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This is VAERS ID 59394

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 59394
VAERS Form:
Age:48.5
Sex:Male
Location:D.C.
Vaccinated:1992-02-03
Onset:1992-02-05
Submitted:1994-01-27
Entered:1994-02-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1370T / - LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: CONVULS, ENCEPHALITIS, INSOMNIA, CONFUS, ASTHENIA

Life Threatening? No
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: NONE
Other Medications: 2-3 ASA per wk @ that time;
Current Illness: NONE
Preexisting Conditions: 1960 Benichin scan over loss of walnut-sized piece of lt form cortex & tip of temporal lob following chemistry explosion;
Allergies:
Diagnostic Lab Data: MRI, EEG, BLood tests, etc. convulsion Brain scan & MMR resulted in monophasic complex partial sz;
CDC 'Split Type': 1960 Benichin scan over loss of walnut-sized piece of lt form cortex & tip of temporal lob following chemistry explosion;

Write-up: pt lost consciousness but remained walking & talking; feeling cold chills, fatigue, slept 15 hrs 5FEB92; 6 & 7FEB92 no sleep, muscles felt tight & heart racing; 3"" diameter pink area to lt of nose; 26NOV92 lost consciousness w/o forwarning;


Changed on 12/8/2009

VAERS ID: 59394 Before After
VAERS Form:
Age:48.5
Sex:Male
Location:D.C.
Vaccinated:1992-02-03
Onset:1992-02-05
Submitted:1994-01-27
Entered:1994-02-04 1994-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1370T / - LA / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Asthenia, Confusional state, Convulsion, Encephalitis, Insomnia, Somnolence, Tachycardia, Thinking abnormal, CONVULS, ENCEPHALITIS, INSOMNIA, CONFUS, ASTHENIA

Life Threatening? No
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: NONE
Other Medications: 2-3 ASA per wk @ that time;
Current Illness: NONE
Preexisting Conditions: 1960 Benichin scan over loss of walnut-sized piece of lt form cortex & tip of temporal lob following chemistry explosion;
Allergies:
Diagnostic Lab Data: MRI, EEG, BLood tests, etc. convulsion Brain scan & MMR resulted in monophasic complex partial sz;
CDC 'Split Type': 1960 Benichin scan over loss of walnut-sized piece of lt form cortex & tip of temporal lob following chemistry explosion; (blank)

Write-up: pt lost consciousness but remained walking & talking; feeling cold chills, fatigue, slept 15 hrs 5FEB92; 6 & 7FEB92 no sleep, muscles felt tight & heart racing; 3"" 3" diameter pink area to lt of nose; 26NOV92 lost consciousness w/o forwarning;


Changed on 2/14/2017

VAERS ID: 59394 Before After
VAERS Form:
Age:48.5 48.0
Sex:Male
Location:D.C.
Vaccinated:1992-02-03
Onset:1992-02-05
Submitted:1994-01-27
Entered:1994-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1370T / - LA / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Confusional state, Convulsion, Encephalitis, Insomnia, Somnolence, Tachycardia, Thinking abnormal

Life Threatening? No
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: NONE
Other Medications: 2-3 ASA per wk @ that time;
Current Illness: NONE
Preexisting Conditions: 1960 Benichin scan over loss of walnut-sized piece of lt form cortex & tip of temporal lob following chemistry explosion;
Allergies:
Diagnostic Lab Data: MRI, EEG, BLood tests, etc. convulsion Brain scan & MMR resulted in monophasic complex partial sz;
CDC 'Split Type':

Write-up: pt lost consciousness but remained walking & talking; feeling cold chills, fatigue, slept 15 hrs 5FEB92; 6 & 7FEB92 no sleep, muscles felt tight & heart racing; 3" diameter pink area to lt of nose; 26NOV92 lost consciousness w/o forwarning;


Changed on 5/14/2017

VAERS ID: 59394 Before After
VAERS Form:
Age:48.0
Sex:Male
Location:D.C.
Vaccinated:1992-02-03
Onset:1992-02-05
Submitted:1994-01-27
Entered:1994-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1370T / - LA / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Confusional state, Convulsion, Encephalitis, Insomnia, Somnolence, Tachycardia, Thinking abnormal

