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This is VAERS ID 175928

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 175928
VAERS Form:
Age:8.0
Sex:Female
Location:Michigan
Vaccinated:2001-08-22
Onset:2001-08-23
Submitted:2001-09-25
Entered:2001-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MSD 0496L / - RA / SC

Administered by: Public      Purchased by: Unknown
Symptoms: CONVULS, DIZZINESS, FEVER, HEADACHE, CONFUS

Life Threatening? Yes
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? Yes, days: 9     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data: spinal tap, WBC, Glucose, protein, bacterial antigen
CDC 'Split Type':

Write-up: The pt experienced an area around the injection site which was red the day after the injection. On 9/9/01 the child began with headache, by 9/11/01 the child was dizzy and confused, had a temp of 99.0, and then seizures began. The pt was life flighted to"the hospital.


Changed on 12/8/2009

VAERS ID: 175928 Before After
VAERS Form:
Age:8.0
Sex:Female
Location:Michigan
Vaccinated:2001-08-22
Onset:2001-08-23
Submitted:2001-09-25
Entered:2001-10-03 2001-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) VARICELLA (VARIVAX) / MSD MERCK & CO. INC. 0496L / - RA / SC

Administered by: Public      Purchased by: Unknown Public
Symptoms: Confusional state, Convulsion, Dizziness, Electroencephalogram abnormal, Headache, Injection site erythema, Pyrexia, CONVULS, DIZZINESS, FEVER, HEADACHE, CONFUS

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 9     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data: spinal tap, WBC, Glucose, protein, bacterial antigen
CDC 'Split Type':

Write-up: The pt experienced an area around the injection site which was red the day after the injection. On 9/9/01 the child began with headache, by 9/11/01 the child was dizzy and confused, had a temp of 99.0, and then seizures began. The pt was life flighted to"the to the hospital. The annual follow up states "spoke with mother 11/14/02. Pt continues on anti-seizure rx. Caigetrol 800mg/day and has had no more seizure activity. Saw neurologist today and will then be followed yearly. Doing well in school, personality ahs returned to pre-vaccine normal. The 60 day follow up received on 1/15/02 states pt is improving according to her mother. She continues to need seizure medication. Her last EEG was done 12/01, it remained abnormal. She sees the neurologist every 3 months. She''s beginning to better in school and her personality is more like "the old self."


Changed on 9/14/2017

VAERS ID: 175928 Before After
VAERS Form:(blank) 1
Age:8.0
Sex:Female
Location:Michigan
Vaccinated:2001-08-22
Onset:2001-08-23
Submitted:2001-09-25
Entered:2001-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0496L / - UNK RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Confusional state, Convulsion, Dizziness, Electroencephalogram abnormal, Headache, Injection site erythema, Pyrexia

Life Threatening? Yes
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? Yes, days: 9     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data: spinal tap, WBC, Glucose, protein, bacterial antigen
CDC 'Split Type':

Write-up: The pt experienced an area around the injection site which was red the day after the injection. On 9/9/01 the child began with headache, by 9/11/01 the child was dizzy and confused, had a temp of 99.0, and then seizures began. The pt was life flighted to the hospital. The annual follow up states "spoke with mother 11/14/02. Pt continues on anti-seizure rx. Caigetrol 800mg/day and has had no more seizure activity. Saw neurologist today and will then be followed yearly. Doing well in school, personality ahs returned to pre-vaccine normal. The 60 day follow up received on 1/15/02 states pt is improving according to her mother. She continues to need seizure medication. Her last EEG was done 12/01, it remained abnormal. She sees the neurologist every 3 months. She''s beginning to better in school and her personality is more like "the old self."


Changed on 2/14/2018

VAERS ID: 175928 Before After
VAERS Form:1
Age:8.0
Sex:Female
Location:Michigan
Vaccinated:2001-08-22
Onset:2001-08-23
Submitted:2001-09-25
Entered:2001-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0496L / UNK RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Confusional state, Convulsion, Dizziness, Electroencephalogram abnormal, Headache, Injection site erythema, Pyrexia

Life Threatening? Yes
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? Yes, days: 9     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data: spinal tap, WBC, Glucose, protein, bacterial antigen
CDC 'Split Type':

Write-up: The pt experienced an area around the injection site which was red the day after the injection. On 9/9/01 the child began with headache, by 9/11/01 the child was dizzy and confused, had a temp of 99.0, and then seizures began. The pt was life flighted to the hospital. The annual follow up states "spoke with mother 11/14/02. Pt continues on anti-seizure rx. Caigetrol 800mg/day and has had no more seizure activity. Saw neurologist today and will then be followed yearly. Doing well in school, personality ahs returned to pre-vaccine normal. The 60 day follow up received on 1/15/02 states pt is improving according to her mother. She continues to need seizure medication. Her last EEG was done 12/01, it remained abnormal. She sees the neurologist every 3 months. She''s beginning to better in school and her personality is more like "the old self."


