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This is VAERS ID 68523

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 68523
VAERS Form:
Age:1.8
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1994-11-14
Entered:1994-11-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: CONVULS, INFECT, EEG ABNORM, ENCEPHALITIS, COORDINAT ABNORM

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: febrile illness; rash
Allergies:
Diagnostic Lab Data: MRI inc signal, corona radiata; EEG abn; MRI progression, abnormalities;
CDC 'Split Type':

Write-up: pt recvd vax & 6 months following vax pt became clumsy, & had generalized myoclonic szs each day; brain MRI scan revealed areas of inc signal in the corona radiata; EEG was abn; dec in social skills & use of language; stuporous; pneumonia;


Changed on 12/8/2009

VAERS ID: 68523 Before After
VAERS Form:
Age:1.8
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1994-11-14
Entered:1994-11-23 1994-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Encephalitis, Infection, Personality disorder, Pneumonia, Stupor, CONVULS, INFECT, EEG ABNORM, ENCEPHALITIS, COORDINAT ABNORM

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: febrile illness; rash
Allergies:
Diagnostic Lab Data: MRI inc signal, corona radiata; EEG abn; MRI progression, abnormalities;
CDC 'Split Type': (blank) WAES94110237

Write-up: pt recvd vax & 6 months following vax pt became clumsy, & had generalized myoclonic szs each day; brain MRI scan revealed areas of inc signal in the corona radiata; EEG was abn; dec in social skills & use of language; stuporous; pneumonia;


Changed on 5/14/2017

VAERS ID: 68523 Before After
VAERS Form:
Age:1.8
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1994-11-14
Entered:1994-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Encephalitis, Infection, Personality disorder, Pneumonia, Stupor

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: febrile illness; rash
Allergies:
Diagnostic Lab Data: MRI inc signal, corona radiata; EEG abn; MRI progression, abnormalities;
CDC 'Split Type': WAES94110237

Write-up: pt recvd vax & 6 months following vax pt became clumsy, & had generalized myoclonic szs each day; brain MRI scan revealed areas of inc signal in the corona radiata; EEG was abn; dec in social skills & use of language; stuporous; pneumonia;


Changed on 9/14/2017

VAERS ID: 68523 Before After
VAERS Form:(blank) 1
Age:1.8
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1994-11-14
Entered:1994-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Encephalitis, Infection, Personality disorder, Pneumonia, Stupor

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: febrile illness; rash
Allergies:
Diagnostic Lab Data: MRI inc signal, corona radiata; EEG abn; MRI progression, abnormalities;
CDC 'Split Type': WAES94110237

Write-up: pt recvd vax & 6 months following vax pt became clumsy, & had generalized myoclonic szs each day; brain MRI scan revealed areas of inc signal in the corona radiata; EEG was abn; dec in social skills & use of language; stuporous; pneumonia;


Changed on 2/14/2018

VAERS ID: 68523 Before After
VAERS Form:1
Age:1.8
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1994-11-14
Entered:1994-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Encephalitis, Infection, Personality disorder, Pneumonia, Stupor

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: febrile illness; rash
Allergies:
Diagnostic Lab Data: MRI inc signal, corona radiata; EEG abn; MRI progression, abnormalities;
CDC 'Split Type': WAES94110237

Write-up: pt recvd vax & 6 months following vax pt became clumsy, & had generalized myoclonic szs each day; brain MRI scan revealed areas of inc signal in the corona radiata; EEG was abn; dec in social skills & use of language; stuporous; pneumonia;


Changed on 6/14/2018

VAERS ID: 68523 Before After
VAERS Form:1
Age:1.8
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1994-11-14
Entered:1994-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Encephalitis, Infection, Personality disorder, Pneumonia, Stupor

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: febrile illness; rash
Allergies:
Diagnostic Lab Data: MRI inc signal, corona radiata; EEG abn; MRI progression, abnormalities;
CDC 'Split Type': WAES94110237

Write-up: pt recvd vax & 6 months following vax pt became clumsy, & had generalized myoclonic szs each day; brain MRI scan revealed areas of inc signal in the corona radiata; EEG was abn; dec in social skills & use of language; stuporous; pneumonia;


Changed on 8/14/2018

VAERS ID: 68523 Before After
VAERS Form:1
Age:1.8
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1994-11-14
Entered:1994-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Encephalitis, Infection, Personality disorder, Pneumonia, Stupor

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: febrile illness; rash
Allergies:
Diagnostic Lab Data: MRI inc signal, corona radiata; EEG abn; MRI progression, abnormalities;
CDC 'Split Type': WAES94110237

Write-up: pt recvd vax & 6 months following vax pt became clumsy, & had generalized myoclonic szs each day; brain MRI scan revealed areas of inc signal in the corona radiata; EEG was abn; dec in social skills & use of language; stuporous; pneumonia;


Changed on 9/14/2018

VAERS ID: 68523 Before After
VAERS Form:1
Age:1.8
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1994-11-14
Entered:1994-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Encephalitis, Infection, Personality disorder, Pneumonia, Stupor

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: febrile illness; rash
Allergies:
Diagnostic Lab Data: MRI inc signal, corona radiata; EEG abn; MRI progression, abnormalities;
CDC 'Split Type': WAES94110237

Write-up: pt recvd vax & 6 months following vax pt became clumsy, & had generalized myoclonic szs each day; brain MRI scan revealed areas of inc signal in the corona radiata; EEG was abn; dec in social skills & use of language; stuporous; pneumonia;


Changed on 10/14/2018

VAERS ID: 68523 Before After
VAERS Form:1
Age:1.8
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:1994-11-14
Entered:1994-11-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Convulsion, Coordination abnormal, Electroencephalogram abnormal, Encephalitis, Infection, Personality disorder, Pneumonia, Stupor

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: febrile illness; rash
Allergies:
Diagnostic Lab Data: MRI inc signal, corona radiata; EEG abn; MRI progression, abnormalities;
CDC 'Split Type': WAES94110237

Write-up: pt recvd vax & 6 months following vax pt became clumsy, & had generalized myoclonic szs each day; brain MRI scan revealed areas of inc signal in the corona radiata; EEG was abn; dec in social skills & use of language; stuporous; pneumonia;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=68523&WAYBACKHISTORY=ON


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