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This is VAERS ID 33513

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 33513
VAERS Form:
Age:1.8
Sex:Female
Location:Nebraska
Vaccinated:1990-08-31
Onset:1990-09-09
Submitted:0000-00-00
Entered:1991-08-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1313S / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: HEMIPLEGIA, INFECT, ENCEPHALITIS, BRAIN SYND CHRON, HERPES SIMPLEX

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: MRI 26SEP90: significant damage to lt hemisphere of brain; MRI 07OCT91: brain-severe brain atrophy; EEG 14MAY92 abnormal;
CDC 'Split Type':

Write-up: Pt recvd MMR vax 31AUG90; On 09SEP90 pt was hospitalized w/focal encephalitis believed due to herpes virus infect;16OCT90 pt cont to exp bilateral blindness,devel delay,&a stroke synd involving rt side of body;MD didn''t attribute exp to vax


Changed on 12/8/2009

VAERS ID: 33513 Before After
VAERS Form:
Age:1.8
Sex:Female
Location:Nebraska
Vaccinated:1990-08-31
Onset:1990-09-09
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. 1313S / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dementia, Encephalitis, Hemiplegia, Herpes simplex, Infection, Neuropathy, Personality disorder, Visual field defect, HEMIPLEGIA, INFECT, ENCEPHALITIS, BRAIN SYND CHRON, HERPES SIMPLEX

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: MRI 26SEP90: significant damage to lt hemisphere of brain; MRI 07OCT91: brain-severe brain atrophy; EEG 14MAY92 abnormal;
CDC 'Split Type': (blank) WAES90100863

Write-up: Pt recvd MMR vax 31AUG90; On 09SEP90 pt was hospitalized w/focal encephalitis believed due to herpes virus infect;16OCT90 pt cont to exp bilateral blindness,devel delay,&a stroke synd involving rt side of body;MD didn''t attribute exp to vax


Changed on 5/14/2017

VAERS ID: 33513 Before After
VAERS Form:
Age:1.8
Sex:Female
Location:Nebraska
Vaccinated:1990-08-31
Onset:1990-09-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1313S / 0 - / -

Administered by: Other      Purchased by: Other
Symptoms: Dementia, Encephalitis, Hemiplegia, Herpes simplex, Infection, Neuropathy, Personality disorder, Visual field defect

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: MRI 26SEP90: significant damage to lt hemisphere of brain; MRI 07OCT91: brain-severe brain atrophy; EEG 14MAY92 abnormal;
CDC 'Split Type': WAES90100863

Write-up: Pt recvd MMR vax 31AUG90; On 09SEP90 pt was hospitalized w/focal encephalitis believed due to herpes virus infect;16OCT90 pt cont to exp bilateral blindness,devel delay,&a stroke synd involving rt side of body;MD didn''t attribute exp to vax


Changed on 9/14/2017

VAERS ID: 33513 Before After
VAERS Form:(blank) 1
Age:1.8
Sex:Female
Location:Nebraska
Vaccinated:1990-08-31
Onset:1990-09-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1313S / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Dementia, Encephalitis, Hemiplegia, Herpes simplex, Infection, Neuropathy, Personality disorder, Visual field defect

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: MRI 26SEP90: significant damage to lt hemisphere of brain; MRI 07OCT91: brain-severe brain atrophy; EEG 14MAY92 abnormal;
CDC 'Split Type': WAES90100863

Write-up: Pt recvd MMR vax 31AUG90; On 09SEP90 pt was hospitalized w/focal encephalitis believed due to herpes virus infect;16OCT90 pt cont to exp bilateral blindness,devel delay,&a stroke synd involving rt side of body;MD didn''t attribute exp to vax


Changed on 2/14/2018

VAERS ID: 33513 Before After
VAERS Form:1
Age:1.8
Sex:Female
Location:Nebraska
Vaccinated:1990-08-31
Onset:1990-09-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1313S / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Dementia, Encephalitis, Hemiplegia, Herpes simplex, Infection, Neuropathy, Personality disorder, Visual field defect

