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History of Changes from the VAERS Wayback Machine |
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,
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,
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,
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,
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,
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,
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,
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,
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,
Link To This Search Result:
https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=85519&WAYBACKHISTORY=ON
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