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This is VAERS ID 119190

Case Details

VAERS ID: 119190 (history)  
Form: Version 1.0  
Age: 1.7  
Sex: Male  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 1999-02-18
Entered: 1999-02-22
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Delirium, Encephalitis, Immunoglobulins decreased, Laboratory test abnormal, Neuropathy, Oral candidiasis, Rash, Sepsis
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal infections (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (broad), Sepsis (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? Yes
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unk
Current Illness: mild thrush & manila diaper rash;
Preexisting Conditions: unk
Allergies:
Diagnostic Lab Data: brain biopsy-sparse lymphocytic meningoencephalitis, neuronal/oligodendroglial loss;reactive astrocytosis;diagnostic lab test profound depression of CD8 lymphocytes;IgG antibody low;lab test high complement fixing antibody titer ($g1:1024)
CDC Split Type: WAES99020300

Write-up: lit ref-pt recv vax & approx 8.5mo p/vax pt dx w/measles inclusion body encephalitis (MIBE);brain biopsy revealed sparse lymphocytic meningoencephalitis, moderate neuronal & oligodendroglia loss & reactive astrocytosis w/in cortex;


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