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This is VAERS ID 25044

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25044
VAERS Form:
Age:2.0
Gender:Male
Location:Unknown
Vaccinated:1990-05-24
Onset:1990-05-30
Submitted:0000-00-00
Entered:1990-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 12275 / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, PERSON DIS, SOMNOLENCE, GAIT ABNORM, SPEECH DIS

Life Threatening? No
Birth Defect? No
Died? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Beginning 6 days after immunization had 3 days of fever followed by 3 days of slurred speech, wide-based gait, lethargy, and bizarre behavior, followed in turn by complete resolution.


Changed on 12/8/2009

VAERS ID: 25044 Before After
VAERS Form:
Age:2.0
Gender:Male
Location:Unknown
Vaccinated:1990-05-24
Onset:1990-05-30
Submitted:0000-00-00
Entered:1990-07-11 1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 12275 / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Gait disturbance, Personality disorder, Pyrexia, Somnolence, Speech disorder, FEVER, PERSON DIS, SOMNOLENCE, GAIT ABNORM, SPEECH DIS

Life Threatening? No
Birth Defect? No
Died? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Beginning 6 days after immunization had 3 days of fever followed by 3 days of slurred speech, wide-based gait, lethargy, and bizarre behavior, followed in turn by complete resolution.


Changed on 5/14/2017

VAERS ID: 25044 Before After
VAERS Form:
Age:2.0
Gender:Male
Location:Unknown
Vaccinated:1990-05-24
Onset:1990-05-30
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 12275 / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Gait disturbance, Personality disorder, Pyrexia, Somnolence, Speech disorder

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Beginning 6 days after immunization had 3 days of fever followed by 3 days of slurred speech, wide-based gait, lethargy, and bizarre behavior, followed in turn by complete resolution.


Changed on 9/14/2017

VAERS ID: 25044 Before After
VAERS Form:(blank) 1
Age:2.0
Gender:Male
Location:Unknown
Vaccinated:1990-05-24
Onset:1990-05-30
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 12275 / - UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Gait disturbance, Personality disorder, Pyrexia, Somnolence, Speech disorder

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Beginning 6 days after immunization had 3 days of fever followed by 3 days of slurred speech, wide-based gait, lethargy, and bizarre behavior, followed in turn by complete resolution.


Changed on 2/14/2018

VAERS ID: 25044 Before After
VAERS Form:1
Age:2.0
Gender:Male
Location:Unknown
Vaccinated:1990-05-24
Onset:1990-05-30
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 12275 / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Gait disturbance, Personality disorder, Pyrexia, Somnolence, Speech disorder

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Beginning 6 days after immunization had 3 days of fever followed by 3 days of slurred speech, wide-based gait, lethargy, and bizarre behavior, followed in turn by complete resolution.


Changed on 6/14/2018

VAERS ID: 25044 Before After
VAERS Form:1
Age:2.0
Gender:Male
Location:Unknown
Vaccinated:1990-05-24
Onset:1990-05-30
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 12275 / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Gait disturbance, Personality disorder, Pyrexia, Somnolence, Speech disorder

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Beginning 6 days after immunization had 3 days of fever followed by 3 days of slurred speech, wide-based gait, lethargy, and bizarre behavior, followed in turn by complete resolution.


Changed on 8/14/2018

VAERS ID: 25044 Before After
VAERS Form:1
Age:2.0
Gender:Male
Location:Unknown
Vaccinated:1990-05-24
Onset:1990-05-30
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 12275 / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Gait disturbance, Personality disorder, Pyrexia, Somnolence, Speech disorder

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Beginning 6 days after immunization had 3 days of fever followed by 3 days of slurred speech, wide-based gait, lethargy, and bizarre behavior, followed in turn by complete resolution.


Changed on 9/14/2018

VAERS ID: 25044 Before After
VAERS Form:1
Age:2.0
Gender:Male
Location:Unknown
Vaccinated:1990-05-24
Onset:1990-05-30
Submitted:0000-00-00
Entered:1990-07-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 12275 / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Gait disturbance, Personality disorder, Pyrexia, Somnolence, Speech disorder

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Beginning 6 days after immunization had 3 days of fever followed by 3 days of slurred speech, wide-based gait, lethargy, and bizarre behavior, followed in turn by complete resolution.

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