National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 33351

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 33351
VAERS Form:
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1990-07-13
Onset:1990-07-17
Submitted:0000-00-00
Entered:1991-08-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: FEVER, SOMNOLENCE, ENCEPHALITIS, GAIT ABNORM, ATAXIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type':

Write-up: Pt recvd MMR vax 13JUL90; On 17JUL90 pt devel encephalitis w/fever, sleepiness, & loss of balance; The following day unsteady gait & loss of balance persisted, & was hospitalized for observation overnight; Pt recovered;


Changed on 12/8/2009

VAERS ID: 33351 Before After
VAERS Form:
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1990-07-13
Onset:1990-07-17
Submitted:0000-00-00
Entered:1991-08-09 1991-06-03
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: Coordination abnormal, Encephalitis, Gait disturbance, Pyrexia, Somnolence, FEVER, SOMNOLENCE, ENCEPHALITIS, GAIT ABNORM, ATAXIA

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': (blank) WAES90070697

Write-up: Pt recvd MMR vax 13JUL90; On 17JUL90 pt devel encephalitis w/fever, sleepiness, & loss of balance; The following day unsteady gait & loss of balance persisted, & was hospitalized for observation overnight; Pt recovered;


Changed on 5/14/2017

VAERS ID: 33351 Before After
VAERS Form:
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1990-07-13
Onset:1990-07-17
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Coordination abnormal, Encephalitis, Gait disturbance, Pyrexia, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90070697

Write-up: Pt recvd MMR vax 13JUL90; On 17JUL90 pt devel encephalitis w/fever, sleepiness, & loss of balance; The following day unsteady gait & loss of balance persisted, & was hospitalized for observation overnight; Pt recovered;


Changed on 9/14/2017

VAERS ID: 33351 Before After
VAERS Form:(blank) 1
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1990-07-13
Onset:1990-07-17
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Coordination abnormal, Encephalitis, Gait disturbance, Pyrexia, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90070697

Write-up: Pt recvd MMR vax 13JUL90; On 17JUL90 pt devel encephalitis w/fever, sleepiness, & loss of balance; The following day unsteady gait & loss of balance persisted, & was hospitalized for observation overnight; Pt recovered;


Changed on 2/14/2018

VAERS ID: 33351 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1990-07-13
Onset:1990-07-17
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Coordination abnormal, Encephalitis, Gait disturbance, Pyrexia, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90070697

Write-up: Pt recvd MMR vax 13JUL90; On 17JUL90 pt devel encephalitis w/fever, sleepiness, & loss of balance; The following day unsteady gait & loss of balance persisted, & was hospitalized for observation overnight; Pt recovered;


Changed on 6/14/2018

VAERS ID: 33351 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1990-07-13
Onset:1990-07-17
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Coordination abnormal, Encephalitis, Gait disturbance, Pyrexia, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90070697

Write-up: Pt recvd MMR vax 13JUL90; On 17JUL90 pt devel encephalitis w/fever, sleepiness, & loss of balance; The following day unsteady gait & loss of balance persisted, & was hospitalized for observation overnight; Pt recovered;


Changed on 8/14/2018

VAERS ID: 33351 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1990-07-13
Onset:1990-07-17
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Coordination abnormal, Encephalitis, Gait disturbance, Pyrexia, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90070697

Write-up: Pt recvd MMR vax 13JUL90; On 17JUL90 pt devel encephalitis w/fever, sleepiness, & loss of balance; The following day unsteady gait & loss of balance persisted, & was hospitalized for observation overnight; Pt recovered;


Changed on 9/14/2018

VAERS ID: 33351 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1990-07-13
Onset:1990-07-17
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Coordination abnormal, Encephalitis, Gait disturbance, Pyrexia, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90070697

Write-up: Pt recvd MMR vax 13JUL90; On 17JUL90 pt devel encephalitis w/fever, sleepiness, & loss of balance; The following day unsteady gait & loss of balance persisted, & was hospitalized for observation overnight; Pt recovered;


Changed on 10/14/2018

VAERS ID: 33351 Before After
VAERS Form:1
Age:1.4
Sex:Male
Location:Pennsylvania
Vaccinated:1990-07-13
Onset:1990-07-17
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Coordination abnormal, Encephalitis, Gait disturbance, Pyrexia, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
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: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES90070697

Write-up: Pt recvd MMR vax 13JUL90; On 17JUL90 pt devel encephalitis w/fever, sleepiness, & loss of balance; The following day unsteady gait & loss of balance persisted, & was hospitalized for observation overnight; Pt recovered;

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=33351&WAYBACKHISTORY=ON


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