National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 37513

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 37513
VAERS Form:
Age:1.5
Sex:Male
Location:Florida
Vaccinated:1989-03-20
Onset:1989-06-01
Submitted:0000-00-00
Entered:1992-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1433P / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: GUILLAIN BARRE SYND, NEURITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: pt''s sibling devel GBS @ 21mos w/MMR #1 dose;
Other Medications:
Current Illness:
Preexisting Conditions: seizure disorder; breathing pattern abn;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': seizure disorder; breathing pattern abn;

Write-up: pt recvd MMR vax on 20MAR89 & approx 3 months following vax pt devel polyneuritis & was sent to a med ctr; pt dx w/GBS & hospitalized; MD stated that neither he nor the other MD''s who examined the pt felt exp was related to vax;


Changed on 12/8/2009

VAERS ID: 37513 Before After
VAERS Form:
Age:1.5
Sex:Male
Location:Florida
Vaccinated:1989-03-20
Onset:1989-06-01
Submitted:0000-00-00
Entered:1992-08-03 1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1433P / 0 - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Guillain-Barre syndrome, Neuritis, GUILLAIN BARRE SYND, NEURITIS

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: pt''s sibling devel GBS @ 21mos w/MMR #1 dose;
Other Medications:
Current Illness:
Preexisting Conditions: seizure disorder; breathing pattern abn;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': seizure disorder; breathing pattern abn; WAES91100415

Write-up: pt recvd MMR vax on 20MAR89 & approx 3 months following vax pt devel polyneuritis & was sent to a med ctr; pt dx w/GBS & hospitalized; MD stated that neither he nor the other MD''s who examined the pt felt exp was related to vax;


Changed on 5/14/2017

VAERS ID: 37513 Before After
VAERS Form:
Age:1.5
Sex:Male
Location:Florida
Vaccinated:1989-03-20
Onset:1989-06-01
Submitted:0000-00-00
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1433P / 0 - / -

Administered by: Private      Purchased by: Private
Symptoms: Guillain-Barre syndrome, Neuritis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: pt''s sibling devel GBS @ 21mos w/MMR #1 dose; dose;~ ()~~~In Sibling
Other Medications:
Current Illness:
Preexisting Conditions: seizure disorder; breathing pattern abn;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91100415

Write-up: pt recvd MMR vax on 20MAR89 & approx 3 months following vax pt devel polyneuritis & was sent to a med ctr; pt dx w/GBS & hospitalized; MD stated that neither he nor the other MD''s who examined the pt felt exp was related to vax;


Changed on 9/14/2017

VAERS ID: 37513 Before After
VAERS Form:(blank) 1
Age:1.5
Sex:Male
Location:Florida
Vaccinated:1989-03-20
Onset:1989-06-01
Submitted:0000-00-00
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1433P / 0 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Guillain-Barre syndrome, Neuritis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: pt''s sibling devel GBS @ 21mos w/MMR #1 dose;~ ()~~~In Sibling
Other Medications:
Current Illness:
Preexisting Conditions: seizure disorder; breathing pattern abn;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91100415

Write-up: pt recvd MMR vax on 20MAR89 & approx 3 months following vax pt devel polyneuritis & was sent to a med ctr; pt dx w/GBS & hospitalized; MD stated that neither he nor the other MD''s who examined the pt felt exp was related to vax;


Changed on 2/14/2018

VAERS ID: 37513 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Florida
Vaccinated:1989-03-20
Onset:1989-06-01
Submitted:0000-00-00
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1433P / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Guillain-Barre syndrome, Neuritis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: pt''s sibling devel GBS @ 21mos w/MMR #1 dose;~ ()~~~In Sibling
Other Medications:
Current Illness:
Preexisting Conditions: seizure disorder; breathing pattern abn;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91100415

Write-up: pt recvd MMR vax on 20MAR89 & approx 3 months following vax pt devel polyneuritis & was sent to a med ctr; pt dx w/GBS & hospitalized; MD stated that neither he nor the other MD''s who examined the pt felt exp was related to vax;


Changed on 6/14/2018

VAERS ID: 37513 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Florida
Vaccinated:1989-03-20
Onset:1989-06-01
Submitted:0000-00-00
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1433P / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Guillain-Barre syndrome, Neuritis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: pt''s sibling devel GBS @ 21mos w/MMR #1 dose;~ ()~~~In Sibling
Other Medications:
Current Illness:
Preexisting Conditions: seizure disorder; breathing pattern abn;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91100415

Write-up: pt recvd MMR vax on 20MAR89 & approx 3 months following vax pt devel polyneuritis & was sent to a med ctr; pt dx w/GBS & hospitalized; MD stated that neither he nor the other MD''s who examined the pt felt exp was related to vax;


Changed on 8/14/2018

VAERS ID: 37513 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Florida
Vaccinated:1989-03-20
Onset:1989-06-01
Submitted:0000-00-00
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1433P / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Guillain-Barre syndrome, Neuritis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: pt''s sibling devel GBS @ 21mos w/MMR #1 dose;~ ()~~~In Sibling
Other Medications:
Current Illness:
Preexisting Conditions: seizure disorder; breathing pattern abn;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91100415

Write-up: pt recvd MMR vax on 20MAR89 & approx 3 months following vax pt devel polyneuritis & was sent to a med ctr; pt dx w/GBS & hospitalized; MD stated that neither he nor the other MD''s who examined the pt felt exp was related to vax;


Changed on 9/14/2018

VAERS ID: 37513 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Florida
Vaccinated:1989-03-20
Onset:1989-06-01
Submitted:0000-00-00
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1433P / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Guillain-Barre syndrome, Neuritis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: pt''s sibling devel GBS @ 21mos w/MMR #1 dose;~ ()~~~In Sibling
Other Medications:
Current Illness:
Preexisting Conditions: seizure disorder; breathing pattern abn;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91100415

Write-up: pt recvd MMR vax on 20MAR89 & approx 3 months following vax pt devel polyneuritis & was sent to a med ctr; pt dx w/GBS & hospitalized; MD stated that neither he nor the other MD''s who examined the pt felt exp was related to vax;


Changed on 10/14/2018

VAERS ID: 37513 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Florida
Vaccinated:1989-03-20
Onset:1989-06-01
Submitted:0000-00-00
Entered:1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1433P / 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Guillain-Barre syndrome, Neuritis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: pt''s sibling devel GBS @ 21mos w/MMR #1 dose;~ ()~~~In Sibling
Other Medications:
Current Illness:
Preexisting Conditions: seizure disorder; breathing pattern abn;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC 'Split Type': WAES91100415

Write-up: pt recvd MMR vax on 20MAR89 & approx 3 months following vax pt devel polyneuritis & was sent to a med ctr; pt dx w/GBS & hospitalized; MD stated that neither he nor the other MD''s who examined the pt felt exp was related to vax;

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=37513&WAYBACKHISTORY=ON


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