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This is VAERS ID 85519

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 85519
VAERS Form:
Age:1.5
Sex:Male
Location:Georgia
Vaccinated:1988-08-19
Onset:1988-08-20
Submitted:1996-04-30
Entered:1996-05-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: UNK. DTP / UNCLASSIFIED - / 2 - / -
MMR: MMR II / MSD 06049 / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: CONVULS, MENTAL RETARD, PERSON DIS, DEAF, AUTISM

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? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: infect, resp upper;
Allergies:
Diagnostic Lab Data: 16Jul96 & 13Aug96 neuropsychological evaluation
CDC 'Split Type':

Write-up: irritable,cried constantly,devel low grade T,rash;lack of speech devel noticed 2 mo later,use of previous vocabulary discontinued;stitches&tooth extraction for lip injury but no rxn to pain but mild sz;staring;severe autism;MILD SZ

Changed on 12/8/2009

VAERS ID: 85519 Before After
VAERS Form:
Age:1.5
Sex:Male
Location:Georgia
Vaccinated:1988-08-19
Onset:1988-08-20
Submitted:1996-04-30
Entered:1996-05-06 1996-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: UNK. DTP DTP (NO BRAND NAME) / UNCLASSIFIED UNKNOWN MANUFACTURER - / 2 - / -
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 06049 / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Autism, Convulsion, Deafness, Mental retardation severity unspecified, Personality disorder, Speech disorder, Stupor, Thinking abnormal, CONVULS, MENTAL RETARD, PERSON DIS, DEAF, AUTISM

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? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: infect, resp upper;
Allergies:
Diagnostic Lab Data: 16Jul96 & 13Aug96 neuropsychological evaluation
CDC 'Split Type': (blank) WAES96041698

Write-up: irritable,cried constantly,devel low grade T,rash;lack of speech devel noticed 2 mo later,use of previous vocabulary discontinued;stitches&tooth extraction for lip injury but no rxn to pain but mild sz;staring;severe autism;MILD SZ

Changed on 5/14/2017

VAERS ID: 85519 Before After
VAERS Form:
Age:1.5
Sex:Male
Location:Georgia
Vaccinated:1988-08-19
Onset:1988-08-20
Submitted:1996-04-30
Entered:1996-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06049 / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Autism, Convulsion, Deafness, Mental retardation severity unspecified, Personality disorder, Speech disorder, Stupor, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness:
Preexisting Conditions: infect, resp upper;
Allergies:
Diagnostic Lab Data: 16Jul96 & 13Aug96 neuropsychological evaluation
CDC 'Split Type': WAES96041698

Write-up: irritable,cried constantly,devel low grade T,rash;lack of speech devel noticed 2 mo later,use of previous vocabulary discontinued;stitches&tooth extraction for lip injury but no rxn to pain but mild sz;staring;severe autism;MILD SZ

Changed on 9/14/2017

VAERS ID: 85519 Before After
VAERS Form:(blank) 1
Age:1.5
Sex:Male
Location:Georgia
Vaccinated:1988-08-19
Onset:1988-08-20
Submitted:1996-04-30
Entered:1996-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 2 3 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06049 / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Autism, Convulsion, Deafness, Mental retardation severity unspecified, Personality disorder, Speech disorder, Stupor, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness:
Preexisting Conditions: infect, resp upper;
Allergies:
Diagnostic Lab Data: 16Jul96 & 13Aug96 neuropsychological evaluation
CDC 'Split Type': WAES96041698

Write-up: irritable,cried constantly,devel low grade T,rash;lack of speech devel noticed 2 mo later,use of previous vocabulary discontinued;stitches&tooth extraction for lip injury but no rxn to pain but mild sz;staring;severe autism;MILD SZ

