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This is VAERS ID 26965

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 26965
VAERS Form:
Age:11.0
Sex:Male
Location:Michigan
Vaccinated:1990-08-16
Onset:1990-08-30
Submitted:0000-00-00
Entered:1990-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 0218S / 0 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: HYPERTENS, ALBUMINURIA, GLOMERULITIS, HYPOPROTEINEM, KIDNEY FUNC ABNORM

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:
Allergies:
Diagnostic Lab Data: Culture DEC80 - negative - Strep; Renal biopsy 21MAY81focal glomerulosclerosis.
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed ""flu/cold"" symptoms, edema. Admitted to hosp w/nephrotic synd. A renal biopsy performed dx focal glomerulosclerosis made. Treated w/cyclophosphamide, Prednisone, Furosemide & spironolactone.


Changed on 12/30/2006

VAERS ID: 26965 Before After
VAERS Form:
Age:11.0
Sex:Male
Location:Michigan
Vaccinated:1990-08-16
Onset:1990-08-30
Submitted:0000-00-00
Entered:1990-12-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 0218S / 0 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: HYPERTENS, ALBUMINURIA, GLOMERULITIS, HYPOPROTEINEM, KIDNEY FUNC ABNORM

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:
Allergies:
Diagnostic Lab Data: Culture DEC80 - negative - Strep; Renal biopsy 21MAY81focal glomerulosclerosis.
CDC 'Split Type':

Write-up: Pt vaccinated with MMR developed ""flu/cold"" /"flu/cold/" symptoms, edema. Admitted to hosp w/nephrotic synd. A renal biopsy performed dx focal glomerulosclerosis made. Treated w/cyclophosphamide, Prednisone, Furosemide & spironolactone.


Changed on 12/8/2009

VAERS ID: 26965 Before After
VAERS Form:
Age:11.0
Sex:Male
Location:Michigan
Vaccinated:1990-08-16
Onset:1990-08-30
Submitted:0000-00-00
Entered:1990-12-13 1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0218S / 0 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Albuminuria, Condition aggravated, Glomerulonephritis, Hypertension, Hypoproteinaemia, Nephrotic syndrome, Urine analysis abnormal, Renal impairment, HYPERTENS, ALBUMINURIA, GLOMERULITIS, HYPOPROTEINEM, KIDNEY FUNC ABNORM

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:
Allergies:
Diagnostic Lab Data: Culture DEC80 - negative - Strep; Renal biopsy 21MAY81focal glomerulosclerosis.
CDC 'Split Type': (blank) WAES90110966

Write-up: Pt vaccinated with MMR developed /"flu/cold/" "flu/cold" symptoms, edema. Admitted to hosp w/nephrotic synd. A renal biopsy performed dx focal glomerulosclerosis made. Treated w/cyclophosphamide, Prednisone, Furosemide & spironolactone.


Changed on 5/14/2017

VAERS ID: 26965 Before After
VAERS Form:
Age:11.0
Sex:Male
Location:Michigan
Vaccinated:1990-08-16
Onset:1990-08-30
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0218S / 0 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Albuminuria, Condition aggravated, Glomerulonephritis, Hypertension, Hypoproteinaemia, Nephrotic syndrome, Urine analysis abnormal, Renal impairment

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:
Allergies:
Diagnostic Lab Data: Culture DEC80 - negative - Strep; Renal biopsy 21MAY81focal glomerulosclerosis.
CDC 'Split Type': WAES90110966

Write-up: Pt vaccinated with MMR developed "flu/cold" symptoms, edema. Admitted to hosp w/nephrotic synd. A renal biopsy performed dx focal glomerulosclerosis made. Treated w/cyclophosphamide, Prednisone, Furosemide & spironolactone.


Changed on 9/14/2017

VAERS ID: 26965 Before After
VAERS Form:(blank) 1
Age:11.0
Sex:Male
Location:Michigan
Vaccinated:1990-08-16
Onset:1990-08-30
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0218S / 0 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Albuminuria, Condition aggravated, Glomerulonephritis, Hypertension, Hypoproteinaemia, Nephrotic syndrome, Urine analysis abnormal, Renal impairment

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:
Allergies:
Diagnostic Lab Data: Culture DEC80 - negative - Strep; Renal biopsy 21MAY81focal glomerulosclerosis.
CDC 'Split Type': WAES90110966

Write-up: Pt vaccinated with MMR developed "flu/cold" symptoms, edema. Admitted to hosp w/nephrotic synd. A renal biopsy performed dx focal glomerulosclerosis made. Treated w/cyclophosphamide, Prednisone, Furosemide & spironolactone.


