National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 65611

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 65611
VAERS Form:
Age:
Sex:Male
Location:Kansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1994-09-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: DEAF

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:
Current Illness:
Preexisting Conditions: otitis media, hx
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type':

Write-up: pt recvd vax in 1983 & devel a hearing loss; it was uncertain as to whether the hearing loss was a pre-existing condition, No further details were provided;


Changed on 12/8/2009

VAERS ID: 65611 Before After
VAERS Form:
Age:
Sex:Male
Location:Kansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1994-09-01 1994-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Deafness, DEAF

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:
Current Illness:
Preexisting Conditions: otitis media, hx
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': (blank) WAES93081156

Write-up: pt recvd vax in 1983 & devel a hearing loss; it was uncertain as to whether the hearing loss was a pre-existing condition, No further details were provided;


Changed on 5/14/2017

VAERS ID: 65611 Before After
VAERS Form:
Age:
Sex:Male
Location:Kansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1994-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Other
Symptoms: Deafness

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:
Current Illness:
Preexisting Conditions: otitis media, hx
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93081156

Write-up: pt recvd vax in 1983 & devel a hearing loss; it was uncertain as to whether the hearing loss was a pre-existing condition, No further details were provided;


Changed on 9/14/2017

VAERS ID: 65611 Before After
VAERS Form:(blank) 1
Age:
Sex:Male
Location:Kansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1994-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Deafness

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:
Current Illness:
Preexisting Conditions: otitis media, hx
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93081156

Write-up: pt recvd vax in 1983 & devel a hearing loss; it was uncertain as to whether the hearing loss was a pre-existing condition, No further details were provided;


Changed on 2/14/2018

VAERS ID: 65611 Before After
VAERS Form:1
Age:
Sex:Male
Location:Kansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1994-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Deafness

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:
Current Illness:
Preexisting Conditions: otitis media, hx
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93081156

Write-up: pt recvd vax in 1983 & devel a hearing loss; it was uncertain as to whether the hearing loss was a pre-existing condition, No further details were provided;


Changed on 6/14/2018

VAERS ID: 65611 Before After
VAERS Form:1
Age:
Sex:Male
Location:Kansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1994-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Deafness

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:
Current Illness:
Preexisting Conditions: otitis media, hx
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93081156

Write-up: pt recvd vax in 1983 & devel a hearing loss; it was uncertain as to whether the hearing loss was a pre-existing condition, No further details were provided;


Changed on 8/14/2018

VAERS ID: 65611 Before After
VAERS Form:1
Age:
Sex:Male
Location:Kansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1994-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Deafness

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:
Current Illness:
Preexisting Conditions: otitis media, hx
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93081156

Write-up: pt recvd vax in 1983 & devel a hearing loss; it was uncertain as to whether the hearing loss was a pre-existing condition, No further details were provided;


Changed on 9/14/2018

VAERS ID: 65611 Before After
VAERS Form:1
Age:
Sex:Male
Location:Kansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1994-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Deafness

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:
Current Illness:
Preexisting Conditions: otitis media, hx
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93081156

Write-up: pt recvd vax in 1983 & devel a hearing loss; it was uncertain as to whether the hearing loss was a pre-existing condition, No further details were provided;


Changed on 10/14/2018

VAERS ID: 65611 Before After
VAERS Form:1
Age:
Sex:Male
Location:Kansas
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:1994-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Deafness

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:
Current Illness:
Preexisting Conditions: otitis media, hx
Allergies:
Diagnostic Lab Data: No relevant data;
CDC 'Split Type': WAES93081156

Write-up: pt recvd vax in 1983 & devel a hearing loss; it was uncertain as to whether the hearing loss was a pre-existing condition, No further details were provided;

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=65611&WAYBACKHISTORY=ON


Copyright © 2019 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166