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This is VAERS ID 33493

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 33493
VAERS Form:
Age:1.1
Sex:Male
Location:Texas
Vaccinated:1990-07-16
Onset:1990-07-25
Submitted:0000-00-00
Entered:1991-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 0833R / - - / -

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

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: WBC - 10.5, RBC - 4.65, Hemoglobin - 12.1, Hematocrit - 36.5, CSF - 45280(RBC), 2700 (WBC), 12 (neutrophils), 88 (lymphocytes), 268 (protein), 65 (glucose), glucose - 81. Urinalysis - normal, X-ray - chest, normal, Culture - blood, neg.
CDC 'Split Type':

Write-up: 16Jul90 pt vax; 25Jul90 devel low-grade fever. 27Jul90 temp inc 106.6F. Tx w/ APAP & cold sponge baths. Temp ranged from 103 - 105.6F. Spinal tap performed. Spinal tap traumatic, so spinal fluid was bloody. See worm...


Changed on 12/8/2009

VAERS ID: 33493 Before After
VAERS Form:
Age:1.1
Sex:Male
Location:Texas
Vaccinated:1990-07-16
Onset:1990-07-25
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. 0833R / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Encephalitis, Pyrexia, FEVER, ENCEPHALITIS

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: WBC - 10.5, RBC - 4.65, Hemoglobin - 12.1, Hematocrit - 36.5, CSF - 45280(RBC), 2700 (WBC), 12 (neutrophils), 88 (lymphocytes), 268 (protein), 65 (glucose), glucose - 81. Urinalysis - normal, X-ray - chest, normal, Culture - blood, neg.
CDC 'Split Type': (blank) WAES90100065

Write-up: 16Jul90 pt vax; 25Jul90 devel low-grade fever. 27Jul90 temp inc 106.6F. Tx w/ APAP & cold sponge baths. Temp ranged from 103 - 105.6F. Spinal tap performed. Spinal tap traumatic, so spinal fluid was bloody. See worm...


Changed on 5/14/2017

VAERS ID: 33493 Before After
VAERS Form:
Age:1.1
Sex:Male
Location:Texas
Vaccinated:1990-07-16
Onset:1990-07-25
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0833R / - - / -

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

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: WBC - 10.5, RBC - 4.65, Hemoglobin - 12.1, Hematocrit - 36.5, CSF - 45280(RBC), 2700 (WBC), 12 (neutrophils), 88 (lymphocytes), 268 (protein), 65 (glucose), glucose - 81. Urinalysis - normal, X-ray - chest, normal, Culture - blood, neg.
CDC 'Split Type': WAES90100065

Write-up: 16Jul90 pt vax; 25Jul90 devel low-grade fever. 27Jul90 temp inc 106.6F. Tx w/ APAP & cold sponge baths. Temp ranged from 103 - 105.6F. Spinal tap performed. Spinal tap traumatic, so spinal fluid was bloody. See worm...


Changed on 9/14/2017

VAERS ID: 33493 Before After
VAERS Form:(blank) 1
Age:1.1
Sex:Male
Location:Texas
Vaccinated:1990-07-16
Onset:1990-07-25
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0833R / - UNK - / -

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

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: WBC - 10.5, RBC - 4.65, Hemoglobin - 12.1, Hematocrit - 36.5, CSF - 45280(RBC), 2700 (WBC), 12 (neutrophils), 88 (lymphocytes), 268 (protein), 65 (glucose), glucose - 81. Urinalysis - normal, X-ray - chest, normal, Culture - blood, neg.
CDC 'Split Type': WAES90100065

Write-up: 16Jul90 pt vax; 25Jul90 devel low-grade fever. 27Jul90 temp inc 106.6F. Tx w/ APAP & cold sponge baths. Temp ranged from 103 - 105.6F. Spinal tap performed. Spinal tap traumatic, so spinal fluid was bloody. See worm...


