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This is VAERS ID 83685

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 83685
VAERS Form:
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:1995-12-22
Onset:1996-01-09
Submitted:1996-02-23
Entered:1996-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARIVAX / MSD 0750B / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: CHILLS, FEVER, PRURITUS, RASH MAC PAP, RASH VESIC BULL

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: 18JAN96 varicella zoster AB IgM 2560 (reference range <20); 18JAN96 varicella AB IgG 0.18 (reference range 0.15-0.28 low positive)
CDC 'Split Type':

Write-up: pt devel fever,chills,& gen pruritic,maculopapular vesicular rash (15-20 lesions) 2 1/2 wk p/1 dose of vax given;


Changed on 12/8/2009

VAERS ID: 83685 Before After
VAERS Form:
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:1995-12-22
Onset:1996-01-09
Submitted:1996-02-23
Entered:1996-03-19 1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARIVAX VARICELLA (VARIVAX) / MSD MERCK & CO. INC. 0750B / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Dermatitis bullous, Pruritus, Pyrexia, Rash maculo-papular, CHILLS, FEVER, PRURITUS, RASH MAC PAP, RASH VESIC BULL

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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: 18JAN96 varicella zoster AB IgM 2560 (reference range <20); 18JAN96 varicella AB IgG 0.18 (reference range 0.15-0.28 low positive)
CDC 'Split Type':

Write-up: pt devel fever,chills,& gen pruritic,maculopapular vesicular rash (15-20 lesions) 2 1/2 wk p/1 dose of vax given;


Changed on 5/14/2017

VAERS ID: 83685 Before After
VAERS Form:
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:1995-12-22
Onset:1996-01-09
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0750B / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Dermatitis bullous, Pruritus, Pyrexia, Rash maculo-papular

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: 18JAN96 varicella zoster AB IgM 2560 (reference range <20); 18JAN96 varicella AB IgG 0.18 (reference range 0.15-0.28 low positive)
CDC 'Split Type':

Write-up: pt devel fever,chills,& gen pruritic,maculopapular vesicular rash (15-20 lesions) 2 1/2 wk p/1 dose of vax given;


Changed on 9/14/2017

VAERS ID: 83685 Before After
VAERS Form:(blank) 1
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:1995-12-22
Onset:1996-01-09
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0750B / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Dermatitis bullous, Pruritus, Pyrexia, Rash maculo-papular

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: 18JAN96 varicella zoster AB IgM 2560 (reference range <20); 18JAN96 varicella AB IgG 0.18 (reference range 0.15-0.28 low positive)
CDC 'Split Type':

Write-up: pt devel fever,chills,& gen pruritic,maculopapular vesicular rash (15-20 lesions) 2 1/2 wk p/1 dose of vax given;


Changed on 2/14/2018

VAERS ID: 83685 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:1995-12-22
Onset:1996-01-09
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0750B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Dermatitis bullous, Pruritus, Pyrexia, Rash maculo-papular

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: 18JAN96 varicella zoster AB IgM 2560 (reference range <20); 18JAN96 varicella AB IgG 0.18 (reference range 0.15-0.28 low positive)
CDC 'Split Type':

Write-up: pt devel fever,chills,& gen pruritic,maculopapular vesicular rash (15-20 lesions) 2 1/2 wk p/1 dose of vax given;


Changed on 6/14/2018

VAERS ID: 83685 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:1995-12-22
Onset:1996-01-09
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0750B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Dermatitis bullous, Pruritus, Pyrexia, Rash maculo-papular

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: 18JAN96 varicella zoster AB IgM 2560 (reference range <20); 18JAN96 varicella AB IgG 0.18 (reference range 0.15-0.28 low positive)
CDC 'Split Type':

Write-up: pt devel fever,chills,& gen pruritic,maculopapular vesicular rash (15-20 lesions) 2 1/2 wk p/1 dose of vax given;


Changed on 8/14/2018

VAERS ID: 83685 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:1995-12-22
Onset:1996-01-09
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0750B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Dermatitis bullous, Pruritus, Pyrexia, Rash maculo-papular

