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This is VAERS ID 26211

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26211
VAERS Form:
Age:1.3
Gender:Female
Location:Minnesota
Vaccinated:1989-08-31
Onset:1989-09-07
Submitted:0000-00-00
Entered:1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 38091/0592P / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: AGITATION, HYPOKINESIA, HYPOTONIA, FEVER, HYPERTONIA

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: hx of otitis media, pharyngitis
Allergies:
Diagnostic Lab Data: 8Sep89 WBC count-45000, 11Sep90 WBC count-2800, 11Sep89 platelet count- 80000
CDC 'Split Type':

Write-up: 15 mon. pt /w hx of OM & pharyngitis, vax /w MMRII dev fever, macular rash, WBC dec to 2800, dev stiffness legs, lethargy, irritability. Has severe dev delay w/ poor speech, fluct. muscle tone, po6r motor & head control, spacticity.


Changed on 12/8/2009

VAERS ID: 26211 Before After
VAERS Form:
Age:1.3
Gender:Female
Location:Minnesota
Vaccinated:1989-08-31
Onset:1989-09-07
Submitted:0000-00-00
Entered:1990-10-15 1990-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 38091/0592P / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Arthropathy, Hypertonia, Hypokinesia, Hypotonia, Leukopenia, Mental retardation severity unspecified, Pyrexia, Rash maculo-papular, Somnolence, Speech disorder, AGITATION, HYPOKINESIA, HYPOTONIA, FEVER, HYPERTONIA

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: hx of otitis media, pharyngitis
Allergies:
Diagnostic Lab Data: 8Sep89 WBC count-45000, 11Sep90 WBC count-2800, 11Sep89 platelet count- 80000
CDC 'Split Type': (blank) WAES90060279

Write-up: 15 mon. pt /w hx of OM & pharyngitis, vax /w MMRII dev fever, macular rash, WBC dec to 2800, dev stiffness legs, lethargy, irritability. Has severe dev delay w/ poor speech, fluct. muscle tone, po6r motor & head control, spacticity.


Changed on 5/14/2017

VAERS ID: 26211 Before After
VAERS Form:
Age:1.3
Gender:Female
Location:Minnesota
Vaccinated:1989-08-31
Onset:1989-09-07
Submitted:0000-00-00
Entered:1990-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 38091/0592P / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Arthropathy, Hypertonia, Hypokinesia, Hypotonia, Leukopenia, Mental retardation severity unspecified, Pyrexia, Rash maculo-papular, Somnolence, Speech disorder

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of otitis media, pharyngitis
Allergies:
Diagnostic Lab Data: 8Sep89 WBC count-45000, 11Sep90 WBC count-2800, 11Sep89 platelet count- 80000
CDC 'Split Type': WAES90060279

Write-up: 15 mon. pt /w hx of OM & pharyngitis, vax /w MMRII dev fever, macular rash, WBC dec to 2800, dev stiffness legs, lethargy, irritability. Has severe dev delay w/ poor speech, fluct. muscle tone, po6r motor & head control, spacticity.


Changed on 9/14/2017

VAERS ID: 26211 Before After
VAERS Form:(blank) 1
Age:1.3
Gender:Female
Location:Minnesota
Vaccinated:1989-08-31
Onset:1989-09-07
Submitted:0000-00-00
Entered:1990-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 38091/0592P / - UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Arthropathy, Hypertonia, Hypokinesia, Hypotonia, Leukopenia, Mental retardation severity unspecified, Pyrexia, Rash maculo-papular, Somnolence, Speech disorder

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of otitis media, pharyngitis
Allergies:
Diagnostic Lab Data: 8Sep89 WBC count-45000, 11Sep90 WBC count-2800, 11Sep89 platelet count- 80000
CDC 'Split Type': WAES90060279

Write-up: 15 mon. pt /w hx of OM & pharyngitis, vax /w MMRII dev fever, macular rash, WBC dec to 2800, dev stiffness legs, lethargy, irritability. Has severe dev delay w/ poor speech, fluct. muscle tone, po6r motor & head control, spacticity.


Changed on 2/14/2018

VAERS ID: 26211 Before After
VAERS Form:1
Age:1.3
Gender:Female
Location:Minnesota
Vaccinated:1989-08-31
Onset:1989-09-07
Submitted:0000-00-00
Entered:1990-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 38091/0592P / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Arthropathy, Hypertonia, Hypokinesia, Hypotonia, Leukopenia, Mental retardation severity unspecified, Pyrexia, Rash maculo-papular, Somnolence, Speech disorder

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of otitis media, pharyngitis
Allergies:
Diagnostic Lab Data: 8Sep89 WBC count-45000, 11Sep90 WBC count-2800, 11Sep89 platelet count- 80000
CDC 'Split Type': WAES90060279

Write-up: 15 mon. pt /w hx of OM & pharyngitis, vax /w MMRII dev fever, macular rash, WBC dec to 2800, dev stiffness legs, lethargy, irritability. Has severe dev delay w/ poor speech, fluct. muscle tone, po6r motor & head control, spacticity.


