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This is VAERS ID 25009

Case Details

VAERS ID: 25009 (history)  
Form: Version 1.0  
Age: 3.0  
Gender: Male  
Location: Florida  
Vaccinated:1990-04-05
Onset:1990-04-06
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 1990-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0333P / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Deafness
SMQs:, Hearing impairment (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: recurrent otitis media, measles
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES90030661

Write-up: 15mon. male w/ hx of recurrent ear infections & measles in Feb. 89''. 5Apr89 was given MMR. Within 24 hrs /p vaccine, parents noted hearing deficit, confirmed by physician exam.


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