This is VAERS ID 102670
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| VAERS ID: | 102670 (history) | Vaccinated: | 1996-05-09 | | Age: | 4.5 | Onset: | 1996-05-09, Days after vaccination: 0 | | Gender: | Male | Submitted: | 1997-09-23, Days after onset: 502 | | Location: | North Carolina | Entered: | 1997-09-25, Days after submission: 2 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? Yes |
| Recovered? No | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: NONE | | Current Illness: | | Preexisting Conditions: | | Diagnostic Lab Data: AUG97 IgG 72.4;12MAY96 CT scan brain-results not reported; | | CDC 'Split Type': WAES97091013 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | DT: DT ADSORBED (NO BRAND NAME) | CONNAUGHT LABORATORIES | | 4 | | | | MMR: MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | 0099D | 1 | IM | | | OPV: POLIO VIRUS, ORAL (ORIMUNE) | LEDERLE LABORATORIES | | 3 | PO | | |
| Administered by: Other Purchased by: Other | Symptoms: Autism,
Hyperhidrosis,
Immunoglobulins increased,
Lymphadenopathy,
Personality disorder,
Pyrexia,
Speech disorder,
Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad)
| | Write-up: pt recv vax 9MAY96 & same day pt devel high fever, noc sweats, dehydration, large swelling of all lymph glands, strange behavior & was talking to himself;11MAY96 all sx cont;hive-like swelling of the glands;made grunting sounds;dx autism; |
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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=102670
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