National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 76587

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 76587
VAERS Form:
Age:11.6
Sex:Female
Location:Florida
Vaccinated:1995-03-08
Onset:1995-04-05
Submitted:1995-08-08
Entered:1995-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB / MSD 0455W / 0 LA / -
MMR: MMR II / MSD 0735P / 1 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, PAIN, SGOT INC, HEPATOMEGALY, CARCINOMA

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1995-06-19
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 26     Extended hospital stay? No
Previous Vaccinations: none
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: lab work done, positive for strep
CDC 'Split Type': none

Write-up: pt recv vax;about 4-5 wk p/ vax pt c/o pain in her rt side,not better,hosp,dx w/ cancer;mom thinks vax triggered cancer;c/o pharyngitis,v,dec appetite;significant weight dec;pain abd;T 99.3;back pain;pt died from renal cell carcinoma;


Changed on 12/8/2009

VAERS ID: 76587 Before After
VAERS Form:
Age:11.6
Sex:Female
Location:Florida
Vaccinated:1995-03-08
Onset:1995-04-05
Submitted:1995-08-08
Entered:1995-08-15 1995-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: RECOMBIVAX HB HEP B (RECOMBIVAX HB) / MSD MERCK & CO. INC. 0455W / 0 LA / -
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0735P / 1 LA / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Aspartate aminotransferase increased, Hepatomegaly, Neoplasm malignant, Pain, Pyrexia, Splenomegaly, Vomiting, Weight decreased, FEVER, PAIN, SGOT INC, HEPATOMEGALY, CARCINOMA

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1995-06-19
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 26     Extended hospital stay? No
Previous Vaccinations: none
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: lab work done, positive for strep
CDC 'Split Type': none (blank)

Write-up: pt recv vax;about 4-5 wk p/ vax pt c/o pain in her rt side,not better,hosp,dx w/ cancer;mom thinks vax triggered cancer;c/o pharyngitis,v,dec appetite;significant weight dec;pain abd;T 99.3;back pain;pt died from renal cell carcinoma;


Changed on 2/14/2017

VAERS ID: 76587 Before After
VAERS Form:
Age:11.6 11.0
Sex:Female
Location:Florida
Vaccinated:1995-03-08
Onset:1995-04-05
Submitted:1995-08-08
Entered:1995-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0455W / 0 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0735P / 1 LA / -

Administered by: Private      Purchased by: Other
Symptoms: Aspartate aminotransferase increased, Hepatomegaly, Neoplasm malignant, Pain, Pyrexia, Splenomegaly, Vomiting, Weight decreased

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1995-06-19
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 26     Extended hospital stay? No
Previous Vaccinations: none
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: lab work done, positive for strep
CDC 'Split Type':

Write-up: pt recv vax;about 4-5 wk p/ vax pt c/o pain in her rt side,not better,hosp,dx w/ cancer;mom thinks vax triggered cancer;c/o pharyngitis,v,dec appetite;significant weight dec;pain abd;T 99.3;back pain;pt died from renal cell carcinoma;


Changed on 5/14/2017

VAERS ID: 76587 Before After
VAERS Form:
Age:11.0
Sex:Female
Location:Florida
Vaccinated:1995-03-08
Onset:1995-04-05
Submitted:1995-08-08
Entered:1995-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0455W / 0 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0735P / 1 LA / -

Administered by: Private      Purchased by: Other
Symptoms: Aspartate aminotransferase increased, Hepatomegaly, Neoplasm malignant, Pain, Pyrexia, Splenomegaly, Vomiting, Weight decreased

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1995-06-19
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 26     Extended hospital stay? No
Previous Vaccinations: none none~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: lab work done, positive for strep
CDC 'Split Type':

Write-up: pt recv vax;about 4-5 wk p/ vax pt c/o pain in her rt side,not better,hosp,dx w/ cancer;mom thinks vax triggered cancer;c/o pharyngitis,v,dec appetite;significant weight dec;pain abd;T 99.3;back pain;pt died from renal cell carcinoma;


Changed on 9/14/2017

VAERS ID: 76587 Before After
VAERS Form:(blank) 1
Age:11.0
Sex:Female
Location:Florida
Vaccinated:1995-03-08
Onset:1995-04-05
Submitted:1995-08-08
Entered:1995-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0455W / 0 1 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0735P / 1 2 LA / -

Administered by: Private      Purchased by: Other
Symptoms: Aspartate aminotransferase increased, Hepatomegaly, Neoplasm malignant, Pain, Pyrexia, Splenomegaly, Vomiting, Weight decreased

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1995-06-19
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 26     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: lab work done, positive for strep
CDC 'Split Type':

Write-up: pt recv vax;about 4-5 wk p/ vax pt c/o pain in her rt side,not better,hosp,dx w/ cancer;mom thinks vax triggered cancer;c/o pharyngitis,v,dec appetite;significant weight dec;pain abd;T 99.3;back pain;pt died from renal cell carcinoma;


