This is VAERS ID 102477
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| VAERS ID: | 102477 (history) | Vaccinated: | 1990-10-18 | | Age: | 1.3 | Onset: | 1990-10-18, Days after vaccination: 0 | | Gender: | Male | Submitted: | 1997-08-12, Days after onset: 2490 | | Location: | New York | Entered: | 1997-09-15, Days after submission: 34 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? Yes |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Previous Vaccinations: NONE | | Other Medications: NONE | | Current Illness: NONE | | Preexisting Conditions: allergies to milk (severe) to chemicals; | | Diagnostic Lab Data: autism-abn inc ruebella titre (mom) computron-MMR & HIB inc levels; | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HIBV: HIB (NO BRAND NAME) | UNKNOWN MANUFACTURER | | 0 | | | | MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME) | UNKNOWN MANUFACTURER | | 0 | | | |
| Administered by: Private Purchased by: Private | Symptoms: Autism,
Gait disturbance,
Hyperacusis,
Mental retardation severity unspecified,
Pyrexia,
Speech disorder,
Stupor,
Visual disturbance SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Optic nerve disorders (broad), Lens disorders (broad), Retinal disorders (broad), Hearing impairment (narrow)
| | Write-up: fever-dec level of consciousness;dec ability to focus;loss ability to speak;autism; |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=102477
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