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This is VAERS ID 176993

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 176993
VAERS Form:
Age:4.0
Sex:Male
Location:New York
Vaccinated:2001-04-17
Onset:2001-05-27
Submitted:2001-10-25
Entered:2001-11-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MSD 0922K / 0 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: CONVULS, FEVER, DYSPNEA, COMA, DELIRIUM

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: 23     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On 5/30/01, the child went into a coma. He was unresponsive, had low breathing ability and seizures. To date, he is on 4 drugs and still has seizures. Approx. 5 days prior to hospitalization, he had a fever of 104F for 2 days. He was lethargic and slightl"y delirious.


Changed on 12/8/2009

VAERS ID: 176993 Before After
VAERS Form:
Age:4.0
Sex:Male
Location:New York
Vaccinated:2001-04-17
Onset:2001-05-27
Submitted:2001-10-25
Entered:2001-11-02 2001-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) VARICELLA (VARIVAX) / MSD MERCK & CO. INC. 0922K / 0 - / SC

Administered by: Private      Purchased by: Unknown Other
Symptoms: Coma, Convulsion, Delirium, Dyspnoea, Lethargy, Pyrexia, Neurodevelopmental disorder, CONVULS, FEVER, DYSPNEA, COMA, DELIRIUM

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: 23     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On 5/30/01, the child went into a coma. He was unresponsive, had low breathing ability and seizures. To date, he is on 4 drugs and still has seizures. Approx. 5 days prior to hospitalization, he had a fever of 104F for 2 days. He was lethargic and slightl"y slightly delirious. The annual follow up states seizures. Despite trying all seizure medications and brain surgery this July 2nd, my son still has recurrent seizures and n ow learning disabilities.


Changed on 9/14/2017

VAERS ID: 176993 Before After
VAERS Form:(blank) 1
Age:4.0
Sex:Male
Location:New York
Vaccinated:2001-04-17
Onset:2001-05-27
Submitted:2001-10-25
Entered:2001-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0922K / 0 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Dyspnoea, Lethargy, Pyrexia, Neurodevelopmental disorder

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: 23     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On 5/30/01, the child went into a coma. He was unresponsive, had low breathing ability and seizures. To date, he is on 4 drugs and still has seizures. Approx. 5 days prior to hospitalization, he had a fever of 104F for 2 days. He was lethargic and slightly delirious. The annual follow up states seizures. Despite trying all seizure medications and brain surgery this July 2nd, my son still has recurrent seizures and n ow learning disabilities.


Changed on 2/14/2018

VAERS ID: 176993 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:New York
Vaccinated:2001-04-17
Onset:2001-05-27
Submitted:2001-10-25
Entered:2001-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0922K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Dyspnoea, Lethargy, Pyrexia, Neurodevelopmental disorder

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: 23     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On 5/30/01, the child went into a coma. He was unresponsive, had low breathing ability and seizures. To date, he is on 4 drugs and still has seizures. Approx. 5 days prior to hospitalization, he had a fever of 104F for 2 days. He was lethargic and slightly delirious. The annual follow up states seizures. Despite trying all seizure medications and brain surgery this July 2nd, my son still has recurrent seizures and n ow learning disabilities.


Changed on 6/14/2018

VAERS ID: 176993 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:New York
Vaccinated:2001-04-17
Onset:2001-05-27
Submitted:2001-10-25
Entered:2001-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0922K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Dyspnoea, Lethargy, Pyrexia, Neurodevelopmental disorder

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: 23     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On 5/30/01, the child went into a coma. He was unresponsive, had low breathing ability and seizures. To date, he is on 4 drugs and still has seizures. Approx. 5 days prior to hospitalization, he had a fever of 104F for 2 days. He was lethargic and slightly delirious. The annual follow up states seizures. Despite trying all seizure medications and brain surgery this July 2nd, my son still has recurrent seizures and n ow learning disabilities.


Changed on 8/14/2018

VAERS ID: 176993 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:New York
Vaccinated:2001-04-17
Onset:2001-05-27
Submitted:2001-10-25
Entered:2001-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0922K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Dyspnoea, Lethargy, Pyrexia, Neurodevelopmental disorder

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: 23     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On 5/30/01, the child went into a coma. He was unresponsive, had low breathing ability and seizures. To date, he is on 4 drugs and still has seizures. Approx. 5 days prior to hospitalization, he had a fever of 104F for 2 days. He was lethargic and slightly delirious. The annual follow up states seizures. Despite trying all seizure medications and brain surgery this July 2nd, my son still has recurrent seizures and n ow learning disabilities.


