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This is VAERS ID 87554

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 87554
VAERS Form:
Age:35.4
Sex:Male
Location:New Jersey
Vaccinated:1996-05-01
Onset:1996-06-01
Submitted:1996-07-03
Entered:1996-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARIVAX / MSD 0398B / 0 - / SC

Administered by: Other      Purchased by: Unknown
Symptoms: CONFUS, LAB TEST ABNORM, MYASTHENIA, CHILLS FEVER, ANURIA

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: JUN96 Glucose 64;Lactate 3.2;RBC count 58;WBC count 101;lymphocytes 89%;monospot neg;lyme titer neg; RPR neg;IGG 1-10;
CDC 'Split Type':

Write-up: pt recv vax & 4wks post vax could not urinate & c/o muscle weakness & tingling in the legs;pt hosp for urinary problems & to r/o GBS;exp optic neuritis;dx viral encephalomyelitis;paraplegia both legs-no sensation to pin or vibration;


Changed on 12/8/2009

VAERS ID: 87554 Before After
VAERS Form:
Age:35.4
Sex:Male
Location:New Jersey
Vaccinated:1996-05-01
Onset:1996-06-01
Submitted:1996-07-03
Entered:1996-07-08 1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARIVAX VARICELLA (VARIVAX) / MSD MERCK & CO. INC. 0398B / 0 - / SC

Administered by: Other      Purchased by: Unknown Other
Symptoms: Anuria, Confusional state, Laboratory test abnormal, Myasthenic syndrome, Myelitis, Optic neuritis, Paralysis, Pyrexia, CONFUS, LAB TEST ABNORM, MYASTHENIA, CHILLS FEVER, ANURIA

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: JUN96 Glucose 64;Lactate 3.2;RBC count 58;WBC count 101;lymphocytes 89%;monospot neg;lyme titer neg; RPR neg;IGG 1-10;
CDC 'Split Type': (blank) WAES96061344

Write-up: pt recv vax & 4wks post vax could not urinate & c/o muscle weakness & tingling in the legs;pt hosp for urinary problems & to r/o GBS;exp optic neuritis;dx viral encephalomyelitis;paraplegia both legs-no sensation to pin or vibration;


Changed on 2/14/2017

VAERS ID: 87554 Before After
VAERS Form:
Age:35.4 35.0
Sex:Male
Location:New Jersey
Vaccinated:1996-05-01
Onset:1996-06-01
Submitted:1996-07-03
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0398B / 0 - / SC

Administered by: Other      Purchased by: Other
Symptoms: Anuria, Confusional state, Laboratory test abnormal, Myasthenic syndrome, Myelitis, Optic neuritis, Paralysis, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: JUN96 Glucose 64;Lactate 3.2;RBC count 58;WBC count 101;lymphocytes 89%;monospot neg;lyme titer neg; RPR neg;IGG 1-10;
CDC 'Split Type': WAES96061344

Write-up: pt recv vax & 4wks post vax could not urinate & c/o muscle weakness & tingling in the legs;pt hosp for urinary problems & to r/o GBS;exp optic neuritis;dx viral encephalomyelitis;paraplegia both legs-no sensation to pin or vibration;


Changed on 5/14/2017

VAERS ID: 87554 Before After
VAERS Form:
Age:35.0
Sex:Male
Location:New Jersey
Vaccinated:1996-05-01
Onset:1996-06-01
Submitted:1996-07-03
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0398B / 0 - / SC

Administered by: Other      Purchased by: Other
Symptoms: Anuria, Confusional state, Laboratory test abnormal, Myasthenic syndrome, Myelitis, Optic neuritis, Paralysis, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: JUN96 Glucose 64;Lactate 3.2;RBC count 58;WBC count 101;lymphocytes 89%;monospot neg;lyme titer neg; RPR neg;IGG 1-10;
CDC 'Split Type': WAES96061344

Write-up: pt recv vax & 4wks post vax could not urinate & c/o muscle weakness & tingling in the legs;pt hosp for urinary problems & to r/o GBS;exp optic neuritis;dx viral encephalomyelitis;paraplegia both legs-no sensation to pin or vibration;


Changed on 9/14/2017

VAERS ID: 87554 Before After
VAERS Form:(blank) 1
Age:35.0
Sex:Male
Location:New Jersey
Vaccinated:1996-05-01
Onset:1996-06-01
Submitted:1996-07-03
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0398B / 0 1 - / SC

