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This is VAERS ID 61563

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 61563
VAERS Form:
Age:1.0
Sex:Male
Location:Illinois
Vaccinated:1972-08-25
Onset:1972-11-13
Submitted:0000-00-00
Entered:1994-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
M: ATTENUVAX / MSD - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: CONVULS, HEMIPLEGIA, EEG ABNORM, ENCEPHALITIS, CEREBROVASC DIS

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Failure to thrive, poor eating habits, gastroenteritis, milk intolerance, hx of febrile sz;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type':

Write-up: pt recvd vax 25AUG72 & devel convuls & was hospitalized & dx as having viral encephalitis; pt subsequently discharged from hosp; no further details were provided;


Changed on 12/8/2009

VAERS ID: 61563 Before After
VAERS Form:
Age:1.0
Sex:Male
Location:Illinois
Vaccinated:1972-08-25
Onset:1972-11-13
Submitted:0000-00-00
Entered:1994-05-23 1994-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
M: ATTENUVAX / MSD - / - - / -
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Cerebrovascular disorder, Convulsion, Electroencephalogram abnormal, Encephalitis, Hemiplegia, Infection, Mental retardation severity unspecified, Personality disorder, CONVULS, HEMIPLEGIA, EEG ABNORM, ENCEPHALITIS, CEREBROVASC DIS

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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Failure to thrive, poor eating habits, gastroenteritis, milk intolerance, hx of febrile sz;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': (blank) WAES93021096

Write-up: pt recvd vax 25AUG72 & devel convuls & was hospitalized & dx as having viral encephalitis; pt subsequently discharged from hosp; no further details were provided;


Changed on 5/14/2017

VAERS ID: 61563 Before After
VAERS Form:
Age:1.0
Sex:Male
Location:Illinois
Vaccinated:1972-08-25
Onset:1972-11-13
Submitted:0000-00-00
Entered:1994-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / - - / -

Administered by: Private      Purchased by: Other
Symptoms: Cerebrovascular disorder, Convulsion, Electroencephalogram abnormal, Encephalitis, Hemiplegia, Infection, Mental retardation severity unspecified, Personality 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Failure to thrive, poor eating habits, gastroenteritis, milk intolerance, hx of febrile sz;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93021096

Write-up: pt recvd vax 25AUG72 & devel convuls & was hospitalized & dx as having viral encephalitis; pt subsequently discharged from hosp; no further details were provided;


Changed on 9/14/2017

VAERS ID: 61563 Before After
VAERS Form:(blank) 1
Age:1.0
Sex:Male
Location:Illinois
Vaccinated:1972-08-25
Onset:1972-11-13
Submitted:0000-00-00
Entered:1994-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / - UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Cerebrovascular disorder, Convulsion, Electroencephalogram abnormal, Encephalitis, Hemiplegia, Infection, Mental retardation severity unspecified, Personality 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Failure to thrive, poor eating habits, gastroenteritis, milk intolerance, hx of febrile sz;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93021096

Write-up: pt recvd vax 25AUG72 & devel convuls & was hospitalized & dx as having viral encephalitis; pt subsequently discharged from hosp; no further details were provided;


Changed on 2/14/2018

VAERS ID: 61563 Before After
VAERS Form:1
Age:1.0
Sex:Male
Location:Illinois
Vaccinated:1972-08-25
Onset:1972-11-13
Submitted:0000-00-00
Entered:1994-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Cerebrovascular disorder, Convulsion, Electroencephalogram abnormal, Encephalitis, Hemiplegia, Infection, Mental retardation severity unspecified, Personality 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Failure to thrive, poor eating habits, gastroenteritis, milk intolerance, hx of febrile sz;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93021096

Write-up: pt recvd vax 25AUG72 & devel convuls & was hospitalized & dx as having viral encephalitis; pt subsequently discharged from hosp; no further details were provided;


Changed on 6/14/2018

VAERS ID: 61563 Before After
VAERS Form:1
Age:1.0
Sex:Male
Location:Illinois
Vaccinated:1972-08-25
Onset:1972-11-13
Submitted:0000-00-00
Entered:1994-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Cerebrovascular disorder, Convulsion, Electroencephalogram abnormal, Encephalitis, Hemiplegia, Infection, Mental retardation severity unspecified, Personality 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Failure to thrive, poor eating habits, gastroenteritis, milk intolerance, hx of febrile sz;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93021096

Write-up: pt recvd vax 25AUG72 & devel convuls & was hospitalized & dx as having viral encephalitis; pt subsequently discharged from hosp; no further details were provided;


Changed on 8/14/2018

VAERS ID: 61563 Before After
VAERS Form:1
Age:1.0
Sex:Male
Location:Illinois
Vaccinated:1972-08-25
Onset:1972-11-13
Submitted:0000-00-00
Entered:1994-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Cerebrovascular disorder, Convulsion, Electroencephalogram abnormal, Encephalitis, Hemiplegia, Infection, Mental retardation severity unspecified, Personality 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Failure to thrive, poor eating habits, gastroenteritis, milk intolerance, hx of febrile sz;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93021096

Write-up: pt recvd vax 25AUG72 & devel convuls & was hospitalized & dx as having viral encephalitis; pt subsequently discharged from hosp; no further details were provided;


Changed on 9/14/2018

VAERS ID: 61563 Before After
VAERS Form:1
Age:1.0
Sex:Male
Location:Illinois
Vaccinated:1972-08-25
Onset:1972-11-13
Submitted:0000-00-00
Entered:1994-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Cerebrovascular disorder, Convulsion, Electroencephalogram abnormal, Encephalitis, Hemiplegia, Infection, Mental retardation severity unspecified, Personality 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Failure to thrive, poor eating habits, gastroenteritis, milk intolerance, hx of febrile sz;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93021096

Write-up: pt recvd vax 25AUG72 & devel convuls & was hospitalized & dx as having viral encephalitis; pt subsequently discharged from hosp; no further details were provided;


Changed on 10/14/2018

VAERS ID: 61563 Before After
VAERS Form:1
Age:1.0
Sex:Male
Location:Illinois
Vaccinated:1972-08-25
Onset:1972-11-13
Submitted:0000-00-00
Entered:1994-02-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MEA: MEASLES (ATTENUVAX) / MERCK & CO. INC. - / UNK - / -

Administered by: Private      Purchased by: Other
Symptoms: Cerebrovascular disorder, Convulsion, Electroencephalogram abnormal, Encephalitis, Hemiplegia, Infection, Mental retardation severity unspecified, Personality 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:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Failure to thrive, poor eating habits, gastroenteritis, milk intolerance, hx of febrile sz;
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93021096

Write-up: pt recvd vax 25AUG72 & devel convuls & was hospitalized & dx as having viral encephalitis; pt subsequently discharged from hosp; no further details were provided;

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