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This is VAERS ID 26180

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26180
VAERS Form:
Age:12.0
Sex:Male
Location:Unknown
Vaccinated:1972-11-29
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: CONVULS, DIZZINESS, FEVER, MENTAL RETARD, FEBRILE SEIZURE

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: CBC 7DEC72 Normal; Urinalysis 7DEC72 Normal; EEG 5SEP73 Normal; EEG 74 Abnormal; EEG 76 Rt temporal lobe epileptogenic; CT scan 9Apr90 Normal; EEG clear Rt temporal focus.
CDC 'Split Type':

Write-up: Pt vaccinated with MMR experienced severe teething & nasal congestion. High fever had a seizure lasted approx 30 to 60 min. Seen in ER w/temp of 104.4 rt sided weakness consistent w/Todds paralysis. See WORM for more details.


Changed on 12/8/2009

VAERS ID: 26180 Before After
VAERS Form:
Age:12.0
Sex:Male
Location:Unknown
Vaccinated:1972-11-29
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-09 1990-10-03
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: Abdominal pain, Convulsion, Dizziness, Febrile convulsion, Mental retardation severity unspecified, Myasthenic syndrome, Pallor, Peptic ulcer, Personality disorder, Pyrexia, Rash, Rhinitis, Salivary hypersecretion, Skin discolouration, Somnolence, CONVULS, DIZZINESS, FEVER, MENTAL RETARD, FEBRILE SEIZURE

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: CBC 7DEC72 Normal; Urinalysis 7DEC72 Normal; EEG 5SEP73 Normal; EEG 74 Abnormal; EEG 76 Rt temporal lobe epileptogenic; CT scan 9Apr90 Normal; EEG clear Rt temporal focus.
CDC 'Split Type': (blank) ARR49.786

Write-up: Pt vaccinated with MMR experienced severe teething & nasal congestion. High fever had a seizure lasted approx 30 to 60 min. Seen in ER w/temp of 104.4 rt sided weakness consistent w/Todds paralysis. See WORM for more details.


Changed on 5/14/2017

VAERS ID: 26180 Before After
VAERS Form:
Age:12.0
Sex:Male
Location:Unknown
Vaccinated:1972-11-29
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Convulsion, Dizziness, Febrile convulsion, Mental retardation severity unspecified, Myasthenic syndrome, Pallor, Peptic ulcer, Personality disorder, Pyrexia, Rash, Rhinitis, Salivary hypersecretion, Skin discolouration, Somnolence

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: CBC 7DEC72 Normal; Urinalysis 7DEC72 Normal; EEG 5SEP73 Normal; EEG 74 Abnormal; EEG 76 Rt temporal lobe epileptogenic; CT scan 9Apr90 Normal; EEG clear Rt temporal focus.
CDC 'Split Type': ARR49.786

Write-up: Pt vaccinated with MMR experienced severe teething & nasal congestion. High fever had a seizure lasted approx 30 to 60 min. Seen in ER w/temp of 104.4 rt sided weakness consistent w/Todds paralysis. See WORM for more details.


Changed on 9/14/2017

VAERS ID: 26180 Before After
VAERS Form:(blank) 1
Age:12.0
Sex:Male
Location:Unknown
Vaccinated:1972-11-29
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Convulsion, Dizziness, Febrile convulsion, Mental retardation severity unspecified, Myasthenic syndrome, Pallor, Peptic ulcer, Personality disorder, Pyrexia, Rash, Rhinitis, Salivary hypersecretion, Skin discolouration, Somnolence

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: CBC 7DEC72 Normal; Urinalysis 7DEC72 Normal; EEG 5SEP73 Normal; EEG 74 Abnormal; EEG 76 Rt temporal lobe epileptogenic; CT scan 9Apr90 Normal; EEG clear Rt temporal focus.
CDC 'Split Type': ARR49.786

Write-up: Pt vaccinated with MMR experienced severe teething & nasal congestion. High fever had a seizure lasted approx 30 to 60 min. Seen in ER w/temp of 104.4 rt sided weakness consistent w/Todds paralysis. See WORM for more details.


Changed on 2/14/2018

VAERS ID: 26180 Before After
VAERS Form:1
Age:12.0
Sex:Male
Location:Unknown
Vaccinated:1972-11-29
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Convulsion, Dizziness, Febrile convulsion, Mental retardation severity unspecified, Myasthenic syndrome, Pallor, Peptic ulcer, Personality disorder, Pyrexia, Rash, Rhinitis, Salivary hypersecretion, Skin discolouration, Somnolence

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: CBC 7DEC72 Normal; Urinalysis 7DEC72 Normal; EEG 5SEP73 Normal; EEG 74 Abnormal; EEG 76 Rt temporal lobe epileptogenic; CT scan 9Apr90 Normal; EEG clear Rt temporal focus.
CDC 'Split Type': ARR49.786

Write-up: Pt vaccinated with MMR experienced severe teething & nasal congestion. High fever had a seizure lasted approx 30 to 60 min. Seen in ER w/temp of 104.4 rt sided weakness consistent w/Todds paralysis. See WORM for more details.