Changed on 9/14/2018

VAERS ID: 176993 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:New York
Vaccinated:2001-04-17
Onset:2001-05-27
Submitted:2001-10-25
Entered:2001-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0922K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Dyspnoea, Lethargy, Pyrexia, Neurodevelopmental disorder

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: 23     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On 5/30/01, the child went into a coma. He was unresponsive, had low breathing ability and seizures. To date, he is on 4 drugs and still has seizures. Approx. 5 days prior to hospitalization, he had a fever of 104F for 2 days. He was lethargic and slightly delirious. The annual follow up states seizures. Despite trying all seizure medications and brain surgery this July 2nd, my son still has recurrent seizures and n ow learning disabilities.


Changed on 10/14/2018

VAERS ID: 176993 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:New York
Vaccinated:2001-04-17
Onset:2001-05-27
Submitted:2001-10-25
Entered:2001-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0922K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Dyspnoea, Lethargy, Pyrexia, Neurodevelopmental disorder

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: 23     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On 5/30/01, the child went into a coma. He was unresponsive, had low breathing ability and seizures. To date, he is on 4 drugs and still has seizures. Approx. 5 days prior to hospitalization, he had a fever of 104F for 2 days. He was lethargic and slightly delirious. The annual follow up states seizures. Despite trying all seizure medications and brain surgery this July 2nd, my son still has recurrent seizures and n ow learning disabilities.


Changed on 12/24/2020

VAERS ID: 176993 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:New York
Vaccinated:2001-04-17
Onset:2001-05-27
Submitted:2001-10-25
Entered:2001-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0922K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Dyspnoea, Lethargy, Pyrexia, Neurodevelopmental disorder

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: 23     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On 5/30/01, the child went into a coma. He was unresponsive, had low breathing ability and seizures. To date, he is on 4 drugs and still has seizures. Approx. 5 days prior to hospitalization, he had a fever of 104F for 2 days. He was lethargic and slightly delirious. The annual follow up states seizures. Despite trying all seizure medications and brain surgery this July 2nd, my son still has recurrent seizures and n ow learning disabilities.


Changed on 12/30/2020

VAERS ID: 176993 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:New York
Vaccinated:2001-04-17
Onset:2001-05-27
Submitted:2001-10-25
Entered:2001-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0922K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Dyspnoea, Lethargy, Pyrexia, Neurodevelopmental disorder

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: 23     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On 5/30/01, the child went into a coma. He was unresponsive, had low breathing ability and seizures. To date, he is on 4 drugs and still has seizures. Approx. 5 days prior to hospitalization, he had a fever of 104F for 2 days. He was lethargic and slightly delirious. The annual follow up states seizures. Despite trying all seizure medications and brain surgery this July 2nd, my son still has recurrent seizures and n ow learning disabilities.


Changed on 5/7/2021

VAERS ID: 176993 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:New York
Vaccinated:2001-04-17
Onset:2001-05-27
Submitted:2001-10-25
Entered:2001-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0922K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Dyspnoea, Lethargy, Pyrexia, Neurodevelopmental disorder

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: 23     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On 5/30/01, the child went into a coma. He was unresponsive, had low breathing ability and seizures. To date, he is on 4 drugs and still has seizures. Approx. 5 days prior to hospitalization, he had a fever of 104F for 2 days. He was lethargic and slightly delirious. The annual follow up states seizures. Despite trying all seizure medications and brain surgery this July 2nd, my son still has recurrent seizures and n ow learning disabilities.


Changed on 5/14/2021

VAERS ID: 176993 Before After
VAERS Form:1
Age:4.0
Sex:Male
Location:New York
Vaccinated:2001-04-17
Onset:2001-05-27
Submitted:2001-10-25
Entered:2001-11-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0922K / 1 - / SC

Administered by: Private      Purchased by: Other
Symptoms: Coma, Convulsion, Delirium, Dyspnoea, Lethargy, Pyrexia, Neurodevelopmental disorder

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: 23     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: On 5/30/01, the child went into a coma. He was unresponsive, had low breathing ability and seizures. To date, he is on 4 drugs and still has seizures. Approx. 5 days prior to hospitalization, he had a fever of 104F for 2 days. He was lethargic and slightly delirious. The annual follow up states seizures. Despite trying all seizure medications and brain surgery this July 2nd, my son still has recurrent seizures and n ow learning disabilities.

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