Life Threatening? No
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: NONE NONE~ ()~~~In patient
Other Medications: 2-3 ASA per wk @ that time;
Current Illness: NONE
Preexisting Conditions: 1960 Benichin scan over loss of walnut-sized piece of lt form cortex & tip of temporal lob following chemistry explosion;
Allergies:
Diagnostic Lab Data: MRI, EEG, BLood tests, etc. convulsion Brain scan & MMR resulted in monophasic complex partial sz;
CDC 'Split Type':

Write-up: pt lost consciousness but remained walking & talking; feeling cold chills, fatigue, slept 15 hrs 5FEB92; 6 & 7FEB92 no sleep, muscles felt tight & heart racing; 3" diameter pink area to lt of nose; 26NOV92 lost consciousness w/o forwarning;


Changed on 9/14/2017

VAERS ID: 59394 Before After
VAERS Form:(blank) 1
Age:48.0
Sex:Male
Location:D.C.
Vaccinated:1992-02-03
Onset:1992-02-05
Submitted:1994-01-27
Entered:1994-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1370T / - UNK LA / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Confusional state, Convulsion, Encephalitis, Insomnia, Somnolence, Tachycardia, Thinking abnormal

Life Threatening? No
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: NONE~ ()~~~In patient
Other Medications: 2-3 ASA per wk @ that time;
Current Illness: NONE
Preexisting Conditions: 1960 Benichin scan over loss of walnut-sized piece of lt form cortex & tip of temporal lob following chemistry explosion;
Allergies:
Diagnostic Lab Data: MRI, EEG, BLood tests, etc. convulsion Brain scan & MMR resulted in monophasic complex partial sz;
CDC 'Split Type':

Write-up: pt lost consciousness but remained walking & talking; feeling cold chills, fatigue, slept 15 hrs 5FEB92; 6 & 7FEB92 no sleep, muscles felt tight & heart racing; 3" diameter pink area to lt of nose; 26NOV92 lost consciousness w/o forwarning;


Changed on 2/14/2018

VAERS ID: 59394 Before After
VAERS Form:1
Age:48.0
Sex:Male
Location:D.C.
Vaccinated:1992-02-03
Onset:1992-02-05
Submitted:1994-01-27
Entered:1994-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1370T / UNK LA / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Confusional state, Convulsion, Encephalitis, Insomnia, Somnolence, Tachycardia, Thinking abnormal

Life Threatening? No
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: NONE~ ()~~~In patient
Other Medications: 2-3 ASA per wk @ that time;
Current Illness: NONE
Preexisting Conditions: 1960 Benichin scan over loss of walnut-sized piece of lt form cortex & tip of temporal lob following chemistry explosion;
Allergies:
Diagnostic Lab Data: MRI, EEG, BLood tests, etc. convulsion Brain scan & MMR resulted in monophasic complex partial sz;
CDC 'Split Type':

Write-up: pt lost consciousness but remained walking & talking; feeling cold chills, fatigue, slept 15 hrs 5FEB92; 6 & 7FEB92 no sleep, muscles felt tight & heart racing; 3" diameter pink area to lt of nose; 26NOV92 lost consciousness w/o forwarning;


Changed on 6/14/2018

VAERS ID: 59394 Before After
VAERS Form:1
Age:48.0
Sex:Male
Location:D.C.
Vaccinated:1992-02-03
Onset:1992-02-05
Submitted:1994-01-27
Entered:1994-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1370T / UNK LA / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Confusional state, Convulsion, Encephalitis, Insomnia, Somnolence, Tachycardia, Thinking abnormal

Life Threatening? No
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: NONE~ ()~~~In patient
Other Medications: 2-3 ASA per wk @ that time;
Current Illness: NONE
Preexisting Conditions: 1960 Benichin scan over loss of walnut-sized piece of lt form cortex & tip of temporal lob following chemistry explosion;
Allergies:
Diagnostic Lab Data: MRI, EEG, BLood tests, etc. convulsion Brain scan & MMR resulted in monophasic complex partial sz;
CDC 'Split Type':