Administered by: Other      Purchased by: Other
Symptoms: Anuria, Confusional state, Laboratory test abnormal, Myasthenic syndrome, Myelitis, Optic neuritis, Paralysis, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: JUN96 Glucose 64;Lactate 3.2;RBC count 58;WBC count 101;lymphocytes 89%;monospot neg;lyme titer neg; RPR neg;IGG 1-10;
CDC 'Split Type': WAES96061344

Write-up: pt recv vax & 4wks post vax could not urinate & c/o muscle weakness & tingling in the legs;pt hosp for urinary problems & to r/o GBS;exp optic neuritis;dx viral encephalomyelitis;paraplegia both legs-no sensation to pin or vibration;


Changed on 2/14/2018

VAERS ID: 87554 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:New Jersey
Vaccinated:1996-05-01
Onset:1996-06-01
Submitted:1996-07-03
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0398B / 1 - / SC

Administered by: Other      Purchased by: Other
Symptoms: Anuria, Confusional state, Laboratory test abnormal, Myasthenic syndrome, Myelitis, Optic neuritis, Paralysis, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: JUN96 Glucose 64;Lactate 3.2;RBC count 58;WBC count 101;lymphocytes 89%;monospot neg;lyme titer neg; RPR neg;IGG 1-10;
CDC 'Split Type': WAES96061344

Write-up: pt recv vax & 4wks post vax could not urinate & c/o muscle weakness & tingling in the legs;pt hosp for urinary problems & to r/o GBS;exp optic neuritis;dx viral encephalomyelitis;paraplegia both legs-no sensation to pin or vibration;


Changed on 6/14/2018

VAERS ID: 87554 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:New Jersey
Vaccinated:1996-05-01
Onset:1996-06-01
Submitted:1996-07-03
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0398B / 1 - / SC

Administered by: Other      Purchased by: Other
Symptoms: Anuria, Confusional state, Laboratory test abnormal, Myasthenic syndrome, Myelitis, Optic neuritis, Paralysis, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: JUN96 Glucose 64;Lactate 3.2;RBC count 58;WBC count 101;lymphocytes 89%;monospot neg;lyme titer neg; RPR neg;IGG 1-10;
CDC 'Split Type': WAES96061344

Write-up: pt recv vax & 4wks post vax could not urinate & c/o muscle weakness & tingling in the legs;pt hosp for urinary problems & to r/o GBS;exp optic neuritis;dx viral encephalomyelitis;paraplegia both legs-no sensation to pin or vibration;


Changed on 8/14/2018

VAERS ID: 87554 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:New Jersey
Vaccinated:1996-05-01
Onset:1996-06-01
Submitted:1996-07-03
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0398B / 1 - / SC

Administered by: Other      Purchased by: Other
Symptoms: Anuria, Confusional state, Laboratory test abnormal, Myasthenic syndrome, Myelitis, Optic neuritis, Paralysis, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: JUN96 Glucose 64;Lactate 3.2;RBC count 58;WBC count 101;lymphocytes 89%;monospot neg;lyme titer neg; RPR neg;IGG 1-10;
CDC 'Split Type': WAES96061344

Write-up: pt recv vax & 4wks post vax could not urinate & c/o muscle weakness & tingling in the legs;pt hosp for urinary problems & to r/o GBS;exp optic neuritis;dx viral encephalomyelitis;paraplegia both legs-no sensation to pin or vibration;


Changed on 9/14/2018

VAERS ID: 87554 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:New Jersey
Vaccinated:1996-05-01
Onset:1996-06-01
Submitted:1996-07-03
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0398B / 1 - / SC

Administered by: Other      Purchased by: Other
Symptoms: Anuria, Confusional state, Laboratory test abnormal, Myasthenic syndrome, Myelitis, Optic neuritis, Paralysis, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: JUN96 Glucose 64;Lactate 3.2;RBC count 58;WBC count 101;lymphocytes 89%;monospot neg;lyme titer neg; RPR neg;IGG 1-10;
CDC 'Split Type': WAES96061344

Write-up: pt recv vax & 4wks post vax could not urinate & c/o muscle weakness & tingling in the legs;pt hosp for urinary problems & to r/o GBS;exp optic neuritis;dx viral encephalomyelitis;paraplegia both legs-no sensation to pin or vibration;


Changed on 10/14/2018

VAERS ID: 87554 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:New Jersey
Vaccinated:1996-05-01
Onset:1996-06-01
Submitted:1996-07-03
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0398B / 1 - / SC

