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This is VAERS ID 25901

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25901
VAERS Form:
Age:15.0
Sex:Unknown
Location:California
Vaccinated:0000-00-00
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1687R / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: SOMNOLENCE, ASTHENIA, AMNESIA, DEPRESSION

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: EEG non specific changes
CDC 'Split Type':

Write-up: A few days after receipt of MMR vaccine, pt had onset of memory loss, fatigue, somnolence, and depression which gradually was improving 10 days later.


Changed on 12/8/2009

VAERS ID: 25901 Before After
VAERS Form:
Age:15.0
Sex:Unknown
Location:California
Vaccinated:0000-00-00
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-09-18 1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 1687R / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Depression, Somnolence, SOMNOLENCE, ASTHENIA, AMNESIA, DEPRESSION

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: EEG non specific changes
CDC 'Split Type':

Write-up: A few days after receipt of MMR vaccine, pt had onset of memory loss, fatigue, somnolence, and depression which gradually was improving 10 days later.


Changed on 5/14/2017

VAERS ID: 25901 Before After
VAERS Form:
Age:15.0
Sex:Unknown
Location:California
Vaccinated:0000-00-00
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1687R / - - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Depression, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: EEG non specific changes
CDC 'Split Type':

Write-up: A few days after receipt of MMR vaccine, pt had onset of memory loss, fatigue, somnolence, and depression which gradually was improving 10 days later.


Changed on 9/14/2017

VAERS ID: 25901 Before After
VAERS Form:(blank) 1
Age:15.0
Sex:Unknown
Location:California
Vaccinated:0000-00-00
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1687R / - UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Depression, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: EEG non specific changes
CDC 'Split Type':

Write-up: A few days after receipt of MMR vaccine, pt had onset of memory loss, fatigue, somnolence, and depression which gradually was improving 10 days later.


Changed on 2/14/2018

VAERS ID: 25901 Before After
VAERS Form:1
Age:15.0
Sex:Unknown
Location:California
Vaccinated:0000-00-00
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1687R / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Depression, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: EEG non specific changes
CDC 'Split Type':

Write-up: A few days after receipt of MMR vaccine, pt had onset of memory loss, fatigue, somnolence, and depression which gradually was improving 10 days later.


Changed on 6/14/2018

VAERS ID: 25901 Before After
VAERS Form:1
Age:15.0
Sex:Unknown
Location:California
Vaccinated:0000-00-00
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1687R / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Depression, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: EEG non specific changes
CDC 'Split Type':

Write-up: A few days after receipt of MMR vaccine, pt had onset of memory loss, fatigue, somnolence, and depression which gradually was improving 10 days later.


Changed on 8/14/2018

VAERS ID: 25901 Before After
VAERS Form:1
Age:15.0
Sex:Unknown
Location:California
Vaccinated:0000-00-00
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1687R / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Depression, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: EEG non specific changes
CDC 'Split Type':

Write-up: A few days after receipt of MMR vaccine, pt had onset of memory loss, fatigue, somnolence, and depression which gradually was improving 10 days later.


Changed on 9/14/2018

VAERS ID: 25901 Before After
VAERS Form:1
Age:15.0
Sex:Unknown
Location:California
Vaccinated:0000-00-00
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1687R / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Depression, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: EEG non specific changes
CDC 'Split Type':

Write-up: A few days after receipt of MMR vaccine, pt had onset of memory loss, fatigue, somnolence, and depression which gradually was improving 10 days later.


Changed on 10/14/2018

VAERS ID: 25901 Before After
VAERS Form:1
Age:15.0
Sex:Unknown
Location:California
Vaccinated:0000-00-00
Onset:1990-03-01
Submitted:0000-00-00
Entered:1990-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1687R / UNK - / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Amnesia, Asthenia, Depression, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: EEG non specific changes
CDC 'Split Type':

Write-up: A few days after receipt of MMR vaccine, pt had onset of memory loss, fatigue, somnolence, and depression which gradually was improving 10 days later.

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