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This is VAERS ID 87507

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 87507
VAERS Form:
Age:1.3
Sex:Male
Location:New Jersey
Vaccinated:1986-04-28
Onset:0000-00-00
Submitted:1996-06-27
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: LAB TEST ABNORM, IMMUNE SYSTEM DIS, HYPERKINESIA, AUTISM, NEUROSIS

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: born with cleft palate and hare lip;
Allergies:
Diagnostic Lab Data: EEG nl ; recent eval showed a pos CSF Assay;
CDC 'Split Type':

Write-up: pt recv vax; blood test revealed extremely high measles titer; severe autism for poss auto-immune disorders; pos CSF assay and elev serum serotonin levels; hyperactive; compulsive behavior;


Changed on 12/8/2009

VAERS ID: 87507 Before After
VAERS Form:
Age:1.3 1.2
Sex:Male
Location:New Jersey
Vaccinated:1986-04-28 1986-04-01
Onset:0000-00-00 1995-11-01
Submitted:1996-06-27
Entered:1996-07-05 1996-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / - - UN / - UN

Administered by: Private      Purchased by: Unknown Private
Symptoms: Autism, CSF culture positive, Electroencephalogram normal, Hyperkinesia, Immune system disorder, Measles antibody positive, Neurosis, Subacute sclerosing panencephalitis, Serum serotonin increased, Measles post vaccine, LAB TEST ABNORM, IMMUNE SYSTEM DIS, HYPERKINESIA, AUTISM, NEUROSIS

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: born with cleft palate and hare lip;
Allergies:
Diagnostic Lab Data: EEG nl ; recent eval showed a pos CSF Assay; Measles Antibody, 7.74
CDC 'Split Type': (blank) WAES97030703

Write-up: pt recv vax; blood test revealed extremely high measles titer; severe autism for poss auto-immune disorders; pos CSF assay and elev serum serotonin levels; hyperactive; compulsive behavior; behavior. This is in follow-up to report(s) previously submitted on 05/29/1997. Information has been received from a consumer, the father of a 10-year-old male who on 01APR86 was vaccinated with MMR II. On 01NOV95 the patient experienced elevated measles titer 7.74 which according to the patient''s physician "was equivalent to subacute sclerosing panencepalitis." No further details were provided.


Changed on 9/14/2017

VAERS ID: 87507 Before After
VAERS Form:(blank) 1
Age:1.2
Sex:Male
Location:New Jersey
Vaccinated:1986-04-01
Onset:1995-11-01
Submitted:1996-06-27
Entered:1996-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Autism, CSF culture positive, Electroencephalogram normal, Hyperkinesia, Immune system disorder, Measles antibody positive, Neurosis, Subacute sclerosing panencephalitis, Serum serotonin increased, Measles post vaccine

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: born with cleft palate and hare lip;
Allergies:
Diagnostic Lab Data: EEG nl ; recent eval showed a pos CSF Assay; Measles Antibody, 7.74
CDC 'Split Type': WAES97030703

Write-up: pt recv vax; blood test revealed extremely high measles titer; severe autism for poss auto-immune disorders; pos CSF assay and elev serum serotonin levels; hyperactive; compulsive behavior. This is in follow-up to report(s) previously submitted on 05/29/1997. Information has been received from a consumer, the father of a 10-year-old male who on 01APR86 was vaccinated with MMR II. On 01NOV95 the patient experienced elevated measles titer 7.74 which according to the patient''s physician "was equivalent to subacute sclerosing panencepalitis." No further details were provided.


Changed on 2/14/2018

VAERS ID: 87507 Before After
VAERS Form:1
Age:1.2
Sex:Male
Location:New Jersey
Vaccinated:1986-04-01
Onset:1995-11-01
Submitted:1996-06-27
Entered:1996-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Autism, CSF culture positive, Electroencephalogram normal, Hyperkinesia, Immune system disorder, Measles antibody positive, Neurosis, Subacute sclerosing panencephalitis, Serum serotonin increased, Measles post vaccine

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: born with cleft palate and hare lip;
Allergies:
Diagnostic Lab Data: EEG nl ; recent eval showed a pos CSF Assay; Measles Antibody, 7.74
CDC 'Split Type': WAES97030703

Write-up: pt recv vax; blood test revealed extremely high measles titer; severe autism for poss auto-immune disorders; pos CSF assay and elev serum serotonin levels; hyperactive; compulsive behavior. This is in follow-up to report(s) previously submitted on 05/29/1997. Information has been received from a consumer, the father of a 10-year-old male who on 01APR86 was vaccinated with MMR II. On 01NOV95 the patient experienced elevated measles titer 7.74 which according to the patient''s physician "was equivalent to subacute sclerosing panencepalitis." No further details were provided.


