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This is VAERS ID 45871

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 45871
VAERS Form:
Age:1.3
Sex:Female
Location:California
Vaccinated:1990-07-11
Onset:1990-07-16
Submitted:1992-08-26
Entered:1992-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 06915 / - A / -

Administered by: Private      Purchased by: Unknown
Symptoms: CONVULS, FEVER, EEG ABNORM, EYE DIS, COORDINAT ABNORM

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp tenderness/fever/redness/low grade fever 102 @ 15mos & 2.5 mos w/DTP/MMR;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: lt eye occassionally wandered; pt in perfect hlth & development until MMR vax;
Allergies:
Diagnostic Lab Data: EEG, MRI, Medications, Blood tests, x-rays, speech therapy, special education, 1st EEG was extremely abn; 2nd EEG nl but pt on Depakane 3xday for 18 months;
CDC 'Split Type': lt eye occassionally wandered; pt in perfect hlth & development until MMR vax;

Write-up: regression in speech & learning, sz, eye problems, coordination, motor skills, leg problems; the above has occurred w/in 1 wk of MMR & all but sz is still ongoing; pt had low grade fever following MMR;


Changed on 12/8/2009

VAERS ID: 45871 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:California
Vaccinated:1990-07-11
Onset:1990-07-16
Submitted:1992-08-26
Entered:1992-10-01 1992-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 06915 / - A / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Eye disorder, Mental retardation severity unspecified, Pyrexia, Speech disorder, CONVULS, FEVER, EEG ABNORM, EYE DIS, COORDINAT ABNORM

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp tenderness/fever/redness/low grade fever 102 @ 15mos & 2.5 mos w/DTP/MMR;
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: lt eye occassionally wandered; pt in perfect hlth & development until MMR vax;
Allergies:
Diagnostic Lab Data: EEG, MRI, Medications, Blood tests, x-rays, speech therapy, special education, 1st EEG was extremely abn; 2nd EEG nl but pt on Depakane 3xday for 18 months;
CDC 'Split Type': lt eye occassionally wandered; pt in perfect hlth & development until MMR vax; (blank)

Write-up: regression in speech & learning, sz, eye problems, coordination, motor skills, leg problems; the above has occurred w/in 1 wk of MMR & all but sz is still ongoing; pt had low grade fever following MMR;


Changed on 5/14/2017

VAERS ID: 45871 Before After
VAERS Form:
Age:1.3
Sex:Female
Location:California
Vaccinated:1990-07-11
Onset:1990-07-16
Submitted:1992-08-26
Entered:1992-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06915 / - A - / - A

Administered by: Private      Purchased by: Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Eye disorder, Mental retardation severity unspecified, Pyrexia, Speech disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp tenderness/fever/redness/low grade fever 102 @ 15mos & 2.5 mos w/DTP/MMR; w/DTP/MMR;~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: lt eye occassionally wandered; pt in perfect hlth & development until MMR vax;
Allergies:
Diagnostic Lab Data: EEG, MRI, Medications, Blood tests, x-rays, speech therapy, special education, 1st EEG was extremely abn; 2nd EEG nl but pt on Depakane 3xday for 18 months;
CDC 'Split Type':

Write-up: regression in speech & learning, sz, eye problems, coordination, motor skills, leg problems; the above has occurred w/in 1 wk of MMR & all but sz is still ongoing; pt had low grade fever following MMR;


Changed on 9/14/2017

VAERS ID: 45871 Before After
VAERS Form:(blank) 1
Age:1.3
Sex:Female
Location:California
Vaccinated:1990-07-11
Onset:1990-07-16
Submitted:1992-08-26
Entered:1992-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06915 / - UNK - / A

Administered by: Private      Purchased by: Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Eye disorder, Mental retardation severity unspecified, Pyrexia, Speech disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp tenderness/fever/redness/low grade fever 102 @ 15mos & 2.5 mos w/DTP/MMR;~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: lt eye occassionally wandered; pt in perfect hlth & development until MMR vax;
Allergies:
Diagnostic Lab Data: EEG, MRI, Medications, Blood tests, x-rays, speech therapy, special education, 1st EEG was extremely abn; 2nd EEG nl but pt on Depakane 3xday for 18 months;
CDC 'Split Type':

Write-up: regression in speech & learning, sz, eye problems, coordination, motor skills, leg problems; the above has occurred w/in 1 wk of MMR & all but sz is still ongoing; pt had low grade fever following MMR;


Changed on 2/14/2018

VAERS ID: 45871 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:California
Vaccinated:1990-07-11
Onset:1990-07-16
Submitted:1992-08-26
Entered:1992-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06915 / UNK - / A

