies:
Diagnostic Lab Data: alot
CDC 'Split Type':

Write-up: Pt exp rashes, fevers, numbness & tingling in arms & legs, sore throat, joint & muscle pains, in fingers & toes also, h/a, chest pains severe @ times;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=33909&WAYBACKHISTORY=ON


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