Changed on 2/14/2018

VAERS ID: 26965 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Michigan
Vaccinated:1990-08-16
Onset:1990-08-30
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0218S / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Albuminuria, Condition aggravated, Glomerulonephritis, Hypertension, Hypoproteinaemia, Nephrotic syndrome, Urine analysis abnormal, Renal impairment

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:
Allergies:
Diagnostic Lab Data: Culture DEC80 - negative - Strep; Renal biopsy 21MAY81focal glomerulosclerosis.
CDC 'Split Type': WAES90110966

Write-up: Pt vaccinated with MMR developed "flu/cold" symptoms, edema. Admitted to hosp w/nephrotic synd. A renal biopsy performed dx focal glomerulosclerosis made. Treated w/cyclophosphamide, Prednisone, Furosemide & spironolactone.


Changed on 6/14/2018

VAERS ID: 26965 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Michigan
Vaccinated:1990-08-16
Onset:1990-08-30
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0218S / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Albuminuria, Condition aggravated, Glomerulonephritis, Hypertension, Hypoproteinaemia, Nephrotic syndrome, Urine analysis abnormal, Renal impairment

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:
Allergies:
Diagnostic Lab Data: Culture DEC80 - negative - Strep; Renal biopsy 21MAY81focal glomerulosclerosis.
CDC 'Split Type': WAES90110966

Write-up: Pt vaccinated with MMR developed "flu/cold" symptoms, edema. Admitted to hosp w/nephrotic synd. A renal biopsy performed dx focal glomerulosclerosis made. Treated w/cyclophosphamide, Prednisone, Furosemide & spironolactone.


Changed on 8/14/2018

VAERS ID: 26965 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Michigan
Vaccinated:1990-08-16
Onset:1990-08-30
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0218S / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Albuminuria, Condition aggravated, Glomerulonephritis, Hypertension, Hypoproteinaemia, Nephrotic syndrome, Urine analysis abnormal, Renal impairment

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:
Allergies:
Diagnostic Lab Data: Culture DEC80 - negative - Strep; Renal biopsy 21MAY81focal glomerulosclerosis.
CDC 'Split Type': WAES90110966

Write-up: Pt vaccinated with MMR developed "flu/cold" symptoms, edema. Admitted to hosp w/nephrotic synd. A renal biopsy performed dx focal glomerulosclerosis made. Treated w/cyclophosphamide, Prednisone, Furosemide & spironolactone.


Changed on 9/14/2018

VAERS ID: 26965 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Michigan
Vaccinated:1990-08-16
Onset:1990-08-30
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0218S / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Albuminuria, Condition aggravated, Glomerulonephritis, Hypertension, Hypoproteinaemia, Nephrotic syndrome, Urine analysis abnormal, Renal impairment

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:
Allergies:
Diagnostic Lab Data: Culture DEC80 - negative - Strep; Renal biopsy 21MAY81focal glomerulosclerosis.
CDC 'Split Type': WAES90110966

Write-up: Pt vaccinated with MMR developed "flu/cold" symptoms, edema. Admitted to hosp w/nephrotic synd. A renal biopsy performed dx focal glomerulosclerosis made. Treated w/cyclophosphamide, Prednisone, Furosemide & spironolactone.


Changed on 10/14/2018

VAERS ID: 26965 Before After
VAERS Form:1
Age:11.0
Sex:Male
Location:Michigan
Vaccinated:1990-08-16
Onset:1990-08-30
Submitted:0000-00-00
Entered:1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0218S / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Albuminuria, Condition aggravated, Glomerulonephritis, Hypertension, Hypoproteinaemia, Nephrotic syndrome, Urine analysis abnormal, Renal impairment

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:
Allergies:
Diagnostic Lab Data: Culture DEC80 - negative - Strep; Renal biopsy 21MAY81focal glomerulosclerosis.
CDC 'Split Type': WAES90110966

Write-up: Pt vaccinated with MMR developed "flu/cold" symptoms, edema. Admitted to hosp w/nephrotic synd. A renal biopsy performed dx focal glomerulosclerosis made. Treated w/cyclophosphamide, Prednisone, Furosemide & spironolactone.

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