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: MRI 26SEP90: significant damage to lt hemisphere of brain; MRI 07OCT91: brain-severe brain atrophy; EEG 14MAY92 abnormal;
CDC 'Split Type': WAES90100863

Write-up: Pt recvd MMR vax 31AUG90; On 09SEP90 pt was hospitalized w/focal encephalitis believed due to herpes virus infect;16OCT90 pt cont to exp bilateral blindness,devel delay,&a stroke synd involving rt side of body;MD didn''t attribute exp to vax


Changed on 6/14/2018

VAERS ID: 33513 Before After
VAERS Form:1
Age:1.8
Sex:Female
Location:Nebraska
Vaccinated:1990-08-31
Onset:1990-09-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1313S / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Dementia, Encephalitis, Hemiplegia, Herpes simplex, Infection, Neuropathy, Personality disorder, Visual field defect

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: MRI 26SEP90: significant damage to lt hemisphere of brain; MRI 07OCT91: brain-severe brain atrophy; EEG 14MAY92 abnormal;
CDC 'Split Type': WAES90100863

Write-up: Pt recvd MMR vax 31AUG90; On 09SEP90 pt was hospitalized w/focal encephalitis believed due to herpes virus infect;16OCT90 pt cont to exp bilateral blindness,devel delay,&a stroke synd involving rt side of body;MD didn''t attribute exp to vax


Changed on 8/14/2018

VAERS ID: 33513 Before After
VAERS Form:1
Age:1.8
Sex:Female
Location:Nebraska
Vaccinated:1990-08-31
Onset:1990-09-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1313S / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Dementia, Encephalitis, Hemiplegia, Herpes simplex, Infection, Neuropathy, Personality disorder, Visual field defect

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: MRI 26SEP90: significant damage to lt hemisphere of brain; MRI 07OCT91: brain-severe brain atrophy; EEG 14MAY92 abnormal;
CDC 'Split Type': WAES90100863

Write-up: Pt recvd MMR vax 31AUG90; On 09SEP90 pt was hospitalized w/focal encephalitis believed due to herpes virus infect;16OCT90 pt cont to exp bilateral blindness,devel delay,&a stroke synd involving rt side of body;MD didn''t attribute exp to vax


Changed on 9/14/2018

VAERS ID: 33513 Before After
VAERS Form:1
Age:1.8
Sex:Female
Location:Nebraska
Vaccinated:1990-08-31
Onset:1990-09-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1313S / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Dementia, Encephalitis, Hemiplegia, Herpes simplex, Infection, Neuropathy, Personality disorder, Visual field defect

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: MRI 26SEP90: significant damage to lt hemisphere of brain; MRI 07OCT91: brain-severe brain atrophy; EEG 14MAY92 abnormal;
CDC 'Split Type': WAES90100863

Write-up: Pt recvd MMR vax 31AUG90; On 09SEP90 pt was hospitalized w/focal encephalitis believed due to herpes virus infect;16OCT90 pt cont to exp bilateral blindness,devel delay,&a stroke synd involving rt side of body;MD didn''t attribute exp to vax


Changed on 10/14/2018

VAERS ID: 33513 Before After
VAERS Form:1
Age:1.8
Sex:Female
Location:Nebraska
Vaccinated:1990-08-31
Onset:1990-09-09
Submitted:0000-00-00
Entered:1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1313S / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Dementia, Encephalitis, Hemiplegia, Herpes simplex, Infection, Neuropathy, Personality disorder, Visual field defect

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
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: MRI 26SEP90: significant damage to lt hemisphere of brain; MRI 07OCT91: brain-severe brain atrophy; EEG 14MAY92 abnormal;
CDC 'Split Type': WAES90100863

Write-up: Pt recvd MMR vax 31AUG90; On 09SEP90 pt was hospitalized w/focal encephalitis believed due to herpes virus infect;16OCT90 pt cont to exp bilateral blindness,devel delay,&a stroke synd involving rt side of body;MD didn''t attribute exp to vax

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