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This is VAERS ID 26846

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26846
VAERS Form:
Age:4.0
Sex:Female
Location:New York
Vaccinated:1990-11-01
Onset:1990-11-05
Submitted:1990-11-27
Entered:1990-12-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1707S / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: HYPOTONIA, CONVULS, TWITCH

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: asthmatic bronchitis
Allergies:
Diagnostic Lab Data: EEG-Abnormal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Rubella 4 days after became limp, twitching of hand & leg & clenching of teeth. Noted post ictal for few hrs. Duration of episode few min.


Changed on 12/8/2009

VAERS ID: 26846 Before After
VAERS Form:
Age:4.0
Sex:Female
Location:New York
Vaccinated:1990-11-01
Onset:1990-11-05
Submitted:1990-11-27
Entered:1990-12-05 1990-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1707S / - LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Convulsion, Hypotonia, Muscle twitching, HYPOTONIA, CONVULS, TWITCH

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: asthmatic bronchitis
Allergies:
Diagnostic Lab Data: EEG-Abnormal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Rubella 4 days after became limp, twitching of hand & leg & clenching of teeth. Noted post ictal for few hrs. Duration of episode few min.


Changed on 5/14/2017

VAERS ID: 26846 Before After
VAERS Form:
Age:4.0
Sex:Female
Location:New York
Vaccinated:1990-11-01
Onset:1990-11-05
Submitted:1990-11-27
Entered:1990-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / - LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hypotonia, Muscle twitching

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: asthmatic bronchitis
Allergies:
Diagnostic Lab Data: EEG-Abnormal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Rubella 4 days after became limp, twitching of hand & leg & clenching of teeth. Noted post ictal for few hrs. Duration of episode few min.


Changed on 9/14/2017

VAERS ID: 26846 Before After
VAERS Form:(blank) 1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1990-11-01
Onset:1990-11-05
Submitted:1990-11-27
Entered:1990-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / - UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hypotonia, Muscle twitching

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: asthmatic bronchitis
Allergies:
Diagnostic Lab Data: EEG-Abnormal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Rubella 4 days after became limp, twitching of hand & leg & clenching of teeth. Noted post ictal for few hrs. Duration of episode few min.


Changed on 2/14/2018

VAERS ID: 26846 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1990-11-01
Onset:1990-11-05
Submitted:1990-11-27
Entered:1990-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hypotonia, Muscle twitching

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: asthmatic bronchitis
Allergies:
Diagnostic Lab Data: EEG-Abnormal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Rubella 4 days after became limp, twitching of hand & leg & clenching of teeth. Noted post ictal for few hrs. Duration of episode few min.


Changed on 6/14/2018

VAERS ID: 26846 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1990-11-01
Onset:1990-11-05
Submitted:1990-11-27
Entered:1990-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hypotonia, Muscle twitching

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: asthmatic bronchitis
Allergies:
Diagnostic Lab Data: EEG-Abnormal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Rubella 4 days after became limp, twitching of hand & leg & clenching of teeth. Noted post ictal for few hrs. Duration of episode few min.


Changed on 8/14/2018

VAERS ID: 26846 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1990-11-01
Onset:1990-11-05
Submitted:1990-11-27
Entered:1990-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hypotonia, Muscle twitching

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: asthmatic bronchitis
Allergies:
Diagnostic Lab Data: EEG-Abnormal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Rubella 4 days after became limp, twitching of hand & leg & clenching of teeth. Noted post ictal for few hrs. Duration of episode few min.


Changed on 9/14/2018

VAERS ID: 26846 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1990-11-01
Onset:1990-11-05
Submitted:1990-11-27
Entered:1990-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hypotonia, Muscle twitching

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: asthmatic bronchitis
Allergies:
Diagnostic Lab Data: EEG-Abnormal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Rubella 4 days after became limp, twitching of hand & leg & clenching of teeth. Noted post ictal for few hrs. Duration of episode few min.


Changed on 10/14/2018

VAERS ID: 26846 Before After
VAERS Form:1
Age:4.0
Sex:Female
Location:New York
Vaccinated:1990-11-01
Onset:1990-11-05
Submitted:1990-11-27
Entered:1990-11-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hypotonia, Muscle twitching

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: asthmatic bronchitis
Allergies:
Diagnostic Lab Data: EEG-Abnormal
CDC 'Split Type':

Write-up: Pt vaccinated with MMR/Rubella 4 days after became limp, twitching of hand & leg & clenching of teeth. Noted post ictal for few hrs. Duration of episode few min.

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