National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 78811

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 78811
VAERS Form:
Age:39.0
Sex:Female
Location:New York
Vaccinated:1995-05-12
Onset:0000-00-00
Submitted:1995-10-30
Entered:1995-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARIVAX / MSD - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: HYPOKINESIA, ARTHRALGIA, ALLERG REACT, ASTHENIA, ARTHROSIS

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:
Current Illness:
Preexisting Conditions: lupus
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type':

Write-up: pt recvd vax & 7 to 10 days p/vax woke up tired in the morning, exp joint pain & swelling, could not close hands & could hardly walk;5JUN95, presented to MD;blood tests ordered;pt dx''d w/acute allerg rxn to vax which affected nervous system


Changed on 12/8/2009

VAERS ID: 78811 Before After
VAERS Form:
Age:39.0
Sex:Female
Location:New York
Vaccinated:1995-05-12
Onset:0000-00-00
Submitted:1995-10-30
Entered:1995-11-14 1995-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARIVAX VARICELLA (VARIVAX) / MSD MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Arthralgia, Asthenia, Hypersensitivity, Hypokinesia, Hypotonia, Osteoarthritis, HYPOKINESIA, ARTHRALGIA, ALLERG REACT, ASTHENIA, ARTHROSIS

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:
Current Illness:
Preexisting Conditions: lupus
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': (blank) WAES95101103

Write-up: pt recvd vax & 7 to 10 days p/vax woke up tired in the morning, exp joint pain & swelling, could not close hands & could hardly walk;5JUN95, presented to MD;blood tests ordered;pt dx''d w/acute allerg rxn to vax which affected nervous system


Changed on 5/14/2017

VAERS ID: 78811 Before After
VAERS Form:
Age:39.0
Sex:Female
Location:New York
Vaccinated:1995-05-12
Onset:0000-00-00
Submitted:1995-10-30
Entered:1995-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Hypersensitivity, Hypokinesia, Hypotonia, Osteoarthritis

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: lupus
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES95101103

Write-up: pt recvd vax & 7 to 10 days p/vax woke up tired in the morning, exp joint pain & swelling, could not close hands & could hardly walk;5JUN95, presented to MD;blood tests ordered;pt dx''d w/acute allerg rxn to vax which affected nervous system


Changed on 9/14/2017

VAERS ID: 78811 Before After
VAERS Form:(blank) 1
Age:39.0
Sex:Female
Location:New York
Vaccinated:1995-05-12
Onset:0000-00-00
Submitted:1995-10-30
Entered:1995-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 0 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Hypersensitivity, Hypokinesia, Hypotonia, Osteoarthritis

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: lupus
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES95101103

Write-up: pt recvd vax & 7 to 10 days p/vax woke up tired in the morning, exp joint pain & swelling, could not close hands & could hardly walk;5JUN95, presented to MD;blood tests ordered;pt dx''d w/acute allerg rxn to vax which affected nervous system


Changed on 2/14/2018

VAERS ID: 78811 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:New York
Vaccinated:1995-05-12
Onset:0000-00-00
Submitted:1995-10-30
Entered:1995-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Hypersensitivity, Hypokinesia, Hypotonia, Osteoarthritis

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: lupus
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES95101103

Write-up: pt recvd vax & 7 to 10 days p/vax woke up tired in the morning, exp joint pain & swelling, could not close hands & could hardly walk;5JUN95, presented to MD;blood tests ordered;pt dx''d w/acute allerg rxn to vax which affected nervous system


Changed on 6/14/2018

VAERS ID: 78811 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:New York
Vaccinated:1995-05-12
Onset:0000-00-00
Submitted:1995-10-30
Entered:1995-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Hypersensitivity, Hypokinesia, Hypotonia, Osteoarthritis

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: lupus
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES95101103

Write-up: pt recvd vax & 7 to 10 days p/vax woke up tired in the morning, exp joint pain & swelling, could not close hands & could hardly walk;5JUN95, presented to MD;blood tests ordered;pt dx''d w/acute allerg rxn to vax which affected nervous system


