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This is VAERS ID 87552

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 87552
VAERS Form:
Age:0.5
Sex:Female
Location:California
Vaccinated:1996-03-04
Onset:0000-00-00
Submitted:1996-07-02
Entered:1996-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: HYPOKINESIA, INJECT SITE REACT, PAIN INJECT SITE, SKIN DIS

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:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type':

Write-up: pt recv vax & exp severe indentations @ inj site in thigh & was unable to stand;no further details were provided


Changed on 12/8/2009

VAERS ID: 87552 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:California
Vaccinated:1996-03-04
Onset:0000-00-00
Submitted:1996-07-02
Entered:1996-07-08 1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Hypokinesia, Injection site pain, Injection site reaction, Skin disorder, HYPOKINESIA, INJECT SITE REACT, PAIN INJECT SITE, SKIN DIS

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:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': (blank) WAES96060339

Write-up: pt recv vax & exp severe indentations @ inj site in thigh & was unable to stand;no further details were provided


Changed on 5/14/2017

VAERS ID: 87552 Before After
VAERS Form:
Age:0.5
Sex:Female
Location:California
Vaccinated:1996-03-04
Onset:0000-00-00
Submitted:1996-07-02
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Other
Symptoms: Hypokinesia, Injection site pain, Injection site reaction, Skin disorder

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:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES96060339

Write-up: pt recv vax & exp severe indentations @ inj site in thigh & was unable to stand;no further details were provided


Changed on 9/14/2017

VAERS ID: 87552 Before After
VAERS Form:(blank) 1
Age:0.5
Sex:Female
Location:California
Vaccinated:1996-03-04
Onset:0000-00-00
Submitted:1996-07-02
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Hypokinesia, Injection site pain, Injection site reaction, Skin disorder

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:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES96060339

Write-up: pt recv vax & exp severe indentations @ inj site in thigh & was unable to stand;no further details were provided


Changed on 2/14/2018

VAERS ID: 87552 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:California
Vaccinated:1996-03-04
Onset:0000-00-00
Submitted:1996-07-02
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Hypokinesia, Injection site pain, Injection site reaction, Skin disorder

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:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES96060339

Write-up: pt recv vax & exp severe indentations @ inj site in thigh & was unable to stand;no further details were provided


Changed on 6/14/2018

VAERS ID: 87552 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:California
Vaccinated:1996-03-04
Onset:0000-00-00
Submitted:1996-07-02
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Hypokinesia, Injection site pain, Injection site reaction, Skin disorder

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:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES96060339

Write-up: pt recv vax & exp severe indentations @ inj site in thigh & was unable to stand;no further details were provided


Changed on 8/14/2018

VAERS ID: 87552 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:California
Vaccinated:1996-03-04
Onset:0000-00-00
Submitted:1996-07-02
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Hypokinesia, Injection site pain, Injection site reaction, Skin disorder

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:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES96060339

Write-up: pt recv vax & exp severe indentations @ inj site in thigh & was unable to stand;no further details were provided


Changed on 9/14/2018

VAERS ID: 87552 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:California
Vaccinated:1996-03-04
Onset:0000-00-00
Submitted:1996-07-02
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Hypokinesia, Injection site pain, Injection site reaction, Skin disorder

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:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES96060339

Write-up: pt recv vax & exp severe indentations @ inj site in thigh & was unable to stand;no further details were provided


Changed on 10/14/2018

VAERS ID: 87552 Before After
VAERS Form:1
Age:0.5
Sex:Female
Location:California
Vaccinated:1996-03-04
Onset:0000-00-00
Submitted:1996-07-02
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Hypokinesia, Injection site pain, Injection site reaction, Skin disorder

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:
Allergies:
Diagnostic Lab Data: no relevant data
CDC 'Split Type': WAES96060339

Write-up: pt recv vax & exp severe indentations @ inj site in thigh & was unable to stand;no further details were provided

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