Changed on 6/14/2018

VAERS ID: 26180 Before After
VAERS Form:1
Age:12.0
Sex:Male
Location:Unknown
Vaccinated:1972-11-29
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Convulsion, Dizziness, Febrile convulsion, Mental retardation severity unspecified, Myasthenic syndrome, Pallor, Peptic ulcer, Personality disorder, Pyrexia, Rash, Rhinitis, Salivary hypersecretion, Skin discolouration, Somnolence

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: CBC 7DEC72 Normal; Urinalysis 7DEC72 Normal; EEG 5SEP73 Normal; EEG 74 Abnormal; EEG 76 Rt temporal lobe epileptogenic; CT scan 9Apr90 Normal; EEG clear Rt temporal focus.
CDC 'Split Type': ARR49.786

Write-up: Pt vaccinated with MMR experienced severe teething & nasal congestion. High fever had a seizure lasted approx 30 to 60 min. Seen in ER w/temp of 104.4 rt sided weakness consistent w/Todds paralysis. See WORM for more details.


Changed on 8/14/2018

VAERS ID: 26180 Before After
VAERS Form:1
Age:12.0
Sex:Male
Location:Unknown
Vaccinated:1972-11-29
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Convulsion, Dizziness, Febrile convulsion, Mental retardation severity unspecified, Myasthenic syndrome, Pallor, Peptic ulcer, Personality disorder, Pyrexia, Rash, Rhinitis, Salivary hypersecretion, Skin discolouration, Somnolence

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: CBC 7DEC72 Normal; Urinalysis 7DEC72 Normal; EEG 5SEP73 Normal; EEG 74 Abnormal; EEG 76 Rt temporal lobe epileptogenic; CT scan 9Apr90 Normal; EEG clear Rt temporal focus.
CDC 'Split Type': ARR49.786

Write-up: Pt vaccinated with MMR experienced severe teething & nasal congestion. High fever had a seizure lasted approx 30 to 60 min. Seen in ER w/temp of 104.4 rt sided weakness consistent w/Todds paralysis. See WORM for more details.


Changed on 9/14/2018

VAERS ID: 26180 Before After
VAERS Form:1
Age:12.0
Sex:Male
Location:Unknown
Vaccinated:1972-11-29
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Convulsion, Dizziness, Febrile convulsion, Mental retardation severity unspecified, Myasthenic syndrome, Pallor, Peptic ulcer, Personality disorder, Pyrexia, Rash, Rhinitis, Salivary hypersecretion, Skin discolouration, Somnolence

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: CBC 7DEC72 Normal; Urinalysis 7DEC72 Normal; EEG 5SEP73 Normal; EEG 74 Abnormal; EEG 76 Rt temporal lobe epileptogenic; CT scan 9Apr90 Normal; EEG clear Rt temporal focus.
CDC 'Split Type': ARR49.786

Write-up: Pt vaccinated with MMR experienced severe teething & nasal congestion. High fever had a seizure lasted approx 30 to 60 min. Seen in ER w/temp of 104.4 rt sided weakness consistent w/Todds paralysis. See WORM for more details.


Changed on 10/14/2018

VAERS ID: 26180 Before After
VAERS Form:1
Age:12.0
Sex:Male
Location:Unknown
Vaccinated:1972-11-29
Onset:0000-00-00
Submitted:0000-00-00
Entered:1990-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain, Convulsion, Dizziness, Febrile convulsion, Mental retardation severity unspecified, Myasthenic syndrome, Pallor, Peptic ulcer, Personality disorder, Pyrexia, Rash, Rhinitis, Salivary hypersecretion, Skin discolouration, Somnolence

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: CBC 7DEC72 Normal; Urinalysis 7DEC72 Normal; EEG 5SEP73 Normal; EEG 74 Abnormal; EEG 76 Rt temporal lobe epileptogenic; CT scan 9Apr90 Normal; EEG clear Rt temporal focus.
CDC 'Split Type': ARR49.786

Write-up: Pt vaccinated with MMR experienced severe teething & nasal congestion. High fever had a seizure lasted approx 30 to 60 min. Seen in ER w/temp of 104.4 rt sided weakness consistent w/Todds paralysis. See WORM for more details.

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