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This is VAERS ID 150733

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 150733
VAERS Form:
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1994-07-01
Onset:1995-06-07
Submitted:2000-03-30
Entered:2000-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / SC

Administered by: Other      Purchased by: Unknown
Symptoms: CONFUS, CSF ABNORM, DYSARTHRIA, APATHY, DYSTONIA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
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:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: EEG-periodic high-voltage generalized sharp waves, CSF measles IgG titer-160 units, CSF measles IgG index-3.7, HIV-neg
CDC 'Split Type':

Write-up: Post vax, the pt presented with progressive confusion, crying spells, and social withdrawal. Three months after symptom onset, he developed intermittent dystonic posturing of the left arm and leg. Initial neurological exam was significant for dysarthria a"nd myoclonus of the left arm and leg. During the fourth month of illness, the pt developed hyperreflexia, and extensor plantar responses. By the fifth month, the myoclonus ceased. He became unresponsive, mute, and displayed intermittent hyperreflexia and


Changed on 12/8/2009

VAERS ID: 150733 Before After
VAERS Form:
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1994-07-01
Onset:1995-06-07
Submitted:2000-03-30
Entered:2000-04-05 2000-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / - - / SC

Administered by: Other      Purchased by: Unknown Other
Symptoms: Apathy, Coma, Confusional state, Crying, Dysarthria, Dystonia, Electroencephalogram abnormal, Encephalitis, Hyperreflexia, Myoclonus, Speech disorder, Tachycardia, CSF test abnormal, CONFUS, CSF ABNORM, DYSARTHRIA, APATHY, DYSTONIA

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
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:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: EEG-periodic high-voltage generalized sharp waves, CSF measles IgG titer-160 units, CSF measles IgG index-3.7, HIV-neg
CDC 'Split Type': (blank) WAES00032144

Write-up: Post vax, the pt presented with progressive confusion, crying spells, and social withdrawal. Three months after symptom onset, he developed intermittent dystonic posturing of the left arm and leg. Initial neurological exam was significant for dysarthria a"nd and myoclonus of the left arm and leg. During the fourth month of illness, the pt developed hyperreflexia, and extensor plantar responses. By the fifth month, the myoclonus ceased. He became unresponsive, mute, and displayed intermittent hyperreflexia and tachycardia suggesting autonomic dysfunction. He expired six months after the onset of symptoms. An autopsy was refused. The cause of death was subacute sclerosing panencephalitis. Information about this case is described in an unpublished manuscript entitled "Subacute sclerosing panencephalitis in US born adult".


Changed on 9/14/2017

VAERS ID: 150733 Before After
VAERS Form:(blank) 1
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1994-07-01
Onset:1995-06-07
Submitted:2000-03-30
Entered:2000-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / SC

Administered by: Other      Purchased by: Other
Symptoms: Apathy, Coma, Confusional state, Crying, Dysarthria, Dystonia, Electroencephalogram abnormal, Encephalitis, Hyperreflexia, Myoclonus, Speech disorder, Tachycardia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
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:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: EEG-periodic high-voltage generalized sharp waves, CSF measles IgG titer-160 units, CSF measles IgG index-3.7, HIV-neg
CDC 'Split Type': WAES00032144

Write-up: Post vax, the pt presented with progressive confusion, crying spells, and social withdrawal. Three months after symptom onset, he developed intermittent dystonic posturing of the left arm and leg. Initial neurological exam was significant for dysarthria and myoclonus of the left arm and leg. During the fourth month of illness, the pt developed hyperreflexia, and extensor plantar responses. By the fifth month, the myoclonus ceased. He became unresponsive, mute, and displayed intermittent hyperreflexia and tachycardia suggesting autonomic dysfunction. He expired six months after the onset of symptoms. An autopsy was refused. The cause of death was subacute sclerosing panencephalitis. Information about this case is described in an unpublished manuscript entitled "Subacute sclerosing panencephalitis in US born adult".


Changed on 2/14/2018

VAERS ID: 150733 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1994-07-01
Onset:1995-06-07
Submitted:2000-03-30
Entered:2000-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Other      Purchased by: Other
Symptoms: Apathy, Coma, Confusional state, Crying, Dysarthria, Dystonia, Electroencephalogram abnormal, Encephalitis, Hyperreflexia, Myoclonus, Speech disorder, Tachycardia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
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:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: EEG-periodic high-voltage generalized sharp waves, CSF measles IgG titer-160 units, CSF measles IgG index-3.7, HIV-neg
CDC 'Split Type': WAES00032144

Write-up: Post vax, the pt presented with progressive confusion, crying spells, and social withdrawal. Three months after symptom onset, he developed intermittent dystonic posturing of the left arm and leg. Initial neurological exam was significant for dysarthria and myoclonus of the left arm and leg. During the fourth month of illness, the pt developed hyperreflexia, and extensor plantar responses. By the fifth month, the myoclonus ceased. He became unresponsive, mute, and displayed intermittent hyperreflexia and tachycardia suggesting autonomic dysfunction. He expired six months after the onset of symptoms. An autopsy was refused. The cause of death was subacute sclerosing panencephalitis. Information about this case is described in an unpublished manuscript entitled "Subacute sclerosing panencephalitis in US born adult".


