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This is VAERS ID 175663

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 175663
VAERS Form:
Age:3.0
Sex:Male
Location:Texas
Vaccinated:1999-06-07
Onset:0000-00-00
Submitted:2001-07-25
Entered:2001-09-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MSD 15534 / 0 RA / SC
VARCEL: VARICELLA (VARIVAX) / MSD 0289J / - LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: MASS INJECT SITE, EAR DIS, HOSTILITY, AUTISM, APATHY

Life Threatening? Yes
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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Re-occurring infectious congestion.
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autism - Chat
CDC 'Split Type':

Write-up: Lethargy, irritability, loss of words, withdrawal, became more aggressive and sensitive to sounds and people, congestion, etc. Knot at the sit of vaccine.


Changed on 12/8/2009

VAERS ID: 175663 Before After
VAERS Form:
Age:3.0
Sex:Male
Location:Texas
Vaccinated:1999-06-07
Onset:0000-00-00
Submitted:2001-07-25
Entered:2001-09-26 2001-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 15534 / 0 RA / SC
VARCEL: VARICELLA (VARIVAX) VARICELLA (VARIVAX) / MSD MERCK & CO. INC. 0289J / - LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Aggression, Autism, Ear disorder, Injection site mass, Irritability, Lethargy, Social avoidant behaviour, Speech disorder, MASS INJECT SITE, EAR DIS, HOSTILITY, AUTISM, APATHY

Life Threatening? Yes
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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Re-occurring infectious congestion.
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autism - Chat
CDC 'Split Type':

Write-up: Lethargy, irritability, loss of words, withdrawal, became more aggressive and sensitive to sounds and people, congestion, etc. Knot at the sit of vaccine.


Changed on 9/14/2017

VAERS ID: 175663 Before After
VAERS Form:(blank) 1
Age:3.0
Sex:Male
Location:Texas
Vaccinated:1999-06-07
Onset:0000-00-00
Submitted:2001-07-25
Entered:2001-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15534 / 0 1 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0289J / - UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Autism, Ear disorder, Injection site mass, Irritability, Lethargy, Social avoidant behaviour, Speech disorder

Life Threatening? Yes
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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Re-occurring infectious congestion.
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autism - Chat
CDC 'Split Type':

Write-up: Lethargy, irritability, loss of words, withdrawal, became more aggressive and sensitive to sounds and people, congestion, etc. Knot at the sit of vaccine.


Changed on 2/14/2018

VAERS ID: 175663 Before After
VAERS Form:1
Age:3.0
Sex:Male
Location:Texas
Vaccinated:1999-06-07
Onset:0000-00-00
Submitted:2001-07-25
Entered:2001-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15534 / 1 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0289J / UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Autism, Ear disorder, Injection site mass, Irritability, Lethargy, Social avoidant behaviour, Speech disorder

Life Threatening? Yes
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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Re-occurring infectious congestion.
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autism - Chat
CDC 'Split Type':

Write-up: Lethargy, irritability, loss of words, withdrawal, became more aggressive and sensitive to sounds and people, congestion, etc. Knot at the sit of vaccine.


Changed on 6/14/2018

VAERS ID: 175663 Before After
VAERS Form:1
Age:3.0
Sex:Male
Location:Texas
Vaccinated:1999-06-07
Onset:0000-00-00
Submitted:2001-07-25
Entered:2001-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15534 / 1 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0289J / UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Autism, Ear disorder, Injection site mass, Irritability, Lethargy, Social avoidant behaviour, Speech disorder

Life Threatening? Yes
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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Re-occurring infectious congestion.
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autism - Chat
CDC 'Split Type':

Write-up: Lethargy, irritability, loss of words, withdrawal, became more aggressive and sensitive to sounds and people, congestion, etc. Knot at the sit of vaccine.


Changed on 8/14/2018

VAERS ID: 175663 Before After
VAERS Form:1
Age:3.0
Sex:Male
Location:Texas
Vaccinated:1999-06-07
Onset:0000-00-00
Submitted:2001-07-25
Entered:2001-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15534 / 1 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0289J / UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Autism, Ear disorder, Injection site mass, Irritability, Lethargy, Social avoidant behaviour, Speech disorder

Life Threatening? Yes
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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Re-occurring infectious congestion.
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autism - Chat
CDC 'Split Type':

Write-up: Lethargy, irritability, loss of words, withdrawal, became more aggressive and sensitive to sounds and people, congestion, etc. Knot at the sit of vaccine.