Changed on 8/14/2018

VAERS ID: 78811 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:New York
Vaccinated:1995-05-12
Onset:0000-00-00
Submitted:1995-10-30
Entered:1995-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Hypersensitivity, Hypokinesia, Hypotonia, Osteoarthritis

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: lupus
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES95101103

Write-up: pt recvd vax & 7 to 10 days p/vax woke up tired in the morning, exp joint pain & swelling, could not close hands & could hardly walk;5JUN95, presented to MD;blood tests ordered;pt dx''d w/acute allerg rxn to vax which affected nervous system


Changed on 9/14/2018

VAERS ID: 78811 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:New York
Vaccinated:1995-05-12
Onset:0000-00-00
Submitted:1995-10-30
Entered:1995-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Hypersensitivity, Hypokinesia, Hypotonia, Osteoarthritis

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: lupus
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES95101103

Write-up: pt recvd vax & 7 to 10 days p/vax woke up tired in the morning, exp joint pain & swelling, could not close hands & could hardly walk;5JUN95, presented to MD;blood tests ordered;pt dx''d w/acute allerg rxn to vax which affected nervous system


Changed on 10/14/2018

VAERS ID: 78811 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:New York
Vaccinated:1995-05-12
Onset:0000-00-00
Submitted:1995-10-30
Entered:1995-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Hypersensitivity, Hypokinesia, Hypotonia, Osteoarthritis

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: lupus
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES95101103

Write-up: pt recvd vax & 7 to 10 days p/vax woke up tired in the morning, exp joint pain & swelling, could not close hands & could hardly walk;5JUN95, presented to MD;blood tests ordered;pt dx''d w/acute allerg rxn to vax which affected nervous system


Changed on 12/24/2020

VAERS ID: 78811 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:New York
Vaccinated:1995-05-12
Onset:0000-00-00
Submitted:1995-10-30
Entered:1995-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Hypersensitivity, Hypokinesia, Hypotonia, Osteoarthritis

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: lupus
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES95101103

Write-up: pt recvd vax & 7 to 10 days p/vax woke up tired in the morning, exp joint pain & swelling, could not close hands & could hardly walk;5JUN95, presented to MD;blood tests ordered;pt dx''d w/acute allerg rxn to vax which affected nervous system


Changed on 12/30/2020

VAERS ID: 78811 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:New York
Vaccinated:1995-05-12
Onset:0000-00-00
Submitted:1995-10-30
Entered:1995-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Hypersensitivity, Hypokinesia, Hypotonia, Osteoarthritis

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: lupus
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES95101103

Write-up: pt recvd vax & 7 to 10 days p/vax woke up tired in the morning, exp joint pain & swelling, could not close hands & could hardly walk;5JUN95, presented to MD;blood tests ordered;pt dx''d w/acute allerg rxn to vax which affected nervous system


Changed on 5/7/2021

VAERS ID: 78811 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:New York
Vaccinated:1995-05-12
Onset:0000-00-00
Submitted:1995-10-30
Entered:1995-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Hypersensitivity, Hypokinesia, Hypotonia, Osteoarthritis

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: lupus
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES95101103

Write-up: pt recvd vax & 7 to 10 days p/vax woke up tired in the morning, exp joint pain & swelling, could not close hands & could hardly walk;5JUN95, presented to MD;blood tests ordered;pt dx''d w/acute allerg rxn to vax which affected nervous system


Changed on 5/14/2021

VAERS ID: 78811 Before After
VAERS Form:1
Age:39.0
Sex:Female
Location:New York
Vaccinated:1995-05-12
Onset:0000-00-00
Submitted:1995-10-30
Entered:1995-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 - / -

Administered by: Other      Purchased by: Other
Symptoms: Arthralgia, Asthenia, Hypersensitivity, Hypokinesia, Hypotonia, Osteoarthritis

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: lupus
Allergies:
Diagnostic Lab Data: No relevant data
CDC 'Split Type': WAES95101103

Write-up: pt recvd vax & 7 to 10 days p/vax woke up tired in the morning, exp joint pain & swelling, could not close hands & could hardly walk;5JUN95, presented to MD;blood tests ordered;pt dx''d w/acute allerg rxn to vax which affected nervous system

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=78811&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166