National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 33187

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 33187
VAERS Form:
Age:1.5
Sex:Female
Location:New Jersey
Vaccinated:1983-01-07
Onset:1983-01-15
Submitted:0000-00-00
Entered:1991-08-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: CONVULS, FEVER

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: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type':

Write-up: 07Jan83 pt vax; 15Jan83 devel high fever & exp convulsion. At age 9 pt seen by MD for hypersensitivity.


Changed on 12/8/2009

VAERS ID: 33187 Before After
VAERS Form:
Age:1.5
Sex:Female
Location:New Jersey
Vaccinated:1983-01-07
Onset:1983-01-15
Submitted:0000-00-00
Entered:1991-08-08 1991-05-31
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: Convulsion, Pyrexia, CONVULS, FEVER

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: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': (blank) WAES90060351

Write-up: 07Jan83 pt vax; 15Jan83 devel high fever & exp convulsion. At age 9 pt seen by MD for hypersensitivity.


Changed on 5/14/2017

VAERS ID: 33187 Before After
VAERS Form:
Age:1.5
Sex:Female
Location:New Jersey
Vaccinated:1983-01-07
Onset:1983-01-15
Submitted:0000-00-00
Entered:1991-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia

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: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90060351

Write-up: 07Jan83 pt vax; 15Jan83 devel high fever & exp convulsion. At age 9 pt seen by MD for hypersensitivity.


Changed on 9/14/2017

VAERS ID: 33187 Before After
VAERS Form:(blank) 1
Age:1.5
Sex:Female
Location:New Jersey
Vaccinated:1983-01-07
Onset:1983-01-15
Submitted:0000-00-00
Entered:1991-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia

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: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90060351

Write-up: 07Jan83 pt vax; 15Jan83 devel high fever & exp convulsion. At age 9 pt seen by MD for hypersensitivity.


Changed on 2/14/2018

VAERS ID: 33187 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:New Jersey
Vaccinated:1983-01-07
Onset:1983-01-15
Submitted:0000-00-00
Entered:1991-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia

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: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90060351

Write-up: 07Jan83 pt vax; 15Jan83 devel high fever & exp convulsion. At age 9 pt seen by MD for hypersensitivity.


Changed on 6/14/2018

VAERS ID: 33187 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:New Jersey
Vaccinated:1983-01-07
Onset:1983-01-15
Submitted:0000-00-00
Entered:1991-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia

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: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90060351

Write-up: 07Jan83 pt vax; 15Jan83 devel high fever & exp convulsion. At age 9 pt seen by MD for hypersensitivity.


Changed on 8/14/2018

VAERS ID: 33187 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:New Jersey
Vaccinated:1983-01-07
Onset:1983-01-15
Submitted:0000-00-00
Entered:1991-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia

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: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90060351

Write-up: 07Jan83 pt vax; 15Jan83 devel high fever & exp convulsion. At age 9 pt seen by MD for hypersensitivity.


Changed on 9/14/2018

VAERS ID: 33187 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:New Jersey
Vaccinated:1983-01-07
Onset:1983-01-15
Submitted:0000-00-00
Entered:1991-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia

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: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90060351

Write-up: 07Jan83 pt vax; 15Jan83 devel high fever & exp convulsion. At age 9 pt seen by MD for hypersensitivity.


Changed on 10/14/2018

VAERS ID: 33187 Before After
VAERS Form:1
Age:1.5
Sex:Female
Location:New Jersey
Vaccinated:1983-01-07
Onset:1983-01-15
Submitted:0000-00-00
Entered:1991-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Pyrexia

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: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90060351

Write-up: 07Jan83 pt vax; 15Jan83 devel high fever & exp convulsion. At age 9 pt seen by MD for hypersensitivity.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=33187&WAYBACKHISTORY=ON


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166