Administered by: Other      Purchased by: Other
Symptoms: Anuria, Confusional state, Laboratory test abnormal, Myasthenic syndrome, Myelitis, Optic neuritis, Paralysis, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: JUN96 Glucose 64;Lactate 3.2;RBC count 58;WBC count 101;lymphocytes 89%;monospot neg;lyme titer neg; RPR neg;IGG 1-10;
CDC 'Split Type': WAES96061344

Write-up: pt recv vax & 4wks post vax could not urinate & c/o muscle weakness & tingling in the legs;pt hosp for urinary problems & to r/o GBS;exp optic neuritis;dx viral encephalomyelitis;paraplegia both legs-no sensation to pin or vibration;


Changed on 12/24/2020

VAERS ID: 87554 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:New Jersey
Vaccinated:1996-05-01
Onset:1996-06-01
Submitted:1996-07-03
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0398B / 1 - / SC

Administered by: Other      Purchased by: Other
Symptoms: Anuria, Confusional state, Laboratory test abnormal, Myasthenic syndrome, Myelitis, Optic neuritis, Paralysis, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: JUN96 Glucose 64;Lactate 3.2;RBC count 58;WBC count 101;lymphocytes 89%;monospot neg;lyme titer neg; RPR neg;IGG 1-10;
CDC 'Split Type': WAES96061344

Write-up: pt recv vax & 4wks post vax could not urinate & c/o muscle weakness & tingling in the legs;pt hosp for urinary problems & to r/o GBS;exp optic neuritis;dx viral encephalomyelitis;paraplegia both legs-no sensation to pin or vibration;


Changed on 12/30/2020

VAERS ID: 87554 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:New Jersey
Vaccinated:1996-05-01
Onset:1996-06-01
Submitted:1996-07-03
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0398B / 1 - / SC

Administered by: Other      Purchased by: Other
Symptoms: Anuria, Confusional state, Laboratory test abnormal, Myasthenic syndrome, Myelitis, Optic neuritis, Paralysis, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: JUN96 Glucose 64;Lactate 3.2;RBC count 58;WBC count 101;lymphocytes 89%;monospot neg;lyme titer neg; RPR neg;IGG 1-10;
CDC 'Split Type': WAES96061344

Write-up: pt recv vax & 4wks post vax could not urinate & c/o muscle weakness & tingling in the legs;pt hosp for urinary problems & to r/o GBS;exp optic neuritis;dx viral encephalomyelitis;paraplegia both legs-no sensation to pin or vibration;


Changed on 5/7/2021

VAERS ID: 87554 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:New Jersey
Vaccinated:1996-05-01
Onset:1996-06-01
Submitted:1996-07-03
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0398B / 1 - / SC

Administered by: Other      Purchased by: Other
Symptoms: Anuria, Confusional state, Laboratory test abnormal, Myasthenic syndrome, Myelitis, Optic neuritis, Paralysis, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: JUN96 Glucose 64;Lactate 3.2;RBC count 58;WBC count 101;lymphocytes 89%;monospot neg;lyme titer neg; RPR neg;IGG 1-10;
CDC 'Split Type': WAES96061344

Write-up: pt recv vax & 4wks post vax could not urinate & c/o muscle weakness & tingling in the legs;pt hosp for urinary problems & to r/o GBS;exp optic neuritis;dx viral encephalomyelitis;paraplegia both legs-no sensation to pin or vibration;


Changed on 5/14/2021

VAERS ID: 87554 Before After
VAERS Form:1
Age:35.0
Sex:Male
Location:New Jersey
Vaccinated:1996-05-01
Onset:1996-06-01
Submitted:1996-07-03
Entered:1996-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0398B / 1 - / SC

Administered by: Other      Purchased by: Other
Symptoms: Anuria, Confusional state, Laboratory test abnormal, Myasthenic syndrome, Myelitis, Optic neuritis, Paralysis, Pyrexia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: JUN96 Glucose 64;Lactate 3.2;RBC count 58;WBC count 101;lymphocytes 89%;monospot neg;lyme titer neg; RPR neg;IGG 1-10;
CDC 'Split Type': WAES96061344

Write-up: pt recv vax & 4wks post vax could not urinate & c/o muscle weakness & tingling in the legs;pt hosp for urinary problems & to r/o GBS;exp optic neuritis;dx viral encephalomyelitis;paraplegia both legs-no sensation to pin or vibration;

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