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This is VAERS ID 86489

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 86489
VAERS Form:
Age:53.5
Sex:Female
Location:Florida
Vaccinated:1993-02-01
Onset:1993-02-09
Submitted:1996-05-28
Entered:1996-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: ARTHRITIS, ASTHENIA, AMBLYOPIA, ATAXIA, HYPERCHOLESTEREM

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: allergy, novocaine; allergy,codeine; allergy,sulfa
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type':

Write-up: pt recv vax; exp high fever,redness,joint pain,knots behind ears,rash & sleeping & waking herself up w/ her own loud noises;weigh gain,chronic arthritis pain,unsteadiness,memory problems,depression,high blood pressure;ASA for pain;


Changed on 12/8/2009

VAERS ID: 86489 Before After
VAERS Form:
Age:53.5
Sex:Female
Location:Florida
Vaccinated:1993-02-01
Onset:1993-02-09
Submitted:1996-05-28
Entered:1996-06-05 1996-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Amblyopia, Arthritis, Asthenia, Coordination abnormal, Hypercholesterolaemia, Hypertension, Insomnia, Lymphadenopathy, ARTHRITIS, ASTHENIA, AMBLYOPIA, ATAXIA, HYPERCHOLESTEREM

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: allergy, novocaine; allergy,codeine; allergy,sulfa
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': (blank) WAES95121485

Write-up: pt recv vax; exp high fever,redness,joint pain,knots behind ears,rash & sleeping & waking herself up w/ her own loud noises;weigh gain,chronic arthritis pain,unsteadiness,memory problems,depression,high blood pressure;ASA for pain;


Changed on 2/14/2017

VAERS ID: 86489 Before After
VAERS Form:
Age:53.5 53.0
Sex:Female
Location:Florida
Vaccinated:1993-02-01
Onset:1993-02-09
Submitted:1996-05-28
Entered:1996-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amblyopia, Arthritis, Asthenia, Coordination abnormal, Hypercholesterolaemia, Hypertension, Insomnia, Lymphadenopathy

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: allergy, novocaine; allergy,codeine; allergy,sulfa
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES95121485

Write-up: pt recv vax; exp high fever,redness,joint pain,knots behind ears,rash & sleeping & waking herself up w/ her own loud noises;weigh gain,chronic arthritis pain,unsteadiness,memory problems,depression,high blood pressure;ASA for pain;


Changed on 5/14/2017

VAERS ID: 86489 Before After
VAERS Form:
Age:53.0
Sex:Female
Location:Florida
Vaccinated:1993-02-01
Onset:1993-02-09
Submitted:1996-05-28
Entered:1996-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amblyopia, Arthritis, Asthenia, Coordination abnormal, Hypercholesterolaemia, Hypertension, Insomnia, Lymphadenopathy

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: allergy, novocaine; allergy,codeine; allergy,sulfa
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES95121485

Write-up: pt recv vax; exp high fever,redness,joint pain,knots behind ears,rash & sleeping & waking herself up w/ her own loud noises;weigh gain,chronic arthritis pain,unsteadiness,memory problems,depression,high blood pressure;ASA for pain;


Changed on 9/14/2017

VAERS ID: 86489 Before After
VAERS Form:(blank) 1
Age:53.0
Sex:Female
Location:Florida
Vaccinated:1993-02-01
Onset:1993-02-09
Submitted:1996-05-28
Entered:1996-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amblyopia, Arthritis, Asthenia, Coordination abnormal, Hypercholesterolaemia, Hypertension, Insomnia, Lymphadenopathy

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: allergy, novocaine; allergy,codeine; allergy,sulfa
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES95121485

Write-up: pt recv vax; exp high fever,redness,joint pain,knots behind ears,rash & sleeping & waking herself up w/ her own loud noises;weigh gain,chronic arthritis pain,unsteadiness,memory problems,depression,high blood pressure;ASA for pain;


Changed on 2/14/2018

VAERS ID: 86489 Before After
VAERS Form:1
Age:53.0
Sex:Female
Location:Florida
Vaccinated:1993-02-01
Onset:1993-02-09
Submitted:1996-05-28
Entered:1996-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amblyopia, Arthritis, Asthenia, Coordination abnormal, Hypercholesterolaemia, Hypertension, Insomnia, Lymphadenopathy

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: allergy, novocaine; allergy,codeine; allergy,sulfa
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES95121485

Write-up: pt recv vax; exp high fever,redness,joint pain,knots behind ears,rash & sleeping & waking herself up w/ her own loud noises;weigh gain,chronic arthritis pain,unsteadiness,memory problems,depression,high blood pressure;ASA for pain;


Changed on 6/14/2018

VAERS ID: 86489 Before After
VAERS Form:1
Age:53.0
Sex:Female
Location:Florida
Vaccinated:1993-02-01
Onset:1993-02-09
Submitted:1996-05-28
Entered:1996-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amblyopia, Arthritis, Asthenia, Coordination abnormal, Hypercholesterolaemia, Hypertension, Insomnia, Lymphadenopathy

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: allergy, novocaine; allergy,codeine; allergy,sulfa
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES95121485

Write-up: pt recv vax; exp high fever,redness,joint pain,knots behind ears,rash & sleeping & waking herself up w/ her own loud noises;weigh gain,chronic arthritis pain,unsteadiness,memory problems,depression,high blood pressure;ASA for pain;


Changed on 8/14/2018

VAERS ID: 86489 Before After
VAERS Form:1
Age:53.0
Sex:Female
Location:Florida
Vaccinated:1993-02-01
Onset:1993-02-09
Submitted:1996-05-28
Entered:1996-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amblyopia, Arthritis, Asthenia, Coordination abnormal, Hypercholesterolaemia, Hypertension, Insomnia, Lymphadenopathy

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: allergy, novocaine; allergy,codeine; allergy,sulfa
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES95121485

Write-up: pt recv vax; exp high fever,redness,joint pain,knots behind ears,rash & sleeping & waking herself up w/ her own loud noises;weigh gain,chronic arthritis pain,unsteadiness,memory problems,depression,high blood pressure;ASA for pain;


Changed on 9/14/2018

VAERS ID: 86489 Before After
VAERS Form:1
Age:53.0
Sex:Female
Location:Florida
Vaccinated:1993-02-01
Onset:1993-02-09
Submitted:1996-05-28
Entered:1996-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amblyopia, Arthritis, Asthenia, Coordination abnormal, Hypercholesterolaemia, Hypertension, Insomnia, Lymphadenopathy

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: allergy, novocaine; allergy,codeine; allergy,sulfa
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES95121485

Write-up: pt recv vax; exp high fever,redness,joint pain,knots behind ears,rash & sleeping & waking herself up w/ her own loud noises;weigh gain,chronic arthritis pain,unsteadiness,memory problems,depression,high blood pressure;ASA for pain;


Changed on 10/14/2018

VAERS ID: 86489 Before After
VAERS Form:1
Age:53.0
Sex:Female
Location:Florida
Vaccinated:1993-02-01
Onset:1993-02-09
Submitted:1996-05-28
Entered:1996-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amblyopia, Arthritis, Asthenia, Coordination abnormal, Hypercholesterolaemia, Hypertension, Insomnia, Lymphadenopathy

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: allergy, novocaine; allergy,codeine; allergy,sulfa
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES95121485

Write-up: pt recv vax; exp high fever,redness,joint pain,knots behind ears,rash & sleeping & waking herself up w/ her own loud noises;weigh gain,chronic arthritis pain,unsteadiness,memory problems,depression,high blood pressure;ASA for pain;

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=86489&WAYBACKHISTORY=ON


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