This is VAERS ID 101800
|
| VAERS ID: | 101800 (history) | Vaccinated: | 1995-02-23 | | Age: | 1.3 | Onset: | 1995-03-05, Days after vaccination: 10 | | Gender: | Male | Submitted: | 1997-08-18, Days after onset: 896 | | Location: | Texas | Entered: | 1997-08-21, Days after submission: 3 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? Yes |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: Ceclor | | Current Illness: | | Preexisting Conditions: | | Diagnostic Lab Data: Measles antibody 116 immunity;Rubella antibody not abnormal;mumps antibody positive seroconversion; | | CDC 'Split Type': WAES97080325 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | MMR: MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 0698A | | IM | | |
| Administered by: Other Purchased by: Other | Symptoms: Autism,
Drug ineffective,
Febrile convulsion,
Hypotonia,
Infection,
Pyrexia,
Rash,
Speech disorder
SMQs:, Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Convulsions (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad)
| | Write-up: pt recv vax 23FEB95 & pt exp short feb sz w/t105;5MAR97 pt taken to ER & hosp;rash initially thought to be chicken pox dx as roseola the following day;mom reported child devel autism p/vax;pt stopped all devel & lost little bit of speech ha |
|
|
New Search
|
Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=101800
|
|