Changed on 9/14/2018

VAERS ID: 175663 Before After
VAERS Form:1
Age:3.0
Sex:Male
Location:Texas
Vaccinated:1999-06-07
Onset:0000-00-00
Submitted:2001-07-25
Entered:2001-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15534 / 1 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0289J / UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Autism, Ear disorder, Injection site mass, Irritability, Lethargy, Social avoidant behaviour, Speech disorder

Life Threatening? Yes
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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Re-occurring infectious congestion.
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autism - Chat
CDC 'Split Type':

Write-up: Lethargy, irritability, loss of words, withdrawal, became more aggressive and sensitive to sounds and people, congestion, etc. Knot at the sit of vaccine.


Changed on 10/14/2018

VAERS ID: 175663 Before After
VAERS Form:1
Age:3.0
Sex:Male
Location:Texas
Vaccinated:1999-06-07
Onset:0000-00-00
Submitted:2001-07-25
Entered:2001-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15534 / 1 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0289J / UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Autism, Ear disorder, Injection site mass, Irritability, Lethargy, Social avoidant behaviour, Speech disorder

Life Threatening? Yes
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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Re-occurring infectious congestion.
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autism - Chat
CDC 'Split Type':

Write-up: Lethargy, irritability, loss of words, withdrawal, became more aggressive and sensitive to sounds and people, congestion, etc. Knot at the sit of vaccine.


Changed on 12/24/2020

VAERS ID: 175663 Before After
VAERS Form:1
Age:3.0
Sex:Male
Location:Texas
Vaccinated:1999-06-07
Onset:0000-00-00
Submitted:2001-07-25
Entered:2001-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15534 / 1 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0289J / UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Autism, Ear disorder, Injection site mass, Irritability, Lethargy, Social avoidant behaviour, Speech disorder

Life Threatening? Yes
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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Re-occurring infectious congestion.
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autism - Chat
CDC 'Split Type':

Write-up: Lethargy, irritability, loss of words, withdrawal, became more aggressive and sensitive to sounds and people, congestion, etc. Knot at the sit of vaccine.


Changed on 12/30/2020

VAERS ID: 175663 Before After
VAERS Form:1
Age:3.0
Sex:Male
Location:Texas
Vaccinated:1999-06-07
Onset:0000-00-00
Submitted:2001-07-25
Entered:2001-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15534 / 1 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0289J / UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Autism, Ear disorder, Injection site mass, Irritability, Lethargy, Social avoidant behaviour, Speech disorder

Life Threatening? Yes
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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Re-occurring infectious congestion.
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autism - Chat
CDC 'Split Type':

Write-up: Lethargy, irritability, loss of words, withdrawal, became more aggressive and sensitive to sounds and people, congestion, etc. Knot at the sit of vaccine.


Changed on 5/7/2021

VAERS ID: 175663 Before After
VAERS Form:1
Age:3.0
Sex:Male
Location:Texas
Vaccinated:1999-06-07
Onset:0000-00-00
Submitted:2001-07-25
Entered:2001-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15534 / 1 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0289J / UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Autism, Ear disorder, Injection site mass, Irritability, Lethargy, Social avoidant behaviour, Speech disorder

Life Threatening? Yes
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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Re-occurring infectious congestion.
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autism - Chat
CDC 'Split Type':

Write-up: Lethargy, irritability, loss of words, withdrawal, became more aggressive and sensitive to sounds and people, congestion, etc. Knot at the sit of vaccine.


Changed on 5/14/2021

VAERS ID: 175663 Before After
VAERS Form:1
Age:3.0
Sex:Male
Location:Texas
Vaccinated:1999-06-07
Onset:0000-00-00
Submitted:2001-07-25
Entered:2001-09-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 15534 / 1 RA / SC
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0289J / UNK LA / -

Administered by: Private      Purchased by: Private
Symptoms: Aggression, Autism, Ear disorder, Injection site mass, Irritability, Lethargy, Social avoidant behaviour, Speech disorder

Life Threatening? Yes
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: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: Re-occurring infectious congestion.
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Autism - Chat
CDC 'Split Type':

Write-up: Lethargy, irritability, loss of words, withdrawal, became more aggressive and sensitive to sounds and people, congestion, etc. Knot at the sit of vaccine.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=175663&WAYBACKHISTORY=ON

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