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This is VAERS ID 33486

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 33486
VAERS Form:
Age:1.3
Sex:Male
Location:Wisconsin
Vaccinated:1986-12-01
Onset:1986-12-15
Submitted:0000-00-00
Entered:1991-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: THROMBOCYTOPENIA

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:     Extended hospital stay? 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: 01Dec86 pt vax; 2 weeks later devel idiopathic thrombocytopenic purpura & was hosp.


Changed on 12/8/2009

VAERS ID: 33486 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:Wisconsin
Vaccinated:1986-12-01
Onset:1986-12-15
Submitted:0000-00-00
Entered:1991-08-13 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: Thrombocytopenia, THROMBOCYTOPENIA

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': (blank) WAES90090913

Write-up: 01Dec86 pt vax; 2 weeks later devel idiopathic thrombocytopenic purpura & was hosp.


Changed on 5/14/2017

VAERS ID: 33486 Before After
VAERS Form:
Age:1.3
Sex:Male
Location:Wisconsin
Vaccinated:1986-12-01
Onset:1986-12-15
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: Thrombocytopenia

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:     Extended hospital stay? 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': WAES90090913

Write-up: 01Dec86 pt vax; 2 weeks later devel idiopathic thrombocytopenic purpura & was hosp.


Changed on 9/14/2017

VAERS ID: 33486 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Male
Location:Wisconsin
Vaccinated:1986-12-01
Onset:1986-12-15
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: Thrombocytopenia

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:     Extended hospital stay? 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': WAES90090913

Write-up: 01Dec86 pt vax; 2 weeks later devel idiopathic thrombocytopenic purpura & was hosp.


Changed on 2/14/2018

VAERS ID: 33486 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Wisconsin
Vaccinated:1986-12-01
Onset:1986-12-15
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: Thrombocytopenia

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:     Extended hospital stay? 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': WAES90090913

Write-up: 01Dec86 pt vax; 2 weeks later devel idiopathic thrombocytopenic purpura & was hosp.


Changed on 6/14/2018

VAERS ID: 33486 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Wisconsin
Vaccinated:1986-12-01
Onset:1986-12-15
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: Thrombocytopenia

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:     Extended hospital stay? 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': WAES90090913

Write-up: 01Dec86 pt vax; 2 weeks later devel idiopathic thrombocytopenic purpura & was hosp.


Changed on 8/14/2018

VAERS ID: 33486 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Wisconsin
Vaccinated:1986-12-01
Onset:1986-12-15
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: Thrombocytopenia

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:     Extended hospital stay? 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': WAES90090913

Write-up: 01Dec86 pt vax; 2 weeks later devel idiopathic thrombocytopenic purpura & was hosp.


Changed on 9/14/2018

VAERS ID: 33486 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Wisconsin
Vaccinated:1986-12-01
Onset:1986-12-15
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: Thrombocytopenia

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:     Extended hospital stay? 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': WAES90090913

Write-up: 01Dec86 pt vax; 2 weeks later devel idiopathic thrombocytopenic purpura & was hosp.


Changed on 10/14/2018

VAERS ID: 33486 Before After
VAERS Form:1
Age:1.3
Sex:Male
Location:Wisconsin
Vaccinated:1986-12-01
Onset:1986-12-15
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: Thrombocytopenia

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:     Extended hospital stay? 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': WAES90090913

Write-up: 01Dec86 pt vax; 2 weeks later devel idiopathic thrombocytopenic purpura & was hosp.

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