Changed on 6/14/2018

VAERS ID: 87507 Before After
VAERS Form:1
Age:1.2
Sex:Male
Location:New Jersey
Vaccinated:1986-04-01
Onset:1995-11-01
Submitted:1996-06-27
Entered:1996-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Autism, CSF culture positive, Electroencephalogram normal, Hyperkinesia, Immune system disorder, Measles antibody positive, Neurosis, Subacute sclerosing panencephalitis, Serum serotonin increased, Measles post vaccine

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: born with cleft palate and hare lip;
Allergies:
Diagnostic Lab Data: EEG nl ; recent eval showed a pos CSF Assay; Measles Antibody, 7.74
CDC 'Split Type': WAES97030703

Write-up: pt recv vax; blood test revealed extremely high measles titer; severe autism for poss auto-immune disorders; pos CSF assay and elev serum serotonin levels; hyperactive; compulsive behavior. This is in follow-up to report(s) previously submitted on 05/29/1997. Information has been received from a consumer, the father of a 10-year-old male who on 01APR86 was vaccinated with MMR II. On 01NOV95 the patient experienced elevated measles titer 7.74 which according to the patient''s physician "was equivalent to subacute sclerosing panencepalitis." No further details were provided.


Changed on 8/14/2018

VAERS ID: 87507 Before After
VAERS Form:1
Age:1.2
Sex:Male
Location:New Jersey
Vaccinated:1986-04-01
Onset:1995-11-01
Submitted:1996-06-27
Entered:1996-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Autism, CSF culture positive, Electroencephalogram normal, Hyperkinesia, Immune system disorder, Measles antibody positive, Neurosis, Subacute sclerosing panencephalitis, Serum serotonin increased, Measles post vaccine

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: born with cleft palate and hare lip;
Allergies:
Diagnostic Lab Data: EEG nl ; recent eval showed a pos CSF Assay; Measles Antibody, 7.74
CDC 'Split Type': WAES97030703

Write-up: pt recv vax; blood test revealed extremely high measles titer; severe autism for poss auto-immune disorders; pos CSF assay and elev serum serotonin levels; hyperactive; compulsive behavior. This is in follow-up to report(s) previously submitted on 05/29/1997. Information has been received from a consumer, the father of a 10-year-old male who on 01APR86 was vaccinated with MMR II. On 01NOV95 the patient experienced elevated measles titer 7.74 which according to the patient''s physician "was equivalent to subacute sclerosing panencepalitis." No further details were provided.


Changed on 9/14/2018

VAERS ID: 87507 Before After
VAERS Form:1
Age:1.2
Sex:Male
Location:New Jersey
Vaccinated:1986-04-01
Onset:1995-11-01
Submitted:1996-06-27
Entered:1996-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Autism, CSF culture positive, Electroencephalogram normal, Hyperkinesia, Immune system disorder, Measles antibody positive, Neurosis, Subacute sclerosing panencephalitis, Serum serotonin increased, Measles post vaccine

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: born with cleft palate and hare lip;
Allergies:
Diagnostic Lab Data: EEG nl ; recent eval showed a pos CSF Assay; Measles Antibody, 7.74
CDC 'Split Type': WAES97030703

Write-up: pt recv vax; blood test revealed extremely high measles titer; severe autism for poss auto-immune disorders; pos CSF assay and elev serum serotonin levels; hyperactive; compulsive behavior. This is in follow-up to report(s) previously submitted on 05/29/1997. Information has been received from a consumer, the father of a 10-year-old male who on 01APR86 was vaccinated with MMR II. On 01NOV95 the patient experienced elevated measles titer 7.74 which according to the patient''s physician "was equivalent to subacute sclerosing panencepalitis." No further details were provided.


Changed on 10/14/2018

VAERS ID: 87507 Before After
VAERS Form:1
Age:1.2
Sex:Male
Location:New Jersey
Vaccinated:1986-04-01
Onset:1995-11-01
Submitted:1996-06-27
Entered:1996-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Autism, CSF culture positive, Electroencephalogram normal, Hyperkinesia, Immune system disorder, Measles antibody positive, Neurosis, Subacute sclerosing panencephalitis, Serum serotonin increased, Measles post vaccine

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: born with cleft palate and hare lip;
Allergies:
Diagnostic Lab Data: EEG nl ; recent eval showed a pos CSF Assay; Measles Antibody, 7.74
CDC 'Split Type': WAES97030703

Write-up: pt recv vax; blood test revealed extremely high measles titer; severe autism for poss auto-immune disorders; pos CSF assay and elev serum serotonin levels; hyperactive; compulsive behavior. This is in follow-up to report(s) previously submitted on 05/29/1997. Information has been received from a consumer, the father of a 10-year-old male who on 01APR86 was vaccinated with MMR II. On 01NOV95 the patient experienced elevated measles titer 7.74 which according to the patient''s physician "was equivalent to subacute sclerosing panencepalitis." No further details were provided.

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