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This is VAERS ID 114283

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 114283
VAERS Form:
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-09-17
Entered:1998-09-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, INFECT, DYSPNEA, COUGH INC, LAB TEST ABNORM

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
Other Medications: unk
Current Illness:
Preexisting Conditions: human immunodeficiency virus infection
Allergies:
Diagnostic Lab Data: CXR parenchymal nodules;diagnostic microbiology cytopathic changes characteristic of measles infect;physical exam basilar pulmonary rales;pulmonary biopsy numerous multinucleated giant cells;
CDC 'Split Type':

Write-up: vaccine associated measles pneumonitis in adult w/AIDS;approx 1yr p/vax pt w/cough, dyspnea & fever;exam revealed pulmonary rales & chest x-ray showed parenchymal nodules;analysis of lung biopsy showed multinucleated giant cells;


Changed on 12/8/2009

VAERS ID: 114283 Before After
VAERS Form:
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-09-17
Entered:1998-09-23 1998-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cough, Dyspnoea, Infection, Laboratory test abnormal, Lung disorder, Pneumonia, Pyrexia, FEVER, INFECT, DYSPNEA, COUGH INC, LAB TEST ABNORM

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
Other Medications: unk
Current Illness:
Preexisting Conditions: human immunodeficiency virus infection
Allergies:
Diagnostic Lab Data: CXR parenchymal nodules;diagnostic microbiology cytopathic changes characteristic of measles infect;physical exam basilar pulmonary rales;pulmonary biopsy numerous multinucleated giant cells;
CDC 'Split Type': (blank) WAES98090695

Write-up: vaccine associated measles pneumonitis in adult w/AIDS;approx 1yr p/vax pt w/cough, dyspnea & fever;exam revealed pulmonary rales & chest x-ray showed parenchymal nodules;analysis of lung biopsy showed multinucleated giant cells;


Changed on 5/14/2017

VAERS ID: 114283 Before After
VAERS Form:
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-09-17
Entered:1998-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cough, Dyspnoea, Infection, Laboratory test abnormal, Lung disorder, Pneumonia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: ~ ()~~~In patient
Other Medications: unk
Current Illness:
Preexisting Conditions: human immunodeficiency virus infection
Allergies:
Diagnostic Lab Data: CXR parenchymal nodules;diagnostic microbiology cytopathic changes characteristic of measles infect;physical exam basilar pulmonary rales;pulmonary biopsy numerous multinucleated giant cells;
CDC 'Split Type': WAES98090695

Write-up: vaccine associated measles pneumonitis in adult w/AIDS;approx 1yr p/vax pt w/cough, dyspnea & fever;exam revealed pulmonary rales & chest x-ray showed parenchymal nodules;analysis of lung biopsy showed multinucleated giant cells;


Changed on 9/14/2017

VAERS ID: 114283 Before After
VAERS Form:(blank) 1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-09-17
Entered:1998-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cough, Dyspnoea, Infection, Laboratory test abnormal, Lung disorder, Pneumonia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: ~ ()~~~In patient
Other Medications: unk
Current Illness:
Preexisting Conditions: human immunodeficiency virus infection
Allergies:
Diagnostic Lab Data: CXR parenchymal nodules;diagnostic microbiology cytopathic changes characteristic of measles infect;physical exam basilar pulmonary rales;pulmonary biopsy numerous multinucleated giant cells;
CDC 'Split Type': WAES98090695

Write-up: vaccine associated measles pneumonitis in adult w/AIDS;approx 1yr p/vax pt w/cough, dyspnea & fever;exam revealed pulmonary rales & chest x-ray showed parenchymal nodules;analysis of lung biopsy showed multinucleated giant cells;


Changed on 2/14/2018

VAERS ID: 114283 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-09-17
Entered:1998-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cough, Dyspnoea, Infection, Laboratory test abnormal, Lung disorder, Pneumonia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: ~ ()~~~In patient
Other Medications: unk
Current Illness:
Preexisting Conditions: human immunodeficiency virus infection
Allergies:
Diagnostic Lab Data: CXR parenchymal nodules;diagnostic microbiology cytopathic changes characteristic of measles infect;physical exam basilar pulmonary rales;pulmonary biopsy numerous multinucleated giant cells;
CDC 'Split Type': WAES98090695

