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This is VAERS ID 176520

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 176520
VAERS Form:
Age:0.5
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MSD 0252K / 0 - / SC
PNC: PNEUMO, 7-VALENT (PREVNAR) / LEDERLE 471-218 / 0 - / IM
VARCEL: VARICELLA (VARIVAX) / MSD 0436K / 0 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, EYES GAZE UPWARD, HYPERTONIA, AUTISM, APATHY

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people"but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t work out. At ER he arched his head all the way bac


Changed on 12/30/2006

VAERS ID: 176520 Before After
VAERS Form:
Age:0.5
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MSD 0252K / 0 - / SC
PNC: PNEUMO, 7-VALENT (PREVNAR) / LEDERLE 471-218 / 0 - / IM
VARCEL: VARICELLA (VARIVAX) / MSD 0436K / 0 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: FEVER, EYES GAZE UPWARD, HYPERTONIA, AUTISM, APATHY

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people"but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t didn''''t work out. At ER he arched his head all the way bac ba


Changed on 12/8/2009

VAERS ID: 176520 Before After
VAERS Form:
Age:0.5 2.2
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 0252K / 0 - / SC
PNC: PNEUMO, 7-VALENT (PREVNAR) PNEUMO (PREVNAR) / LEDERLE LEDERLE LABORATORIES 471-218 471218 / 0 - / IM
VARCEL: VARICELLA (VARIVAX) VARICELLA (VARIVAX) / MSD MERCK & CO. INC. 0436K / 0 - / SC

Administered by: Private      Purchased by: Unknown Other
Symptoms: Apathy, Aphasia, Autism, Laboratory test abnormal, Opisthotonus, Pyrexia, Staring, Viral infection, Musculoskeletal stiffness, Eye movement disorder, FEVER, EYES GAZE UPWARD, HYPERTONIA, AUTISM, APATHY

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: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people"but people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''''t didn''t work out. At ER he arched his head all the way ba back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure. Diagnosed with Global Developmental Delay.


Changed on 3/2/2010

VAERS ID: 176520 Before After
VAERS Form:
Age:2.2
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0252K / 0 - / SC
PNC: PNEUMO (PREVNAR) PNEUMO (PREVNAR7) / LEDERLE LABORATORIES 471218 / 0 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0436K / 0 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Apathy, Aphasia, Autism, Laboratory test abnormal, Opisthotonus, Pyrexia, Staring, Viral infection, Musculoskeletal stiffness, Eye movement 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t work out. At ER he arched his head all the way back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure. Diagnosed with Global Developmental Delay.


Changed on 4/7/2010

VAERS ID: 176520 Before After
VAERS Form:
Age:2.2
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0252K / 0 - / SC
PNC: PNEUMO (PREVNAR7) PNEUMO (PREVNAR) / LEDERLE LABORATORIES 471218 / 0 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0436K / 0 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Apathy, Aphasia, Autism, Laboratory test abnormal, Opisthotonus, Pyrexia, Staring, Viral infection, Musculoskeletal stiffness, Eye movement 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t work out. At ER he arched his head all the way back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure. Diagnosed with Global Developmental Delay.


Changed on 2/14/2017

VAERS ID: 176520 Before After
VAERS Form:
Age:2.2
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0252K / 0 - / SC
PNC: PNEUMO (PREVNAR) / LEDERLE LABORATORIES PFIZER/WYETH 471218 / 0 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0436K / 0 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Apathy, Aphasia, Autism, Laboratory test abnormal, Opisthotonus, Pyrexia, Staring, Viral infection, Musculoskeletal stiffness, Eye movement 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t work out. At ER he arched his head all the way back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure. Diagnosed with Global Developmental Delay.


Changed on 9/14/2017

VAERS ID: 176520 Before After
VAERS Form:(blank) 1
Age:2.2
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0252K / 0 1 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471218 / 0 1 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0436K / 0 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Apathy, Aphasia, Autism, Laboratory test abnormal, Opisthotonus, Pyrexia, Staring, Viral infection, Musculoskeletal stiffness, Eye movement 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t work out. At ER he arched his head all the way back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure. Diagnosed with Global Developmental Delay.


Changed on 2/14/2018

VAERS ID: 176520 Before After
VAERS Form:1
Age:2.2
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0252K / 1 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471218 / 1 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0436K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Apathy, Aphasia, Autism, Laboratory test abnormal, Opisthotonus, Pyrexia, Staring, Viral infection, Musculoskeletal stiffness, Eye movement 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t work out. At ER he arched his head all the way back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure. Diagnosed with Global Developmental Delay.