Changed on 6/14/2018

VAERS ID: 175928 Before After
VAERS Form:1
Age:8.0
Sex:Female
Location:Michigan
Vaccinated:2001-08-22
Onset:2001-08-23
Submitted:2001-09-25
Entered:2001-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0496L / UNK RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Confusional state, Convulsion, Dizziness, Electroencephalogram abnormal, Headache, Injection site erythema, Pyrexia

Life Threatening? Yes
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? Yes, days: 9     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data: spinal tap, WBC, Glucose, protein, bacterial antigen
CDC 'Split Type':

Write-up: The pt experienced an area around the injection site which was red the day after the injection. On 9/9/01 the child began with headache, by 9/11/01 the child was dizzy and confused, had a temp of 99.0, and then seizures began. The pt was life flighted to the hospital. The annual follow up states "spoke with mother 11/14/02. Pt continues on anti-seizure rx. Caigetrol 800mg/day and has had no more seizure activity. Saw neurologist today and will then be followed yearly. Doing well in school, personality ahs returned to pre-vaccine normal. The 60 day follow up received on 1/15/02 states pt is improving according to her mother. She continues to need seizure medication. Her last EEG was done 12/01, it remained abnormal. She sees the neurologist every 3 months. She''s beginning to better in school and her personality is more like "the old self."


Changed on 8/14/2018

VAERS ID: 175928 Before After
VAERS Form:1
Age:8.0
Sex:Female
Location:Michigan
Vaccinated:2001-08-22
Onset:2001-08-23
Submitted:2001-09-25
Entered:2001-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0496L / UNK RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Confusional state, Convulsion, Dizziness, Electroencephalogram abnormal, Headache, Injection site erythema, Pyrexia

Life Threatening? Yes
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? Yes, days: 9     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data: spinal tap, WBC, Glucose, protein, bacterial antigen
CDC 'Split Type':

Write-up: The pt experienced an area around the injection site which was red the day after the injection. On 9/9/01 the child began with headache, by 9/11/01 the child was dizzy and confused, had a temp of 99.0, and then seizures began. The pt was life flighted to the hospital. The annual follow up states "spoke with mother 11/14/02. Pt continues on anti-seizure rx. Caigetrol 800mg/day and has had no more seizure activity. Saw neurologist today and will then be followed yearly. Doing well in school, personality ahs returned to pre-vaccine normal. The 60 day follow up received on 1/15/02 states pt is improving according to her mother. She continues to need seizure medication. Her last EEG was done 12/01, it remained abnormal. She sees the neurologist every 3 months. She''s beginning to better in school and her personality is more like "the old self."


Changed on 9/14/2018

VAERS ID: 175928 Before After
VAERS Form:1
Age:8.0
Sex:Female
Location:Michigan
Vaccinated:2001-08-22
Onset:2001-08-23
Submitted:2001-09-25
Entered:2001-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0496L / UNK RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Confusional state, Convulsion, Dizziness, Electroencephalogram abnormal, Headache, Injection site erythema, Pyrexia

Life Threatening? Yes
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? Yes, days: 9     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data: spinal tap, WBC, Glucose, protein, bacterial antigen
CDC 'Split Type':

Write-up: The pt experienced an area around the injection site which was red the day after the injection. On 9/9/01 the child began with headache, by 9/11/01 the child was dizzy and confused, had a temp of 99.0, and then seizures began. The pt was life flighted to the hospital. The annual follow up states "spoke with mother 11/14/02. Pt continues on anti-seizure rx. Caigetrol 800mg/day and has had no more seizure activity. Saw neurologist today and will then be followed yearly. Doing well in school, personality ahs returned to pre-vaccine normal. The 60 day follow up received on 1/15/02 states pt is improving according to her mother. She continues to need seizure medication. Her last EEG was done 12/01, it remained abnormal. She sees the neurologist every 3 months. She''s beginning to better in school and her personality is more like "the old self."


Changed on 10/14/2018

VAERS ID: 175928 Before After
VAERS Form:1
Age:8.0
Sex:Female
Location:Michigan
Vaccinated:2001-08-22
Onset:2001-08-23
Submitted:2001-09-25
Entered:2001-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0496L / UNK RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Confusional state, Convulsion, Dizziness, Electroencephalogram abnormal, Headache, Injection site erythema, Pyrexia

Life Threatening? Yes
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? Yes, days: 9     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data: spinal tap, WBC, Glucose, protein, bacterial antigen
CDC 'Split Type':

Write-up: The pt experienced an area around the injection site which was red the day after the injection. On 9/9/01 the child began with headache, by 9/11/01 the child was dizzy and confused, had a temp of 99.0, and then seizures began. The pt was life flighted to the hospital. The annual follow up states "spoke with mother 11/14/02. Pt continues on anti-seizure rx. Caigetrol 800mg/day and has had no more seizure activity. Saw neurologist today and will then be followed yearly. Doing well in school, personality ahs returned to pre-vaccine normal. The 60 day follow up received on 1/15/02 states pt is improving according to her mother. She continues to need seizure medication. Her last EEG was done 12/01, it remained abnormal. She sees the neurologist every 3 months. She''s beginning to better in school and her personality is more like "the old self."


