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This is VAERS ID 26300

Case Details

VAERS ID: 26300 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Female  
Location: New York  
Vaccinated:1990-09-21
Onset:1990-10-02
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 1990-10-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0895S / UNK - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
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: No history of allergies
Allergies:
Diagnostic Lab Data: EEG-Normal; Serum Glucose -CE+ - PO4 -MG+ - All Normal
CDC Split Type:

Write-up: Pt vaccinated with MMR experienced atonic seizure followed by temp elevation to 102 lasting 3-4hrs. Seizure lasted 2 min.


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