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This is VAERS ID 177716

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 177716
VAERS Form:
Age:1.2
Sex:Female
Location:Oklahoma
Vaccinated:2001-08-31
Onset:2001-09-04
Submitted:2001-11-02
Entered:2001-11-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MSD 1670K / 2 - / IM
VARCEL: VARICELLA (VARIVAX) / MSD 0236L / 0 - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: CONVULS, MYASTHENIA

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: Seizures;DTaP (Infanrix);3;0;In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:


Changed on 12/8/2009

VAERS ID: 177716 Before After
VAERS Form:
Age:1.2
Sex:Female
Location:Oklahoma
Vaccinated:2001-08-31
Onset:2001-09-04
Submitted:2001-11-02
Entered:2001-11-19 2001-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MSD MERCK & CO. INC. 1670K / 2 - / IM
VARCEL: VARICELLA (VARIVAX) VARICELLA (VARIVAX) / MSD MERCK & CO. INC. 0236L / 0 - / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Convulsion, Hemiparesis, CONVULS, MYASTHENIA

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: Seizures;DTaP (Infanrix);3;0;In Patient
Other Medications:
Current Illness: MRI- normal ?
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Milk allergy
CDC 'Split Type':

Write-up: Pt began having seizures 1 week after 6 month vax. The condition worsened about 4 months later (increased frequency of seizures and pt was hospitalized). Pt was stable on medication and then had vax on 8/31/01 and began having uncontrollable seizures and right sided weakness.


Changed on 5/14/2017

VAERS ID: 177716 Before After
VAERS Form:
Age:1.2
Sex:Female
Location:Oklahoma
Vaccinated:2001-08-31
Onset:2001-09-04
Submitted:2001-11-02
Entered:2001-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1670K / 2 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0236L / 0 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hemiparesis

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: Seizures;DTaP (Infanrix);3;0;In Seizures~DTaP (Infanrix)~3~0.00~In Patient
Other Medications:
Current Illness: MRI- normal ?
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Milk allergy
CDC 'Split Type':

Write-up: Pt began having seizures 1 week after 6 month vax. The condition worsened about 4 months later (increased frequency of seizures and pt was hospitalized). Pt was stable on medication and then had vax on 8/31/01 and began having uncontrollable seizures and right sided weakness.


Changed on 9/14/2017

VAERS ID: 177716 Before After
VAERS Form:(blank) 1
Age:1.2
Sex:Female
Location:Oklahoma
Vaccinated:2001-08-31
Onset:2001-09-04
Submitted:2001-11-02
Entered:2001-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1670K / 2 3 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0236L / 0 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hemiparesis

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: Seizures~DTaP (Infanrix)~3~0.00~In Patient
Other Medications:
Current Illness: MRI- normal ?
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Milk allergy
CDC 'Split Type':

Write-up: Pt began having seizures 1 week after 6 month vax. The condition worsened about 4 months later (increased frequency of seizures and pt was hospitalized). Pt was stable on medication and then had vax on 8/31/01 and began having uncontrollable seizures and right sided weakness.


Changed on 2/14/2018

VAERS ID: 177716 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Oklahoma
Vaccinated:2001-08-31
Onset:2001-09-04
Submitted:2001-11-02
Entered:2001-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1670K / 3 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0236L / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hemiparesis

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: Seizures~DTaP (Infanrix)~3~0.00~In Patient
Other Medications:
Current Illness: MRI- normal ?
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Milk allergy
CDC 'Split Type':

Write-up: Pt began having seizures 1 week after 6 month vax. The condition worsened about 4 months later (increased frequency of seizures and pt was hospitalized). Pt was stable on medication and then had vax on 8/31/01 and began having uncontrollable seizures and right sided weakness.


Changed on 6/14/2018

VAERS ID: 177716 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Oklahoma
Vaccinated:2001-08-31
Onset:2001-09-04
Submitted:2001-11-02
Entered:2001-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1670K / 3 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0236L / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hemiparesis

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: Seizures~DTaP (Infanrix)~3~0.00~In Patient
Other Medications:
Current Illness: MRI- normal ?
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Milk allergy
CDC 'Split Type':

Write-up: Pt began having seizures 1 week after 6 month vax. The condition worsened about 4 months later (increased frequency of seizures and pt was hospitalized). Pt was stable on medication and then had vax on 8/31/01 and began having uncontrollable seizures and right sided weakness.


