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This is VAERS ID 38811

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 38811
VAERS Form:
Age:1.2
Sex:Female
Location:Texas
Vaccinated:1989-12-19
Onset:1989-12-29
Submitted:1991-08-01
Entered:1992-01-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 0818P / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: CONVULS, FEVER, INFECT, ENCEPHALITIS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1989-12-31
Permanent Disability? No
Recovered? No
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: UNK
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 12 days p/vax had sz, @ hosp;


Changed on 12/8/2009

VAERS ID: 38811 Before After
VAERS Form:
Age:1.2
Sex:Female
Location:Texas
Vaccinated:1989-12-19
Onset:1989-12-29
Submitted:1991-08-01
Entered:1992-01-16 1992-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0818P / 0 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Convulsion, Encephalitis, Infection, Pyrexia, CONVULS, FEVER, INFECT, ENCEPHALITIS

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1989-12-31
Permanent Disability? No
Recovered? No
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: UNK
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 12 days p/vax had sz, @ hosp;


Changed on 5/14/2017

VAERS ID: 38811 Before After
VAERS Form:
Age:1.2
Sex:Female
Location:Texas
Vaccinated:1989-12-19
Onset:1989-12-29
Submitted:1991-08-01
Entered:1992-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0818P / 0 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Encephalitis, Infection, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1989-12-31
Permanent Disability? No
Recovered? No
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: UNK UNK~ ()~~~In patient
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 12 days p/vax had sz, @ hosp;


Changed on 9/14/2017

VAERS ID: 38811 Before After
VAERS Form:(blank) 1
Age:1.2
Sex:Female
Location:Texas
Vaccinated:1989-12-19
Onset:1989-12-29
Submitted:1991-08-01
Entered:1992-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0818P / 0 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Encephalitis, Infection, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1989-12-31
Permanent Disability? No
Recovered? No
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: UNK~ ()~~~In patient
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 12 days p/vax had sz, @ hosp;


Changed on 2/14/2018

VAERS ID: 38811 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Texas
Vaccinated:1989-12-19
Onset:1989-12-29
Submitted:1991-08-01
Entered:1992-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0818P / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Encephalitis, Infection, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1989-12-31
Permanent Disability? No
Recovered? No
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: UNK~ ()~~~In patient
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 12 days p/vax had sz, @ hosp;


Changed on 6/14/2018

VAERS ID: 38811 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Texas
Vaccinated:1989-12-19
Onset:1989-12-29
Submitted:1991-08-01
Entered:1992-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0818P / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Encephalitis, Infection, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1989-12-31
Permanent Disability? No
Recovered? No
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: UNK~ ()~~~In patient
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 12 days p/vax had sz, @ hosp;


Changed on 8/14/2018

VAERS ID: 38811 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Texas
Vaccinated:1989-12-19
Onset:1989-12-29
Submitted:1991-08-01
Entered:1992-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0818P / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Encephalitis, Infection, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1989-12-31
Permanent Disability? No
Recovered? No
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: UNK~ ()~~~In patient
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 12 days p/vax had sz, @ hosp;


Changed on 9/14/2018

VAERS ID: 38811 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Texas
Vaccinated:1989-12-19
Onset:1989-12-29
Submitted:1991-08-01
Entered:1992-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0818P / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Encephalitis, Infection, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1989-12-31
Permanent Disability? No
Recovered? No
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: UNK~ ()~~~In patient
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 12 days p/vax had sz, @ hosp;


Changed on 10/14/2018

VAERS ID: 38811 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Texas
Vaccinated:1989-12-19
Onset:1989-12-29
Submitted:1991-08-01
Entered:1992-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0818P / 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Encephalitis, Infection, Pyrexia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:1989-12-31
Permanent Disability? No
Recovered? No
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: UNK~ ()~~~In patient
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 12 days p/vax had sz, @ hosp;

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