Changed on 2/14/2018

VAERS ID: 33493 Before After
VAERS Form:1
Age:1.1
Sex:Male
Location:Texas
Vaccinated:1990-07-16
Onset:1990-07-25
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0833R / UNK - / -

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

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: WBC - 10.5, RBC - 4.65, Hemoglobin - 12.1, Hematocrit - 36.5, CSF - 45280(RBC), 2700 (WBC), 12 (neutrophils), 88 (lymphocytes), 268 (protein), 65 (glucose), glucose - 81. Urinalysis - normal, X-ray - chest, normal, Culture - blood, neg.
CDC 'Split Type': WAES90100065

Write-up: 16Jul90 pt vax; 25Jul90 devel low-grade fever. 27Jul90 temp inc 106.6F. Tx w/ APAP & cold sponge baths. Temp ranged from 103 - 105.6F. Spinal tap performed. Spinal tap traumatic, so spinal fluid was bloody. See worm...


Changed on 6/14/2018

VAERS ID: 33493 Before After
VAERS Form:1
Age:1.1
Sex:Male
Location:Texas
Vaccinated:1990-07-16
Onset:1990-07-25
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0833R / UNK - / -

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

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: WBC - 10.5, RBC - 4.65, Hemoglobin - 12.1, Hematocrit - 36.5, CSF - 45280(RBC), 2700 (WBC), 12 (neutrophils), 88 (lymphocytes), 268 (protein), 65 (glucose), glucose - 81. Urinalysis - normal, X-ray - chest, normal, Culture - blood, neg.
CDC 'Split Type': WAES90100065

Write-up: 16Jul90 pt vax; 25Jul90 devel low-grade fever. 27Jul90 temp inc 106.6F. Tx w/ APAP & cold sponge baths. Temp ranged from 103 - 105.6F. Spinal tap performed. Spinal tap traumatic, so spinal fluid was bloody. See worm...


Changed on 8/14/2018

VAERS ID: 33493 Before After
VAERS Form:1
Age:1.1
Sex:Male
Location:Texas
Vaccinated:1990-07-16
Onset:1990-07-25
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0833R / UNK - / -

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

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: WBC - 10.5, RBC - 4.65, Hemoglobin - 12.1, Hematocrit - 36.5, CSF - 45280(RBC), 2700 (WBC), 12 (neutrophils), 88 (lymphocytes), 268 (protein), 65 (glucose), glucose - 81. Urinalysis - normal, X-ray - chest, normal, Culture - blood, neg.
CDC 'Split Type': WAES90100065

Write-up: 16Jul90 pt vax; 25Jul90 devel low-grade fever. 27Jul90 temp inc 106.6F. Tx w/ APAP & cold sponge baths. Temp ranged from 103 - 105.6F. Spinal tap performed. Spinal tap traumatic, so spinal fluid was bloody. See worm...


Changed on 9/14/2018

VAERS ID: 33493 Before After
VAERS Form:1
Age:1.1
Sex:Male
Location:Texas
Vaccinated:1990-07-16
Onset:1990-07-25
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0833R / UNK - / -

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

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: WBC - 10.5, RBC - 4.65, Hemoglobin - 12.1, Hematocrit - 36.5, CSF - 45280(RBC), 2700 (WBC), 12 (neutrophils), 88 (lymphocytes), 268 (protein), 65 (glucose), glucose - 81. Urinalysis - normal, X-ray - chest, normal, Culture - blood, neg.
CDC 'Split Type': WAES90100065

Write-up: 16Jul90 pt vax; 25Jul90 devel low-grade fever. 27Jul90 temp inc 106.6F. Tx w/ APAP & cold sponge baths. Temp ranged from 103 - 105.6F. Spinal tap performed. Spinal tap traumatic, so spinal fluid was bloody. See worm...


Changed on 10/14/2018

VAERS ID: 33493 Before After
VAERS Form:1
Age:1.1
Sex:Male
Location:Texas
Vaccinated:1990-07-16
Onset:1990-07-25
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0833R / UNK - / -

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

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: WBC - 10.5, RBC - 4.65, Hemoglobin - 12.1, Hematocrit - 36.5, CSF - 45280(RBC), 2700 (WBC), 12 (neutrophils), 88 (lymphocytes), 268 (protein), 65 (glucose), glucose - 81. Urinalysis - normal, X-ray - chest, normal, Culture - blood, neg.
CDC 'Split Type': WAES90100065

Write-up: 16Jul90 pt vax; 25Jul90 devel low-grade fever. 27Jul90 temp inc 106.6F. Tx w/ APAP & cold sponge baths. Temp ranged from 103 - 105.6F. Spinal tap performed. Spinal tap traumatic, so spinal fluid was bloody. See worm...

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