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This is VAERS ID 26211

Case Details

VAERS ID: 26211 (history)  
Form: Version 1.0  
Age: 1.3  
Gender: Female  
Location: Minnesota  
Vaccinated:1989-08-31
Onset:1989-09-07
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 1990-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 38091/0592P / UNK - / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Agitation, Arthropathy, Hypertonia, Hypokinesia, Hypotonia, Leukopenia, Mental retardation severity unspecified, Pyrexia, Rash maculo-papular, Somnolence, Speech disorder
SMQs:, Haematopoietic leukopenia (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (narrow), Dementia (broad), Parkinson-like events (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hostility/aggression (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (narrow), Hypoglycaemia (broad)

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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: hx of otitis media, pharyngitis
Allergies:
Diagnostic Lab Data: 8Sep89 WBC count-45000, 11Sep90 WBC count-2800, 11Sep89 platelet count- 80000
CDC Split Type: WAES90060279

Write-up: 15 mon. pt /w hx of OM & pharyngitis, vax /w MMRII dev fever, macular rash, WBC dec to 2800, dev stiffness legs, lethargy, irritability. Has severe dev delay w/ poor speech, fluct. muscle tone, po6r motor & head control, spacticity.


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