Changed on 6/14/2018

VAERS ID: 26211 Before After
VAERS Form:1
Age:1.3
Gender:Female
Location:Minnesota
Vaccinated:1989-08-31
Onset:1989-09-07
Submitted:0000-00-00
Entered:1990-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 38091/0592P / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Arthropathy, Hypertonia, Hypokinesia, Hypotonia, Leukopenia, Mental retardation severity unspecified, Pyrexia, Rash maculo-papular, Somnolence, Speech disorder

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of otitis media, pharyngitis
Allergies:
Diagnostic Lab Data: 8Sep89 WBC count-45000, 11Sep90 WBC count-2800, 11Sep89 platelet count- 80000
CDC 'Split Type': WAES90060279

Write-up: 15 mon. pt /w hx of OM & pharyngitis, vax /w MMRII dev fever, macular rash, WBC dec to 2800, dev stiffness legs, lethargy, irritability. Has severe dev delay w/ poor speech, fluct. muscle tone, po6r motor & head control, spacticity.


Changed on 8/14/2018

VAERS ID: 26211 Before After
VAERS Form:1
Age:1.3
Gender:Female
Location:Minnesota
Vaccinated:1989-08-31
Onset:1989-09-07
Submitted:0000-00-00
Entered:1990-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 38091/0592P / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Arthropathy, Hypertonia, Hypokinesia, Hypotonia, Leukopenia, Mental retardation severity unspecified, Pyrexia, Rash maculo-papular, Somnolence, Speech disorder

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of otitis media, pharyngitis
Allergies:
Diagnostic Lab Data: 8Sep89 WBC count-45000, 11Sep90 WBC count-2800, 11Sep89 platelet count- 80000
CDC 'Split Type': WAES90060279

Write-up: 15 mon. pt /w hx of OM & pharyngitis, vax /w MMRII dev fever, macular rash, WBC dec to 2800, dev stiffness legs, lethargy, irritability. Has severe dev delay w/ poor speech, fluct. muscle tone, po6r motor & head control, spacticity.


Changed on 9/14/2018

VAERS ID: 26211 Before After
VAERS Form:1
Age:1.3
Gender:Female
Location:Minnesota
Vaccinated:1989-08-31
Onset:1989-09-07
Submitted:0000-00-00
Entered:1990-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 38091/0592P / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Arthropathy, Hypertonia, Hypokinesia, Hypotonia, Leukopenia, Mental retardation severity unspecified, Pyrexia, Rash maculo-papular, Somnolence, Speech disorder

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of otitis media, pharyngitis
Allergies:
Diagnostic Lab Data: 8Sep89 WBC count-45000, 11Sep90 WBC count-2800, 11Sep89 platelet count- 80000
CDC 'Split Type': WAES90060279

Write-up: 15 mon. pt /w hx of OM & pharyngitis, vax /w MMRII dev fever, macular rash, WBC dec to 2800, dev stiffness legs, lethargy, irritability. Has severe dev delay w/ poor speech, fluct. muscle tone, po6r motor & head control, spacticity.


Changed on 10/14/2018

VAERS ID: 26211 Before After
VAERS Form:1
Age:1.3
Gender:Female
Location:Minnesota
Vaccinated:1989-08-31
Onset:1989-09-07
Submitted:0000-00-00
Entered:1990-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 38091/0592P / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Agitation, Arthropathy, Hypertonia, Hypokinesia, Hypotonia, Leukopenia, Mental retardation severity unspecified, Pyrexia, Rash maculo-papular, Somnolence, Speech disorder

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of otitis media, pharyngitis
Allergies:
Diagnostic Lab Data: 8Sep89 WBC count-45000, 11Sep90 WBC count-2800, 11Sep89 platelet count- 80000
CDC 'Split Type': WAES90060279

Write-up: 15 mon. pt /w hx of OM & pharyngitis, vax /w MMRII dev fever, macular rash, WBC dec to 2800, dev stiffness legs, lethargy, irritability. Has severe dev delay w/ poor speech, fluct. muscle tone, po6r motor & head control, spacticity.

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