Administered by: Private      Purchased by: Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Eye disorder, Mental retardation severity unspecified, Pyrexia, Speech disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp tenderness/fever/redness/low grade fever 102 @ 15mos & 2.5 mos w/DTP/MMR;~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: lt eye occassionally wandered; pt in perfect hlth & development until MMR vax;
Allergies:
Diagnostic Lab Data: EEG, MRI, Medications, Blood tests, x-rays, speech therapy, special education, 1st EEG was extremely abn; 2nd EEG nl but pt on Depakane 3xday for 18 months;
CDC 'Split Type':

Write-up: regression in speech & learning, sz, eye problems, coordination, motor skills, leg problems; the above has occurred w/in 1 wk of MMR & all but sz is still ongoing; pt had low grade fever following MMR;


Changed on 6/14/2018

VAERS ID: 45871 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:California
Vaccinated:1990-07-11
Onset:1990-07-16
Submitted:1992-08-26
Entered:1992-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06915 / UNK - / A

Administered by: Private      Purchased by: Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Eye disorder, Mental retardation severity unspecified, Pyrexia, Speech disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp tenderness/fever/redness/low grade fever 102 @ 15mos & 2.5 mos w/DTP/MMR;~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: lt eye occassionally wandered; pt in perfect hlth & development until MMR vax;
Allergies:
Diagnostic Lab Data: EEG, MRI, Medications, Blood tests, x-rays, speech therapy, special education, 1st EEG was extremely abn; 2nd EEG nl but pt on Depakane 3xday for 18 months;
CDC 'Split Type':

Write-up: regression in speech & learning, sz, eye problems, coordination, motor skills, leg problems; the above has occurred w/in 1 wk of MMR & all but sz is still ongoing; pt had low grade fever following MMR;


Changed on 8/14/2018

VAERS ID: 45871 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:California
Vaccinated:1990-07-11
Onset:1990-07-16
Submitted:1992-08-26
Entered:1992-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06915 / UNK - / A

Administered by: Private      Purchased by: Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Eye disorder, Mental retardation severity unspecified, Pyrexia, Speech disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp tenderness/fever/redness/low grade fever 102 @ 15mos & 2.5 mos w/DTP/MMR;~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: lt eye occassionally wandered; pt in perfect hlth & development until MMR vax;
Allergies:
Diagnostic Lab Data: EEG, MRI, Medications, Blood tests, x-rays, speech therapy, special education, 1st EEG was extremely abn; 2nd EEG nl but pt on Depakane 3xday for 18 months;
CDC 'Split Type':

Write-up: regression in speech & learning, sz, eye problems, coordination, motor skills, leg problems; the above has occurred w/in 1 wk of MMR & all but sz is still ongoing; pt had low grade fever following MMR;


Changed on 9/14/2018

VAERS ID: 45871 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:California
Vaccinated:1990-07-11
Onset:1990-07-16
Submitted:1992-08-26
Entered:1992-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06915 / UNK - / A

Administered by: Private      Purchased by: Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Eye disorder, Mental retardation severity unspecified, Pyrexia, Speech disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp tenderness/fever/redness/low grade fever 102 @ 15mos & 2.5 mos w/DTP/MMR;~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: lt eye occassionally wandered; pt in perfect hlth & development until MMR vax;
Allergies:
Diagnostic Lab Data: EEG, MRI, Medications, Blood tests, x-rays, speech therapy, special education, 1st EEG was extremely abn; 2nd EEG nl but pt on Depakane 3xday for 18 months;
CDC 'Split Type':

Write-up: regression in speech & learning, sz, eye problems, coordination, motor skills, leg problems; the above has occurred w/in 1 wk of MMR & all but sz is still ongoing; pt had low grade fever following MMR;


Changed on 10/14/2018

VAERS ID: 45871 Before After
VAERS Form:1
Age:1.3
Sex:Female
Location:California
Vaccinated:1990-07-11
Onset:1990-07-16
Submitted:1992-08-26
Entered:1992-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06915 / UNK - / A

Administered by: Private      Purchased by: Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Eye disorder, Mental retardation severity unspecified, Pyrexia, Speech disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: pt exp tenderness/fever/redness/low grade fever 102 @ 15mos & 2.5 mos w/DTP/MMR;~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: lt eye occassionally wandered; pt in perfect hlth & development until MMR vax;
Allergies:
Diagnostic Lab Data: EEG, MRI, Medications, Blood tests, x-rays, speech therapy, special education, 1st EEG was extremely abn; 2nd EEG nl but pt on Depakane 3xday for 18 months;
CDC 'Split Type':

Write-up: regression in speech & learning, sz, eye problems, coordination, motor skills, leg problems; the above has occurred w/in 1 wk of MMR & all but sz is still ongoing; pt had low grade fever following MMR;

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