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This is VAERS ID 25554

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25554
VAERS Form:
Age:10.0
Sex:Male
Location:New York
Vaccinated:1990-06-07
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 48381/0691S / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: CONVULS

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:
Other Medications: unknown
Current Illness: no relevant history
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type':

Write-up: R.Ph reported 10 y.o. was given vaccine & 13 days later had a seizure.


Changed on 12/8/2009

VAERS ID: 25554 Before After
VAERS Form:
Age:10.0
Sex:Male
Location:New York
Vaccinated:1990-06-07
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-07-24 1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 48381/0691S / - - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Convulsion, CONVULS

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:
Other Medications: unknown
Current Illness: no relevant history
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': (blank) WAES90060998

Write-up: R.Ph reported 10 y.o. was given vaccine & 13 days later had a seizure.


Changed on 5/14/2017

VAERS ID: 25554 Before After
VAERS Form:
Age:10.0
Sex:Male
Location:New York
Vaccinated:1990-06-07
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 48381/0691S / - - / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: ~ ()~~~In patient
Other Medications: unknown
Current Illness: no relevant history
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES90060998

Write-up: R.Ph reported 10 y.o. was given vaccine & 13 days later had a seizure.


Changed on 9/14/2017

VAERS ID: 25554 Before After
VAERS Form:(blank) 1
Age:10.0
Sex:Male
Location:New York
Vaccinated:1990-06-07
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 48381/0691S / - UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: ~ ()~~~In patient
Other Medications: unknown
Current Illness: no relevant history
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES90060998

Write-up: R.Ph reported 10 y.o. was given vaccine & 13 days later had a seizure.


Changed on 2/14/2018

VAERS ID: 25554 Before After
VAERS Form:1
Age:10.0
Sex:Male
Location:New York
Vaccinated:1990-06-07
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 48381/0691S / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: ~ ()~~~In patient
Other Medications: unknown
Current Illness: no relevant history
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES90060998

Write-up: R.Ph reported 10 y.o. was given vaccine & 13 days later had a seizure.


Changed on 6/14/2018

VAERS ID: 25554 Before After
VAERS Form:1
Age:10.0
Sex:Male
Location:New York
Vaccinated:1990-06-07
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 48381/0691S / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: ~ ()~~~In patient
Other Medications: unknown
Current Illness: no relevant history
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES90060998

Write-up: R.Ph reported 10 y.o. was given vaccine & 13 days later had a seizure.


Changed on 8/14/2018

VAERS ID: 25554 Before After
VAERS Form:1
Age:10.0
Sex:Male
Location:New York
Vaccinated:1990-06-07
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 48381/0691S / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: ~ ()~~~In patient
Other Medications: unknown
Current Illness: no relevant history
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES90060998

Write-up: R.Ph reported 10 y.o. was given vaccine & 13 days later had a seizure.


Changed on 9/14/2018

VAERS ID: 25554 Before After
VAERS Form:1
Age:10.0
Sex:Male
Location:New York
Vaccinated:1990-06-07
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 48381/0691S / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: ~ ()~~~In patient
Other Medications: unknown
Current Illness: no relevant history
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES90060998

Write-up: R.Ph reported 10 y.o. was given vaccine & 13 days later had a seizure.


Changed on 10/14/2018

VAERS ID: 25554 Before After
VAERS Form:1
Age:10.0
Sex:Male
Location:New York
Vaccinated:1990-06-07
Onset:1990-06-20
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 48381/0691S / UNK - / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion

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: ~ ()~~~In patient
Other Medications: unknown
Current Illness: no relevant history
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES90060998

Write-up: R.Ph reported 10 y.o. was given vaccine & 13 days later had a seizure.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=25554&WAYBACKHISTORY=ON


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