Write-up: pt lost consciousness but remained walking & talking; feeling cold chills, fatigue, slept 15 hrs 5FEB92; 6 & 7FEB92 no sleep, muscles felt tight & heart racing; 3" diameter pink area to lt of nose; 26NOV92 lost consciousness w/o forwarning;


Changed on 8/14/2018

VAERS ID: 59394 Before After
VAERS Form:1
Age:48.0
Sex:Male
Location:D.C.
Vaccinated:1992-02-03
Onset:1992-02-05
Submitted:1994-01-27
Entered:1994-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1370T / UNK LA / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Confusional state, Convulsion, Encephalitis, Insomnia, Somnolence, Tachycardia, Thinking abnormal

Life Threatening? No
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: NONE~ ()~~~In patient
Other Medications: 2-3 ASA per wk @ that time;
Current Illness: NONE
Preexisting Conditions: 1960 Benichin scan over loss of walnut-sized piece of lt form cortex & tip of temporal lob following chemistry explosion;
Allergies:
Diagnostic Lab Data: MRI, EEG, BLood tests, etc. convulsion Brain scan & MMR resulted in monophasic complex partial sz;
CDC 'Split Type':

Write-up: pt lost consciousness but remained walking & talking; feeling cold chills, fatigue, slept 15 hrs 5FEB92; 6 & 7FEB92 no sleep, muscles felt tight & heart racing; 3" diameter pink area to lt of nose; 26NOV92 lost consciousness w/o forwarning;


Changed on 9/14/2018

VAERS ID: 59394 Before After
VAERS Form:1
Age:48.0
Sex:Male
Location:D.C.
Vaccinated:1992-02-03
Onset:1992-02-05
Submitted:1994-01-27
Entered:1994-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1370T / UNK LA / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Confusional state, Convulsion, Encephalitis, Insomnia, Somnolence, Tachycardia, Thinking abnormal

Life Threatening? No
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: NONE~ ()~~~In patient
Other Medications: 2-3 ASA per wk @ that time;
Current Illness: NONE
Preexisting Conditions: 1960 Benichin scan over loss of walnut-sized piece of lt form cortex & tip of temporal lob following chemistry explosion;
Allergies:
Diagnostic Lab Data: MRI, EEG, BLood tests, etc. convulsion Brain scan & MMR resulted in monophasic complex partial sz;
CDC 'Split Type':

Write-up: pt lost consciousness but remained walking & talking; feeling cold chills, fatigue, slept 15 hrs 5FEB92; 6 & 7FEB92 no sleep, muscles felt tight & heart racing; 3" diameter pink area to lt of nose; 26NOV92 lost consciousness w/o forwarning;


Changed on 10/14/2018

VAERS ID: 59394 Before After
VAERS Form:1
Age:48.0
Sex:Male
Location:D.C.
Vaccinated:1992-02-03
Onset:1992-02-05
Submitted:1994-01-27
Entered:1994-01-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1370T / UNK LA / -

Administered by: Private      Purchased by: Other
Symptoms: Asthenia, Confusional state, Convulsion, Encephalitis, Insomnia, Somnolence, Tachycardia, Thinking abnormal

Life Threatening? No
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: NONE~ ()~~~In patient
Other Medications: 2-3 ASA per wk @ that time;
Current Illness: NONE
Preexisting Conditions: 1960 Benichin scan over loss of walnut-sized piece of lt form cortex & tip of temporal lob following chemistry explosion;
Allergies:
Diagnostic Lab Data: MRI, EEG, BLood tests, etc. convulsion Brain scan & MMR resulted in monophasic complex partial sz;
CDC 'Split Type':

Write-up: pt lost consciousness but remained walking & talking; feeling cold chills, fatigue, slept 15 hrs 5FEB92; 6 & 7FEB92 no sleep, muscles felt tight & heart racing; 3" diameter pink area to lt of nose; 26NOV92 lost consciousness w/o forwarning;

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