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This is VAERS ID 27688

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 27688
VAERS Form:
Age:35.0
Sex:Male
Location:New York
Vaccinated:1991-01-02
Onset:1991-01-02
Submitted:0000-00-00
Entered:1991-02-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1336S / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: ALLERG REACT, PAIN, MYASTHENIA

Life Threatening? No
Birth Defect? No
Died? No
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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pt had pain in arms & muscle weakness in arms & legs. 4Jan91 hospitalized to R/O GBS. Neuro consult revealed pt did not have GBS & was D/C 7Jan91. MD felt sxs d/t vaccination w/ MMR.


Changed on 12/8/2009

VAERS ID: 27688 Before After
VAERS Form:
Age:35.0
Sex:Male
Location:New York
Vaccinated:1991-01-02
Onset:1991-01-02
Submitted:0000-00-00
Entered:1991-02-06 1991-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1336S / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypersensitivity, Myasthenic syndrome, Pain, ALLERG REACT, PAIN, MYASTHENIA

Life Threatening? No
Birth Defect? No
Died? No
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: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES91010511

Write-up: pt had pain in arms & muscle weakness in arms & legs. 4Jan91 hospitalized to R/O GBS. Neuro consult revealed pt did not have GBS & was D/C 7Jan91. MD felt sxs d/t vaccination w/ MMR.


Changed on 5/14/2017

VAERS ID: 27688 Before After
VAERS Form:
Age:35.0
Sex:Male
Location:New York
Vaccinated:1991-01-02
Onset:1991-01-02
Submitted:0000-00-00
Entered:1991-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1336S / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypersensitivity, Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES91010511

Write-up: pt had pain in arms & muscle weakness in arms & legs. 4Jan91 hospitalized to R/O GBS. Neuro consult revealed pt did not have GBS & was D/C 7Jan91. MD felt sxs d/t vaccination w/ MMR.


Changed on 9/14/2017

VAERS ID: 27688 Before After
VAERS Form:(blank) 1
Age:35.0
Sex:Male
Location:New York
Vaccinated:1991-01-02
Onset:1991-01-02
Submitted:0000-00-00
Entered:1991-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1336S / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypersensitivity, Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES91010511

Write-up: pt had pain in arms & muscle weakness in arms & legs. 4Jan91 hospitalized to R/O GBS. Neuro consult revealed pt did not have GBS & was D/C 7Jan91. MD felt sxs d/t vaccination w/ MMR.


Changed on 2/14/2018

VAERS ID: 27688 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:New York
Vaccinated:1991-01-02
Onset:1991-01-02
Submitted:0000-00-00
Entered:1991-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1336S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypersensitivity, Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES91010511

Write-up: pt had pain in arms & muscle weakness in arms & legs. 4Jan91 hospitalized to R/O GBS. Neuro consult revealed pt did not have GBS & was D/C 7Jan91. MD felt sxs d/t vaccination w/ MMR.


Changed on 6/14/2018

VAERS ID: 27688 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:New York
Vaccinated:1991-01-02
Onset:1991-01-02
Submitted:0000-00-00
Entered:1991-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1336S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypersensitivity, Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES91010511

Write-up: pt had pain in arms & muscle weakness in arms & legs. 4Jan91 hospitalized to R/O GBS. Neuro consult revealed pt did not have GBS & was D/C 7Jan91. MD felt sxs d/t vaccination w/ MMR.


Changed on 8/14/2018

VAERS ID: 27688 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:New York
Vaccinated:1991-01-02
Onset:1991-01-02
Submitted:0000-00-00
Entered:1991-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1336S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypersensitivity, Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES91010511

Write-up: pt had pain in arms & muscle weakness in arms & legs. 4Jan91 hospitalized to R/O GBS. Neuro consult revealed pt did not have GBS & was D/C 7Jan91. MD felt sxs d/t vaccination w/ MMR.


Changed on 9/14/2018

VAERS ID: 27688 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:New York
Vaccinated:1991-01-02
Onset:1991-01-02
Submitted:0000-00-00
Entered:1991-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1336S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypersensitivity, Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES91010511

Write-up: pt had pain in arms & muscle weakness in arms & legs. 4Jan91 hospitalized to R/O GBS. Neuro consult revealed pt did not have GBS & was D/C 7Jan91. MD felt sxs d/t vaccination w/ MMR.


Changed on 10/14/2018

VAERS ID: 27688 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:New York
Vaccinated:1991-01-02
Onset:1991-01-02
Submitted:0000-00-00
Entered:1991-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1336S / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypersensitivity, Myasthenic syndrome, Pain

Life Threatening? No
Birth Defect? No
Died? No
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: 3     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES91010511

Write-up: pt had pain in arms & muscle weakness in arms & legs. 4Jan91 hospitalized to R/O GBS. Neuro consult revealed pt did not have GBS & was D/C 7Jan91. MD felt sxs d/t vaccination w/ MMR.

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