Changed on 6/14/2018

VAERS ID: 176520 Before After
VAERS Form:1
Age:2.2
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0252K / 1 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471218 / 1 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0436K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Apathy, Aphasia, Autism, Laboratory test abnormal, Opisthotonus, Pyrexia, Staring, Viral infection, Musculoskeletal stiffness, Eye movement 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t work out. At ER he arched his head all the way back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure. Diagnosed with Global Developmental Delay.


Changed on 8/14/2018

VAERS ID: 176520 Before After
VAERS Form:1
Age:2.2
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0252K / 1 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471218 / 1 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0436K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Apathy, Aphasia, Autism, Laboratory test abnormal, Opisthotonus, Pyrexia, Staring, Viral infection, Musculoskeletal stiffness, Eye movement 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t work out. At ER he arched his head all the way back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure. Diagnosed with Global Developmental Delay.


Changed on 9/14/2018

VAERS ID: 176520 Before After
VAERS Form:1
Age:2.2
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0252K / 1 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471218 / 1 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0436K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Apathy, Aphasia, Autism, Laboratory test abnormal, Opisthotonus, Pyrexia, Staring, Viral infection, Musculoskeletal stiffness, Eye movement 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t work out. At ER he arched his head all the way back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure. Diagnosed with Global Developmental Delay.


Changed on 10/14/2018

VAERS ID: 176520 Before After
VAERS Form:1
Age:2.2
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0252K / 1 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471218 / 1 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0436K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Apathy, Aphasia, Autism, Laboratory test abnormal, Opisthotonus, Pyrexia, Staring, Viral infection, Musculoskeletal stiffness, Eye movement 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t work out. At ER he arched his head all the way back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure. Diagnosed with Global Developmental Delay.


Changed on 12/24/2020

VAERS ID: 176520 Before After
VAERS Form:1
Age:2.2
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0252K / 1 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471218 / 1 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0436K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Apathy, Aphasia, Autism, Laboratory test abnormal, Opisthotonus, Pyrexia, Staring, Viral infection, Musculoskeletal stiffness, Eye movement 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t work out. At ER he arched his head all the way back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure. Diagnosed with Global Developmental Delay.


Changed on 12/30/2020

VAERS ID: 176520 Before After
VAERS Form:1
Age:2.2
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0252K / 1 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471218 / 1 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0436K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Apathy, Aphasia, Autism, Laboratory test abnormal, Opisthotonus, Pyrexia, Staring, Viral infection, Musculoskeletal stiffness, Eye movement 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t work out. At ER he arched his head all the way back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure. Diagnosed with Global Developmental Delay.


Changed on 5/7/2021

VAERS ID: 176520 Before After
VAERS Form:1
Age:2.2
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0252K / 1 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471218 / 1 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0436K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Apathy, Aphasia, Autism, Laboratory test abnormal, Opisthotonus, Pyrexia, Staring, Viral infection, Musculoskeletal stiffness, Eye movement 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t work out. At ER he arched his head all the way back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure. Diagnosed with Global Developmental Delay.


Changed on 5/14/2021

VAERS ID: 176520 Before After
VAERS Form:1
Age:2.2
Sex:Male
Location:Arizona
Vaccinated:2000-07-17
Onset:0000-00-00
Submitted:2001-10-09
Entered:2001-10-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0252K / 1 - / SC
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 471218 / 1 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0436K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Apathy, Aphasia, Autism, Laboratory test abnormal, Opisthotonus, Pyrexia, Staring, Viral infection, Musculoskeletal stiffness, Eye movement 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Abnormal peptide (urine test); increased levels of IAG have been related to the symptoms of autism and other behavioral disorders
CDC 'Split Type':

Write-up: After his 12 month shots, he lost all language and all eye contact and could not respond to any noise or even waving in front of his face. He still has no language and no receptive response. He has some eye contact but does not respond or react to people but is getting a little better at times. Called 911 and EMS came. Called because he was very hot with temperature of 106F and then 104F after trying warm towel and bathing in small tub of water but didn''t work out. At ER he arched his head all the way back, was stiff and eyes rolled and looked very bad. The dx in ER was viral syndrome (fever of unknown origin) and possible seizure. Diagnosed with Global Developmental Delay.

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