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This is VAERS ID 27133

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27133
VAERS Form:
Age:30.0
Sex:Female
Location:Montana
Vaccinated:1990-07-23
Onset:1990-07-27
Submitted:0000-00-00
Entered:1990-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MR: MR VAX II / MSD 46852 / 1 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: ANA, FEVER, HEADACHE, ARTHRALGIA, BLIND

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: multivitamins
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt vaccinated with MRVAX developed fever of 100.5, headache, muscle & joint pain, visual disturbances, lost the vision in rt eye. Dx optic neuritis. Also slightly elevated ANA. Subsequently dx as multiple sclerosis.


Changed on 12/8/2009

VAERS ID: 27133 Before After
VAERS Form:
Age:30.0
Sex:Female
Location:Montana
Vaccinated:1990-07-23
Onset:1990-07-27
Submitted:0000-00-00
Entered:1990-12-21 1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 46852 / 1 - / SC
MR: MR VAX II / MSD 46852 / 1 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: ANA, Antinuclear antibody, Arthralgia, Blindness, Headache, Multiple sclerosis, Myalgia, Optic neuritis, Pyrexia, Visual disturbance, FEVER, HEADACHE, ARTHRALGIA, BLIND

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: multivitamins
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES90090493

Write-up: Pt vaccinated with MRVAX developed fever of 100.5, headache, muscle & joint pain, visual disturbances, lost the vision in rt eye. Dx optic neuritis. Also slightly elevated ANA. Subsequently dx as multiple sclerosis.


Changed on 5/14/2017

VAERS ID: 27133 Before After
VAERS Form:
Age:30.0
Sex:Female
Location:Montana
Vaccinated:1990-07-23
Onset:1990-07-27
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 46852 / 1 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Antinuclear antibody, Arthralgia, Blindness, Headache, Multiple sclerosis, Myalgia, Optic neuritis, Pyrexia, Visual disturbance

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: multivitamins
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90090493

Write-up: Pt vaccinated with MRVAX developed fever of 100.5, headache, muscle & joint pain, visual disturbances, lost the vision in rt eye. Dx optic neuritis. Also slightly elevated ANA. Subsequently dx as multiple sclerosis.


Changed on 9/14/2017

VAERS ID: 27133 Before After
VAERS Form:(blank) 1
Age:30.0
Sex:Female
Location:Montana
Vaccinated:1990-07-23
Onset:1990-07-27
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 46852 / 1 2 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Antinuclear antibody, Arthralgia, Blindness, Headache, Multiple sclerosis, Myalgia, Optic neuritis, Pyrexia, Visual disturbance

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: multivitamins
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90090493

Write-up: Pt vaccinated with MRVAX developed fever of 100.5, headache, muscle & joint pain, visual disturbances, lost the vision in rt eye. Dx optic neuritis. Also slightly elevated ANA. Subsequently dx as multiple sclerosis.


Changed on 2/14/2018

VAERS ID: 27133 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:Montana
Vaccinated:1990-07-23
Onset:1990-07-27
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 46852 / 2 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Antinuclear antibody, Arthralgia, Blindness, Headache, Multiple sclerosis, Myalgia, Optic neuritis, Pyrexia, Visual disturbance

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: multivitamins
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90090493

Write-up: Pt vaccinated with MRVAX developed fever of 100.5, headache, muscle & joint pain, visual disturbances, lost the vision in rt eye. Dx optic neuritis. Also slightly elevated ANA. Subsequently dx as multiple sclerosis.


Changed on 6/14/2018

VAERS ID: 27133 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:Montana
Vaccinated:1990-07-23
Onset:1990-07-27
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 46852 / 2 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Antinuclear antibody, Arthralgia, Blindness, Headache, Multiple sclerosis, Myalgia, Optic neuritis, Pyrexia, Visual disturbance

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: multivitamins
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90090493

Write-up: Pt vaccinated with MRVAX developed fever of 100.5, headache, muscle & joint pain, visual disturbances, lost the vision in rt eye. Dx optic neuritis. Also slightly elevated ANA. Subsequently dx as multiple sclerosis.


Changed on 8/14/2018

VAERS ID: 27133 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:Montana
Vaccinated:1990-07-23
Onset:1990-07-27
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 46852 / 2 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Antinuclear antibody, Arthralgia, Blindness, Headache, Multiple sclerosis, Myalgia, Optic neuritis, Pyrexia, Visual disturbance

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: multivitamins
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90090493

Write-up: Pt vaccinated with MRVAX developed fever of 100.5, headache, muscle & joint pain, visual disturbances, lost the vision in rt eye. Dx optic neuritis. Also slightly elevated ANA. Subsequently dx as multiple sclerosis.


Changed on 9/14/2018

VAERS ID: 27133 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:Montana
Vaccinated:1990-07-23
Onset:1990-07-27
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 46852 / 2 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Antinuclear antibody, Arthralgia, Blindness, Headache, Multiple sclerosis, Myalgia, Optic neuritis, Pyrexia, Visual disturbance

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: multivitamins
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90090493

Write-up: Pt vaccinated with MRVAX developed fever of 100.5, headache, muscle & joint pain, visual disturbances, lost the vision in rt eye. Dx optic neuritis. Also slightly elevated ANA. Subsequently dx as multiple sclerosis.


Changed on 10/14/2018

VAERS ID: 27133 Before After
VAERS Form:1
Age:30.0
Sex:Female
Location:Montana
Vaccinated:1990-07-23
Onset:1990-07-27
Submitted:0000-00-00
Entered:1990-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MER: MEASLES + RUBELLA (MR-VAX II) / MERCK & CO. INC. 46852 / 2 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Antinuclear antibody, Arthralgia, Blindness, Headache, Multiple sclerosis, Myalgia, Optic neuritis, Pyrexia, Visual disturbance

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: multivitamins
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES90090493

Write-up: Pt vaccinated with MRVAX developed fever of 100.5, headache, muscle & joint pain, visual disturbances, lost the vision in rt eye. Dx optic neuritis. Also slightly elevated ANA. Subsequently dx as multiple sclerosis.

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