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This is VAERS ID 75498

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 75498
VAERS Form:
Age:1.4
Sex:Female
Location:New York
Vaccinated:1995-02-10
Onset:1995-02-21
Submitted:1995-06-26
Entered:1995-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 0968A / 0 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, ENCEPHALITIS, ANEMIA, LEUKOPENIA, MARROW DEPRESS

Life Threatening? Yes
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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: PPD from lederle given 10FEB95
Current Illness: Roseola?
Preexisting Conditions: innocent heart neg; dubonitz synd, SGA/IUGR;
Allergies:
Diagnostic Lab Data: CBC: WBC =.8; Het=25; Plt=22k; PT 13; PTT 37;
CDC 'Split Type':

Write-up: pt recv vax; T 105.4; encephalitis, bone marrow suppression, visual disturbance, mouth sores;


Changed on 12/8/2009

VAERS ID: 75498 Before After
VAERS Form:
Age:1.4
Sex:Female
Location:New York
Vaccinated:1995-02-10
Onset:1995-02-21
Submitted:1995-06-26
Entered:1995-07-03 1995-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0968A / 0 - / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Anaemia, Bone marrow depression, Encephalitis, Leukopenia, Mouth ulceration, Pyrexia, Thrombocytopenia, Visual disturbance, FEVER, ENCEPHALITIS, ANEMIA, LEUKOPENIA, MARROW DEPRESS

Life Threatening? Yes
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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations:
Other Medications: PPD from lederle given 10FEB95
Current Illness: Roseola?
Preexisting Conditions: innocent heart neg; dubonitz synd, SGA/IUGR;
Allergies:
Diagnostic Lab Data: CBC: WBC =.8; Het=25; Plt=22k; PT 13; PTT 37;
CDC 'Split Type':

Write-up: pt recv vax; T 105.4; encephalitis, bone marrow suppression, visual disturbance, mouth sores;


Changed on 5/14/2017

VAERS ID: 75498 Before After
VAERS Form:
Age:1.4
Sex:Female
Location:New York
Vaccinated:1995-02-10
Onset:1995-02-21
Submitted:1995-06-26
Entered:1995-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0968A / 0 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Anaemia, Bone marrow depression, Encephalitis, Leukopenia, Mouth ulceration, Pyrexia, Thrombocytopenia, Visual disturbance

Life Threatening? Yes
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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD from lederle given 10FEB95
Current Illness: Roseola?
Preexisting Conditions: innocent heart neg; dubonitz synd, SGA/IUGR;
Allergies:
Diagnostic Lab Data: CBC: WBC =.8; Het=25; Plt=22k; PT 13; PTT 37;
CDC 'Split Type':

Write-up: pt recv vax; T 105.4; encephalitis, bone marrow suppression, visual disturbance, mouth sores;


Changed on 9/14/2017

VAERS ID: 75498 Before After
VAERS Form:(blank) 1
Age:1.4
Sex:Female
Location:New York
Vaccinated:1995-02-10
Onset:1995-02-21
Submitted:1995-06-26
Entered:1995-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0968A / 0 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Anaemia, Bone marrow depression, Encephalitis, Leukopenia, Mouth ulceration, Pyrexia, Thrombocytopenia, Visual disturbance

Life Threatening? Yes
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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD from lederle given 10FEB95
Current Illness: Roseola?
Preexisting Conditions: innocent heart neg; dubonitz synd, SGA/IUGR;
Allergies:
Diagnostic Lab Data: CBC: WBC =.8; Het=25; Plt=22k; PT 13; PTT 37;
CDC 'Split Type':

Write-up: pt recv vax; T 105.4; encephalitis, bone marrow suppression, visual disturbance, mouth sores;


Changed on 2/14/2018

VAERS ID: 75498 Before After
VAERS Form:1
Age:1.4
Sex:Female
Location:New York
Vaccinated:1995-02-10
Onset:1995-02-21
Submitted:1995-06-26
Entered:1995-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0968A / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Anaemia, Bone marrow depression, Encephalitis, Leukopenia, Mouth ulceration, Pyrexia, Thrombocytopenia, Visual disturbance

