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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 25483 |
VAERS Form: | |
Age: | 12.0 |
Sex: | Male |
Location: | New York |
Vaccinated: | 1990-06-08 |
Onset: | 1990-06-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-17 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
M: ATTENUVAX / MSD | - / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: INJECT SITE REACT, SERUM SICK
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ESR 9-JUN-90 NORMAL
CDC 'Split Type':
Write-up: Dr. reported that his 12 yr old son was given a booster dose of Measles virus vaccine, live on 8-JUN-90 he experienced Arthus reaction consisting of synovitis of lt hip, inability to walk and pain at injection site. ESR was normal.
Vaccinated: | 1990-06-08 |
Onset: | 1990-06-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-17 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
M: ATTENUVAX / MSD | - / - | - / - |
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. | - / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Injection site reaction, Serum sickness, INJECT SITE REACT, SERUM SICK
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ESR 9-JUN-90 NORMAL
CDC 'Split Type': (blank) WAES90060411
Write-up: Dr. reported that his 12 yr old son was given a booster dose of Measles virus vaccine, live on 8-JUN-90 he experienced Arthus reaction consisting of synovitis of lt hip, inability to walk and pain at injection site. ESR was normal.
Vaccinated: | 1990-06-08 |
Onset: | 1990-06-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. | - / - | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Injection site reaction, Serum sickness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ESR 9-JUN-90 NORMAL
CDC 'Split Type': WAES90060411
Write-up: Dr. reported that his 12 yr old son was given a booster dose of Measles virus vaccine, live on 8-JUN-90 he experienced Arthus reaction consisting of synovitis of lt hip, inability to walk and pain at injection site. ESR was normal.
Vaccinated: | 1990-06-08 |
Onset: | 1990-06-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. | - / - UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Injection site reaction, Serum sickness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ESR 9-JUN-90 NORMAL
CDC 'Split Type': WAES90060411
Write-up: Dr. reported that his 12 yr old son was given a booster dose of Measles virus vaccine, live on 8-JUN-90 he experienced Arthus reaction consisting of synovitis of lt hip, inability to walk and pain at injection site. ESR was normal.
Vaccinated: | 1990-06-08 |
Onset: | 1990-06-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Injection site reaction, Serum sickness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ESR 9-JUN-90 NORMAL
CDC 'Split Type': WAES90060411
Write-up: Dr. reported that his 12 yr old son was given a booster dose of Measles virus vaccine, live on 8-JUN-90 he experienced Arthus reaction consisting of synovitis of lt hip, inability to walk and pain at injection site. ESR was normal.
Vaccinated: | 1990-06-08 |
Onset: | 1990-06-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Injection site reaction, Serum sickness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ESR 9-JUN-90 NORMAL
CDC 'Split Type': WAES90060411
Write-up: Dr. reported that his 12 yr old son was given a booster dose of Measles virus vaccine, live on 8-JUN-90 he experienced Arthus reaction consisting of synovitis of lt hip, inability to walk and pain at injection site. ESR was normal.
Vaccinated: | 1990-06-08 |
Onset: | 1990-06-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Injection site reaction, Serum sickness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ESR 9-JUN-90 NORMAL
CDC 'Split Type': WAES90060411
Write-up: Dr. reported that his 12 yr old son was given a booster dose of Measles virus vaccine, live on 8-JUN-90 he experienced Arthus reaction consisting of synovitis of lt hip, inability to walk and pain at injection site. ESR was normal.
Vaccinated: | 1990-06-08 |
Onset: | 1990-06-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Injection site reaction, Serum sickness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ESR 9-JUN-90 NORMAL
CDC 'Split Type': WAES90060411
Write-up: Dr. reported that his 12 yr old son was given a booster dose of Measles virus vaccine, live on 8-JUN-90 he experienced Arthus reaction consisting of synovitis of lt hip, inability to walk and pain at injection site. ESR was normal.
Vaccinated: | 1990-06-08 |
Onset: | 1990-06-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Injection site reaction, Serum sickness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ESR 9-JUN-90 NORMAL
CDC 'Split Type': WAES90060411
Write-up: Dr. reported that his 12 yr old son was given a booster dose of Measles virus vaccine, live on 8-JUN-90 he experienced Arthus reaction consisting of synovitis of lt hip, inability to walk and pain at injection site. ESR was normal.
Vaccinated: | 1990-06-08 |
Onset: | 1990-06-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Injection site reaction, Serum sickness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ESR 9-JUN-90 NORMAL
CDC 'Split Type': WAES90060411
Write-up: Dr. reported that his 12 yr old son was given a booster dose of Measles virus vaccine, live on 8-JUN-90 he experienced Arthus reaction consisting of synovitis of lt hip, inability to walk and pain at injection site. ESR was normal.
Vaccinated: | 1990-06-08 |
Onset: | 1990-06-09 |
Submitted: | 0000-00-00 |
Entered: | 1990-07-11 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. | - / UNK | - / - |
Administered by: Unknown Purchased by: Unknown
Symptoms: Injection site reaction, Serum sickness
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: ESR 9-JUN-90 NORMAL
CDC 'Split Type': WAES90060411
Write-up: Dr. reported that his 12 yr old son was given a booster dose of Measles virus vaccine, live on 8-JUN-90 he experienced Arthus reaction consisting of synovitis of lt hip, inability to walk and pain at injection site. ESR was normal.
Link To This Search Result:
https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=25483&WAYBACKHISTORY=ON
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