Write-up: vaccine associated measles pneumonitis in adult w/AIDS;approx 1yr p/vax pt w/cough, dyspnea & fever;exam revealed pulmonary rales & chest x-ray showed parenchymal nodules;analysis of lung biopsy showed multinucleated giant cells;


Changed on 6/14/2018

VAERS ID: 114283 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-09-17
Entered:1998-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cough, Dyspnoea, Infection, Laboratory test abnormal, Lung disorder, Pneumonia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: ~ ()~~~In patient
Other Medications: unk
Current Illness:
Preexisting Conditions: human immunodeficiency virus infection
Allergies:
Diagnostic Lab Data: CXR parenchymal nodules;diagnostic microbiology cytopathic changes characteristic of measles infect;physical exam basilar pulmonary rales;pulmonary biopsy numerous multinucleated giant cells;
CDC 'Split Type': WAES98090695

Write-up: vaccine associated measles pneumonitis in adult w/AIDS;approx 1yr p/vax pt w/cough, dyspnea & fever;exam revealed pulmonary rales & chest x-ray showed parenchymal nodules;analysis of lung biopsy showed multinucleated giant cells;


Changed on 8/14/2018

VAERS ID: 114283 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-09-17
Entered:1998-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cough, Dyspnoea, Infection, Laboratory test abnormal, Lung disorder, Pneumonia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: ~ ()~~~In patient
Other Medications: unk
Current Illness:
Preexisting Conditions: human immunodeficiency virus infection
Allergies:
Diagnostic Lab Data: CXR parenchymal nodules;diagnostic microbiology cytopathic changes characteristic of measles infect;physical exam basilar pulmonary rales;pulmonary biopsy numerous multinucleated giant cells;
CDC 'Split Type': WAES98090695

Write-up: vaccine associated measles pneumonitis in adult w/AIDS;approx 1yr p/vax pt w/cough, dyspnea & fever;exam revealed pulmonary rales & chest x-ray showed parenchymal nodules;analysis of lung biopsy showed multinucleated giant cells;


Changed on 9/14/2018

VAERS ID: 114283 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-09-17
Entered:1998-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cough, Dyspnoea, Infection, Laboratory test abnormal, Lung disorder, Pneumonia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: ~ ()~~~In patient
Other Medications: unk
Current Illness:
Preexisting Conditions: human immunodeficiency virus infection
Allergies:
Diagnostic Lab Data: CXR parenchymal nodules;diagnostic microbiology cytopathic changes characteristic of measles infect;physical exam basilar pulmonary rales;pulmonary biopsy numerous multinucleated giant cells;
CDC 'Split Type': WAES98090695

Write-up: vaccine associated measles pneumonitis in adult w/AIDS;approx 1yr p/vax pt w/cough, dyspnea & fever;exam revealed pulmonary rales & chest x-ray showed parenchymal nodules;analysis of lung biopsy showed multinucleated giant cells;


Changed on 10/14/2018

VAERS ID: 114283 Before After
VAERS Form:1
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1998-09-17
Entered:1998-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Cough, Dyspnoea, Infection, Laboratory test abnormal, Lung disorder, Pneumonia, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: ~ ()~~~In patient
Other Medications: unk
Current Illness:
Preexisting Conditions: human immunodeficiency virus infection
Allergies:
Diagnostic Lab Data: CXR parenchymal nodules;diagnostic microbiology cytopathic changes characteristic of measles infect;physical exam basilar pulmonary rales;pulmonary biopsy numerous multinucleated giant cells;
CDC 'Split Type': WAES98090695

Write-up: vaccine associated measles pneumonitis in adult w/AIDS;approx 1yr p/vax pt w/cough, dyspnea & fever;exam revealed pulmonary rales & chest x-ray showed parenchymal nodules;analysis of lung biopsy showed multinucleated giant cells;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=114283&WAYBACKHISTORY=ON


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