Changed on 6/14/2018

VAERS ID: 150733 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1994-07-01
Onset:1995-06-07
Submitted:2000-03-30
Entered:2000-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Other      Purchased by: Other
Symptoms: Apathy, Coma, Confusional state, Crying, Dysarthria, Dystonia, Electroencephalogram abnormal, Encephalitis, Hyperreflexia, Myoclonus, Speech disorder, Tachycardia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
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:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: EEG-periodic high-voltage generalized sharp waves, CSF measles IgG titer-160 units, CSF measles IgG index-3.7, HIV-neg
CDC 'Split Type': WAES00032144

Write-up: Post vax, the pt presented with progressive confusion, crying spells, and social withdrawal. Three months after symptom onset, he developed intermittent dystonic posturing of the left arm and leg. Initial neurological exam was significant for dysarthria and myoclonus of the left arm and leg. During the fourth month of illness, the pt developed hyperreflexia, and extensor plantar responses. By the fifth month, the myoclonus ceased. He became unresponsive, mute, and displayed intermittent hyperreflexia and tachycardia suggesting autonomic dysfunction. He expired six months after the onset of symptoms. An autopsy was refused. The cause of death was subacute sclerosing panencephalitis. Information about this case is described in an unpublished manuscript entitled "Subacute sclerosing panencephalitis in US born adult".


Changed on 8/14/2018

VAERS ID: 150733 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1994-07-01
Onset:1995-06-07
Submitted:2000-03-30
Entered:2000-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Other      Purchased by: Other
Symptoms: Apathy, Coma, Confusional state, Crying, Dysarthria, Dystonia, Electroencephalogram abnormal, Encephalitis, Hyperreflexia, Myoclonus, Speech disorder, Tachycardia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
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:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: EEG-periodic high-voltage generalized sharp waves, CSF measles IgG titer-160 units, CSF measles IgG index-3.7, HIV-neg
CDC 'Split Type': WAES00032144

Write-up: Post vax, the pt presented with progressive confusion, crying spells, and social withdrawal. Three months after symptom onset, he developed intermittent dystonic posturing of the left arm and leg. Initial neurological exam was significant for dysarthria and myoclonus of the left arm and leg. During the fourth month of illness, the pt developed hyperreflexia, and extensor plantar responses. By the fifth month, the myoclonus ceased. He became unresponsive, mute, and displayed intermittent hyperreflexia and tachycardia suggesting autonomic dysfunction. He expired six months after the onset of symptoms. An autopsy was refused. The cause of death was subacute sclerosing panencephalitis. Information about this case is described in an unpublished manuscript entitled "Subacute sclerosing panencephalitis in US born adult".


Changed on 9/14/2018

VAERS ID: 150733 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1994-07-01
Onset:1995-06-07
Submitted:2000-03-30
Entered:2000-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Other      Purchased by: Other
Symptoms: Apathy, Coma, Confusional state, Crying, Dysarthria, Dystonia, Electroencephalogram abnormal, Encephalitis, Hyperreflexia, Myoclonus, Speech disorder, Tachycardia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
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:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: EEG-periodic high-voltage generalized sharp waves, CSF measles IgG titer-160 units, CSF measles IgG index-3.7, HIV-neg
CDC 'Split Type': WAES00032144

Write-up: Post vax, the pt presented with progressive confusion, crying spells, and social withdrawal. Three months after symptom onset, he developed intermittent dystonic posturing of the left arm and leg. Initial neurological exam was significant for dysarthria and myoclonus of the left arm and leg. During the fourth month of illness, the pt developed hyperreflexia, and extensor plantar responses. By the fifth month, the myoclonus ceased. He became unresponsive, mute, and displayed intermittent hyperreflexia and tachycardia suggesting autonomic dysfunction. He expired six months after the onset of symptoms. An autopsy was refused. The cause of death was subacute sclerosing panencephalitis. Information about this case is described in an unpublished manuscript entitled "Subacute sclerosing panencephalitis in US born adult".


Changed on 10/14/2018

VAERS ID: 150733 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1994-07-01
Onset:1995-06-07
Submitted:2000-03-30
Entered:2000-04-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / SC

Administered by: Other      Purchased by: Other
Symptoms: Apathy, Coma, Confusional state, Crying, Dysarthria, Dystonia, Electroencephalogram abnormal, Encephalitis, Hyperreflexia, Myoclonus, Speech disorder, Tachycardia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
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:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: EEG-periodic high-voltage generalized sharp waves, CSF measles IgG titer-160 units, CSF measles IgG index-3.7, HIV-neg
CDC 'Split Type': WAES00032144

Write-up: Post vax, the pt presented with progressive confusion, crying spells, and social withdrawal. Three months after symptom onset, he developed intermittent dystonic posturing of the left arm and leg. Initial neurological exam was significant for dysarthria and myoclonus of the left arm and leg. During the fourth month of illness, the pt developed hyperreflexia, and extensor plantar responses. By the fifth month, the myoclonus ceased. He became unresponsive, mute, and displayed intermittent hyperreflexia and tachycardia suggesting autonomic dysfunction. He expired six months after the onset of symptoms. An autopsy was refused. The cause of death was subacute sclerosing panencephalitis. Information about this case is described in an unpublished manuscript entitled "Subacute sclerosing panencephalitis in US born adult".

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