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: 18JAN96 varicella zoster AB IgM 2560 (reference range <20); 18JAN96 varicella AB IgG 0.18 (reference range 0.15-0.28 low positive)
CDC 'Split Type':

Write-up: pt devel fever,chills,& gen pruritic,maculopapular vesicular rash (15-20 lesions) 2 1/2 wk p/1 dose of vax given;


Changed on 9/14/2018

VAERS ID: 83685 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:1995-12-22
Onset:1996-01-09
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0750B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Dermatitis bullous, Pruritus, Pyrexia, Rash maculo-papular

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: 18JAN96 varicella zoster AB IgM 2560 (reference range <20); 18JAN96 varicella AB IgG 0.18 (reference range 0.15-0.28 low positive)
CDC 'Split Type':

Write-up: pt devel fever,chills,& gen pruritic,maculopapular vesicular rash (15-20 lesions) 2 1/2 wk p/1 dose of vax given;


Changed on 10/14/2018

VAERS ID: 83685 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:1995-12-22
Onset:1996-01-09
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0750B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Dermatitis bullous, Pruritus, Pyrexia, Rash maculo-papular

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: 18JAN96 varicella zoster AB IgM 2560 (reference range <20); 18JAN96 varicella AB IgG 0.18 (reference range 0.15-0.28 low positive)
CDC 'Split Type':

Write-up: pt devel fever,chills,& gen pruritic,maculopapular vesicular rash (15-20 lesions) 2 1/2 wk p/1 dose of vax given;


Changed on 12/24/2020

VAERS ID: 83685 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:1995-12-22
Onset:1996-01-09
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0750B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Dermatitis bullous, Pruritus, Pyrexia, Rash maculo-papular

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: 18JAN96 varicella zoster AB IgM 2560 (reference range <20); 18JAN96 varicella AB IgG 0.18 (reference range 0.15-0.28 low positive)
CDC 'Split Type':

Write-up: pt devel fever,chills,& gen pruritic,maculopapular vesicular rash (15-20 lesions) 2 1/2 wk p/1 dose of vax given;


Changed on 12/30/2020

VAERS ID: 83685 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:1995-12-22
Onset:1996-01-09
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0750B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Dermatitis bullous, Pruritus, Pyrexia, Rash maculo-papular

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: 18JAN96 varicella zoster AB IgM 2560 (reference range <20); 18JAN96 varicella AB IgG 0.18 (reference range 0.15-0.28 low positive)
CDC 'Split Type':

Write-up: pt devel fever,chills,& gen pruritic,maculopapular vesicular rash (15-20 lesions) 2 1/2 wk p/1 dose of vax given;


Changed on 5/7/2021

VAERS ID: 83685 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:1995-12-22
Onset:1996-01-09
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0750B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Dermatitis bullous, Pruritus, Pyrexia, Rash maculo-papular

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: 18JAN96 varicella zoster AB IgM 2560 (reference range <20); 18JAN96 varicella AB IgG 0.18 (reference range 0.15-0.28 low positive)
CDC 'Split Type':

Write-up: pt devel fever,chills,& gen pruritic,maculopapular vesicular rash (15-20 lesions) 2 1/2 wk p/1 dose of vax given;


Changed on 5/14/2021

VAERS ID: 83685 Before After
VAERS Form:1
Age:33.0
Sex:Female
Location:New Jersey
Vaccinated:1995-12-22
Onset:1996-01-09
Submitted:1996-02-23
Entered:1996-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0750B / UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Chills, Dermatitis bullous, Pruritus, Pyrexia, Rash maculo-papular

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? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: NA
Allergies:
Diagnostic Lab Data: 18JAN96 varicella zoster AB IgM 2560 (reference range <20); 18JAN96 varicella AB IgG 0.18 (reference range 0.15-0.28 low positive)
CDC 'Split Type':

Write-up: pt devel fever,chills,& gen pruritic,maculopapular vesicular rash (15-20 lesions) 2 1/2 wk p/1 dose of vax given;

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=83685&WAYBACKHISTORY=ON


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