Life Threatening? Yes
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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD from lederle given 10FEB95
Current Illness: Roseola?
Preexisting Conditions: innocent heart neg; dubonitz synd, SGA/IUGR;
Allergies:
Diagnostic Lab Data: CBC: WBC =.8; Het=25; Plt=22k; PT 13; PTT 37;
CDC 'Split Type':

Write-up: pt recv vax; T 105.4; encephalitis, bone marrow suppression, visual disturbance, mouth sores;


Changed on 6/14/2018

VAERS ID: 75498 Before After
VAERS Form:1
Age:1.4
Sex:Female
Location:New York
Vaccinated:1995-02-10
Onset:1995-02-21
Submitted:1995-06-26
Entered:1995-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0968A / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Anaemia, Bone marrow depression, Encephalitis, Leukopenia, Mouth ulceration, Pyrexia, Thrombocytopenia, Visual disturbance

Life Threatening? Yes
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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD from lederle given 10FEB95
Current Illness: Roseola?
Preexisting Conditions: innocent heart neg; dubonitz synd, SGA/IUGR;
Allergies:
Diagnostic Lab Data: CBC: WBC =.8; Het=25; Plt=22k; PT 13; PTT 37;
CDC 'Split Type':

Write-up: pt recv vax; T 105.4; encephalitis, bone marrow suppression, visual disturbance, mouth sores;


Changed on 8/14/2018

VAERS ID: 75498 Before After
VAERS Form:1
Age:1.4
Sex:Female
Location:New York
Vaccinated:1995-02-10
Onset:1995-02-21
Submitted:1995-06-26
Entered:1995-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0968A / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Anaemia, Bone marrow depression, Encephalitis, Leukopenia, Mouth ulceration, Pyrexia, Thrombocytopenia, Visual disturbance

Life Threatening? Yes
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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD from lederle given 10FEB95
Current Illness: Roseola?
Preexisting Conditions: innocent heart neg; dubonitz synd, SGA/IUGR;
Allergies:
Diagnostic Lab Data: CBC: WBC =.8; Het=25; Plt=22k; PT 13; PTT 37;
CDC 'Split Type':

Write-up: pt recv vax; T 105.4; encephalitis, bone marrow suppression, visual disturbance, mouth sores;


Changed on 9/14/2018

VAERS ID: 75498 Before After
VAERS Form:1
Age:1.4
Sex:Female
Location:New York
Vaccinated:1995-02-10
Onset:1995-02-21
Submitted:1995-06-26
Entered:1995-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0968A / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Anaemia, Bone marrow depression, Encephalitis, Leukopenia, Mouth ulceration, Pyrexia, Thrombocytopenia, Visual disturbance

Life Threatening? Yes
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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD from lederle given 10FEB95
Current Illness: Roseola?
Preexisting Conditions: innocent heart neg; dubonitz synd, SGA/IUGR;
Allergies:
Diagnostic Lab Data: CBC: WBC =.8; Het=25; Plt=22k; PT 13; PTT 37;
CDC 'Split Type':

Write-up: pt recv vax; T 105.4; encephalitis, bone marrow suppression, visual disturbance, mouth sores;


Changed on 10/14/2018

VAERS ID: 75498 Before After
VAERS Form:1
Age:1.4
Sex:Female
Location:New York
Vaccinated:1995-02-10
Onset:1995-02-21
Submitted:1995-06-26
Entered:1995-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0968A / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Anaemia, Bone marrow depression, Encephalitis, Leukopenia, Mouth ulceration, Pyrexia, Thrombocytopenia, Visual disturbance

Life Threatening? Yes
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)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: PPD from lederle given 10FEB95
Current Illness: Roseola?
Preexisting Conditions: innocent heart neg; dubonitz synd, SGA/IUGR;
Allergies:
Diagnostic Lab Data: CBC: WBC =.8; Het=25; Plt=22k; PT 13; PTT 37;
CDC 'Split Type':

Write-up: pt recv vax; T 105.4; encephalitis, bone marrow suppression, visual disturbance, mouth sores;

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