Changed on 12/24/2020

VAERS ID: 175928 Before After
VAERS Form:1
Age:8.0
Sex:Female
Location:Michigan
Vaccinated:2001-08-22
Onset:2001-08-23
Submitted:2001-09-25
Entered:2001-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0496L / UNK RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Confusional state, Convulsion, Dizziness, Electroencephalogram abnormal, Headache, Injection site erythema, Pyrexia

Life Threatening? Yes
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? Yes, days: 9     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data: spinal tap, WBC, Glucose, protein, bacterial antigen
CDC 'Split Type':

Write-up: The pt experienced an area around the injection site which was red the day after the injection. On 9/9/01 the child began with headache, by 9/11/01 the child was dizzy and confused, had a temp of 99.0, and then seizures began. The pt was life flighted to the hospital. The annual follow up states "spoke with mother 11/14/02. Pt continues on anti-seizure rx. Caigetrol 800mg/day and has had no more seizure activity. Saw neurologist today and will then be followed yearly. Doing well in school, personality ahs returned to pre-vaccine normal. The 60 day follow up received on 1/15/02 states pt is improving according to her mother. She continues to need seizure medication. Her last EEG was done 12/01, it remained abnormal. She sees the neurologist every 3 months. She''s beginning to better in school and her personality is more like "the old self."


Changed on 12/30/2020

VAERS ID: 175928 Before After
VAERS Form:1
Age:8.0
Sex:Female
Location:Michigan
Vaccinated:2001-08-22
Onset:2001-08-23
Submitted:2001-09-25
Entered:2001-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0496L / UNK RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Confusional state, Convulsion, Dizziness, Electroencephalogram abnormal, Headache, Injection site erythema, Pyrexia

Life Threatening? Yes
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? Yes, days: 9     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data: spinal tap, WBC, Glucose, protein, bacterial antigen
CDC 'Split Type':

Write-up: The pt experienced an area around the injection site which was red the day after the injection. On 9/9/01 the child began with headache, by 9/11/01 the child was dizzy and confused, had a temp of 99.0, and then seizures began. The pt was life flighted to the hospital. The annual follow up states "spoke with mother 11/14/02. Pt continues on anti-seizure rx. Caigetrol 800mg/day and has had no more seizure activity. Saw neurologist today and will then be followed yearly. Doing well in school, personality ahs returned to pre-vaccine normal. The 60 day follow up received on 1/15/02 states pt is improving according to her mother. She continues to need seizure medication. Her last EEG was done 12/01, it remained abnormal. She sees the neurologist every 3 months. She''s beginning to better in school and her personality is more like "the old self."


Changed on 5/7/2021

VAERS ID: 175928 Before After
VAERS Form:1
Age:8.0
Sex:Female
Location:Michigan
Vaccinated:2001-08-22
Onset:2001-08-23
Submitted:2001-09-25
Entered:2001-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0496L / UNK RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Confusional state, Convulsion, Dizziness, Electroencephalogram abnormal, Headache, Injection site erythema, Pyrexia

Life Threatening? Yes
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? Yes, days: 9     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data: spinal tap, WBC, Glucose, protein, bacterial antigen
CDC 'Split Type':

Write-up: The pt experienced an area around the injection site which was red the day after the injection. On 9/9/01 the child began with headache, by 9/11/01 the child was dizzy and confused, had a temp of 99.0, and then seizures began. The pt was life flighted to the hospital. The annual follow up states "spoke with mother 11/14/02. Pt continues on anti-seizure rx. Caigetrol 800mg/day and has had no more seizure activity. Saw neurologist today and will then be followed yearly. Doing well in school, personality ahs returned to pre-vaccine normal. The 60 day follow up received on 1/15/02 states pt is improving according to her mother. She continues to need seizure medication. Her last EEG was done 12/01, it remained abnormal. She sees the neurologist every 3 months. She''s beginning to better in school and her personality is more like "the old self."


Changed on 5/14/2021

VAERS ID: 175928 Before After
VAERS Form:1
Age:8.0
Sex:Female
Location:Michigan
Vaccinated:2001-08-22
Onset:2001-08-23
Submitted:2001-09-25
Entered:2001-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0496L / UNK RA / SC

Administered by: Public      Purchased by: Public
Symptoms: Confusional state, Convulsion, Dizziness, Electroencephalogram abnormal, Headache, Injection site erythema, Pyrexia

Life Threatening? Yes
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? Yes, days: 9     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data: spinal tap, WBC, Glucose, protein, bacterial antigen
CDC 'Split Type':

Write-up: The pt experienced an area around the injection site which was red the day after the injection. On 9/9/01 the child began with headache, by 9/11/01 the child was dizzy and confused, had a temp of 99.0, and then seizures began. The pt was life flighted to the hospital. The annual follow up states "spoke with mother 11/14/02. Pt continues on anti-seizure rx. Caigetrol 800mg/day and has had no more seizure activity. Saw neurologist today and will then be followed yearly. Doing well in school, personality ahs returned to pre-vaccine normal. The 60 day follow up received on 1/15/02 states pt is improving according to her mother. She continues to need seizure medication. Her last EEG was done 12/01, it remained abnormal. She sees the neurologist every 3 months. She''s beginning to better in school and her personality is more like "the old self."

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