Changed on 8/14/2018

VAERS ID: 177716 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Oklahoma
Vaccinated:2001-08-31
Onset:2001-09-04
Submitted:2001-11-02
Entered:2001-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1670K / 3 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0236L / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hemiparesis

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: Seizures~DTaP (Infanrix)~3~0.00~In Patient
Other Medications:
Current Illness: MRI- normal ?
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Milk allergy
CDC 'Split Type':

Write-up: Pt began having seizures 1 week after 6 month vax. The condition worsened about 4 months later (increased frequency of seizures and pt was hospitalized). Pt was stable on medication and then had vax on 8/31/01 and began having uncontrollable seizures and right sided weakness.


Changed on 9/14/2018

VAERS ID: 177716 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Oklahoma
Vaccinated:2001-08-31
Onset:2001-09-04
Submitted:2001-11-02
Entered:2001-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1670K / 3 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0236L / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hemiparesis

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: Seizures~DTaP (Infanrix)~3~0.00~In Patient
Other Medications:
Current Illness: MRI- normal ?
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Milk allergy
CDC 'Split Type':

Write-up: Pt began having seizures 1 week after 6 month vax. The condition worsened about 4 months later (increased frequency of seizures and pt was hospitalized). Pt was stable on medication and then had vax on 8/31/01 and began having uncontrollable seizures and right sided weakness.


Changed on 10/14/2018

VAERS ID: 177716 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Oklahoma
Vaccinated:2001-08-31
Onset:2001-09-04
Submitted:2001-11-02
Entered:2001-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1670K / 3 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0236L / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hemiparesis

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: Seizures~DTaP (Infanrix)~3~0.00~In Patient
Other Medications:
Current Illness: MRI- normal ?
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Milk allergy
CDC 'Split Type':

Write-up: Pt began having seizures 1 week after 6 month vax. The condition worsened about 4 months later (increased frequency of seizures and pt was hospitalized). Pt was stable on medication and then had vax on 8/31/01 and began having uncontrollable seizures and right sided weakness.


Changed on 12/24/2020

VAERS ID: 177716 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Oklahoma
Vaccinated:2001-08-31
Onset:2001-09-04
Submitted:2001-11-02
Entered:2001-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1670K / 3 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0236L / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hemiparesis

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: Seizures~DTaP (Infanrix)~3~0.00~In Patient
Other Medications:
Current Illness: MRI- normal ?
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Milk allergy
CDC 'Split Type':

Write-up: Pt began having seizures 1 week after 6 month vax. The condition worsened about 4 months later (increased frequency of seizures and pt was hospitalized). Pt was stable on medication and then had vax on 8/31/01 and began having uncontrollable seizures and right sided weakness.


Changed on 12/30/2020

VAERS ID: 177716 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Oklahoma
Vaccinated:2001-08-31
Onset:2001-09-04
Submitted:2001-11-02
Entered:2001-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1670K / 3 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0236L / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hemiparesis

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: Seizures~DTaP (Infanrix)~3~0.00~In Patient
Other Medications:
Current Illness: MRI- normal ?
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Milk allergy
CDC 'Split Type':

Write-up: Pt began having seizures 1 week after 6 month vax. The condition worsened about 4 months later (increased frequency of seizures and pt was hospitalized). Pt was stable on medication and then had vax on 8/31/01 and began having uncontrollable seizures and right sided weakness.


Changed on 5/7/2021

VAERS ID: 177716 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Oklahoma
Vaccinated:2001-08-31
Onset:2001-09-04
Submitted:2001-11-02
Entered:2001-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1670K / 3 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0236L / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hemiparesis

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: Seizures~DTaP (Infanrix)~3~0.00~In Patient
Other Medications:
Current Illness: MRI- normal ?
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Milk allergy
CDC 'Split Type':

Write-up: Pt began having seizures 1 week after 6 month vax. The condition worsened about 4 months later (increased frequency of seizures and pt was hospitalized). Pt was stable on medication and then had vax on 8/31/01 and began having uncontrollable seizures and right sided weakness.


Changed on 5/14/2021

VAERS ID: 177716 Before After
VAERS Form:1
Age:1.2
Sex:Female
Location:Oklahoma
Vaccinated:2001-08-31
Onset:2001-09-04
Submitted:2001-11-02
Entered:2001-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 1670K / 3 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0236L / 1 - / SC

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Hemiparesis

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? Yes, days: 2     Extended hospital stay? No
Previous Vaccinations: Seizures~DTaP (Infanrix)~3~0.00~In Patient
Other Medications:
Current Illness: MRI- normal ?
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Milk allergy
CDC 'Split Type':

Write-up: Pt began having seizures 1 week after 6 month vax. The condition worsened about 4 months later (increased frequency of seizures and pt was hospitalized). Pt was stable on medication and then had vax on 8/31/01 and began having uncontrollable seizures and right sided weakness.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=177716&WAYBACKHISTORY=ON


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