Changed on 2/14/2018

VAERS ID: 76587 Before After
VAERS Form:1
Age:11.0
Sex:Female
Location:Florida
Vaccinated:1995-03-08
Onset:1995-04-05
Submitted:1995-08-08
Entered:1995-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0455W / 1 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0735P / 2 LA / -

Administered by: Private      Purchased by: Other
Symptoms: Aspartate aminotransferase increased, Hepatomegaly, Neoplasm malignant, Pain, Pyrexia, Splenomegaly, Vomiting, Weight decreased

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1995-06-19
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 26     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: lab work done, positive for strep
CDC 'Split Type':

Write-up: pt recv vax;about 4-5 wk p/ vax pt c/o pain in her rt side,not better,hosp,dx w/ cancer;mom thinks vax triggered cancer;c/o pharyngitis,v,dec appetite;significant weight dec;pain abd;T 99.3;back pain;pt died from renal cell carcinoma;


Changed on 6/14/2018

VAERS ID: 76587 Before After
VAERS Form:1
Age:11.0
Sex:Female
Location:Florida
Vaccinated:1995-03-08
Onset:1995-04-05
Submitted:1995-08-08
Entered:1995-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0455W / 1 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0735P / 2 LA / -

Administered by: Private      Purchased by: Other
Symptoms: Aspartate aminotransferase increased, Hepatomegaly, Neoplasm malignant, Pain, Pyrexia, Splenomegaly, Vomiting, Weight decreased

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1995-06-19
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 26     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: lab work done, positive for strep
CDC 'Split Type':

Write-up: pt recv vax;about 4-5 wk p/ vax pt c/o pain in her rt side,not better,hosp,dx w/ cancer;mom thinks vax triggered cancer;c/o pharyngitis,v,dec appetite;significant weight dec;pain abd;T 99.3;back pain;pt died from renal cell carcinoma;


Changed on 8/14/2018

VAERS ID: 76587 Before After
VAERS Form:1
Age:11.0
Sex:Female
Location:Florida
Vaccinated:1995-03-08
Onset:1995-04-05
Submitted:1995-08-08
Entered:1995-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0455W / 1 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0735P / 2 LA / -

Administered by: Private      Purchased by: Other
Symptoms: Aspartate aminotransferase increased, Hepatomegaly, Neoplasm malignant, Pain, Pyrexia, Splenomegaly, Vomiting, Weight decreased

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1995-06-19
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 26     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: lab work done, positive for strep
CDC 'Split Type':

Write-up: pt recv vax;about 4-5 wk p/ vax pt c/o pain in her rt side,not better,hosp,dx w/ cancer;mom thinks vax triggered cancer;c/o pharyngitis,v,dec appetite;significant weight dec;pain abd;T 99.3;back pain;pt died from renal cell carcinoma;


Changed on 9/14/2018

VAERS ID: 76587 Before After
VAERS Form:1
Age:11.0
Sex:Female
Location:Florida
Vaccinated:1995-03-08
Onset:1995-04-05
Submitted:1995-08-08
Entered:1995-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0455W / 1 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0735P / 2 LA / -

Administered by: Private      Purchased by: Other
Symptoms: Aspartate aminotransferase increased, Hepatomegaly, Neoplasm malignant, Pain, Pyrexia, Splenomegaly, Vomiting, Weight decreased

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1995-06-19
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 26     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: lab work done, positive for strep
CDC 'Split Type':

Write-up: pt recv vax;about 4-5 wk p/ vax pt c/o pain in her rt side,not better,hosp,dx w/ cancer;mom thinks vax triggered cancer;c/o pharyngitis,v,dec appetite;significant weight dec;pain abd;T 99.3;back pain;pt died from renal cell carcinoma;


Changed on 10/14/2018

VAERS ID: 76587 Before After
VAERS Form:1
Age:11.0
Sex:Female
Location:Florida
Vaccinated:1995-03-08
Onset:1995-04-05
Submitted:1995-08-08
Entered:1995-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 0455W / 1 LA / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0735P / 2 LA / -

Administered by: Private      Purchased by: Other
Symptoms: Aspartate aminotransferase increased, Hepatomegaly, Neoplasm malignant, Pain, Pyrexia, Splenomegaly, Vomiting, Weight decreased

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:1995-06-19
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 26     Extended hospital stay? No
Previous Vaccinations: none~ ()~~~In patient
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: lab work done, positive for strep
CDC 'Split Type':

Write-up: pt recv vax;about 4-5 wk p/ vax pt c/o pain in her rt side,not better,hosp,dx w/ cancer;mom thinks vax triggered cancer;c/o pharyngitis,v,dec appetite;significant weight dec;pain abd;T 99.3;back pain;pt died from renal cell carcinoma;

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=76587&WAYBACKHISTORY=ON


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166