Changed on 2/14/2018

VAERS ID: 85519 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Georgia
Vaccinated:1988-08-19
Onset:1988-08-20
Submitted:1996-04-30
Entered:1996-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 3 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06049 / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Autism, Convulsion, Deafness, Mental retardation severity unspecified, Personality disorder, Speech disorder, Stupor, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness:
Preexisting Conditions: infect, resp upper;
Allergies:
Diagnostic Lab Data: 16Jul96 & 13Aug96 neuropsychological evaluation
CDC 'Split Type': WAES96041698

Write-up: irritable,cried constantly,devel low grade T,rash;lack of speech devel noticed 2 mo later,use of previous vocabulary discontinued;stitches&tooth extraction for lip injury but no rxn to pain but mild sz;staring;severe autism;MILD SZ

Changed on 6/14/2018

VAERS ID: 85519 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Georgia
Vaccinated:1988-08-19
Onset:1988-08-20
Submitted:1996-04-30
Entered:1996-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 3 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06049 / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Autism, Convulsion, Deafness, Mental retardation severity unspecified, Personality disorder, Speech disorder, Stupor, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness:
Preexisting Conditions: infect, resp upper;
Allergies:
Diagnostic Lab Data: 16Jul96 & 13Aug96 neuropsychological evaluation
CDC 'Split Type': WAES96041698

Write-up: irritable,cried constantly,devel low grade T,rash;lack of speech devel noticed 2 mo later,use of previous vocabulary discontinued;stitches&tooth extraction for lip injury but no rxn to pain but mild sz;staring;severe autism;MILD SZ

Changed on 8/14/2018

VAERS ID: 85519 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Georgia
Vaccinated:1988-08-19
Onset:1988-08-20
Submitted:1996-04-30
Entered:1996-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 3 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06049 / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Autism, Convulsion, Deafness, Mental retardation severity unspecified, Personality disorder, Speech disorder, Stupor, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness:
Preexisting Conditions: infect, resp upper;
Allergies:
Diagnostic Lab Data: 16Jul96 & 13Aug96 neuropsychological evaluation
CDC 'Split Type': WAES96041698

Write-up: irritable,cried constantly,devel low grade T,rash;lack of speech devel noticed 2 mo later,use of previous vocabulary discontinued;stitches&tooth extraction for lip injury but no rxn to pain but mild sz;staring;severe autism;MILD SZ

Changed on 9/14/2018

VAERS ID: 85519 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Georgia
Vaccinated:1988-08-19
Onset:1988-08-20
Submitted:1996-04-30
Entered:1996-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 3 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06049 / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Autism, Convulsion, Deafness, Mental retardation severity unspecified, Personality disorder, Speech disorder, Stupor, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness:
Preexisting Conditions: infect, resp upper;
Allergies:
Diagnostic Lab Data: 16Jul96 & 13Aug96 neuropsychological evaluation
CDC 'Split Type': WAES96041698

Write-up: irritable,cried constantly,devel low grade T,rash;lack of speech devel noticed 2 mo later,use of previous vocabulary discontinued;stitches&tooth extraction for lip injury but no rxn to pain but mild sz;staring;severe autism;MILD SZ

Changed on 10/14/2018

VAERS ID: 85519 Before After
VAERS Form:1
Age:1.5
Sex:Male
Location:Georgia
Vaccinated:1988-08-19
Onset:1988-08-20
Submitted:1996-04-30
Entered:1996-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 3 - / -
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 06049 / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Autism, Convulsion, Deafness, Mental retardation severity unspecified, Personality disorder, Speech disorder, Stupor, 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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: none
Current Illness:
Preexisting Conditions: infect, resp upper;
Allergies:
Diagnostic Lab Data: 16Jul96 & 13Aug96 neuropsychological evaluation
CDC 'Split Type': WAES96041698

Write-up: irritable,cried constantly,devel low grade T,rash;lack of speech devel noticed 2 mo later,use of previous vocabulary discontinued;stitches&tooth extraction for lip injury but no rxn to pain but mild sz;staring;severe autism;MILD SZ

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