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This is VAERS ID 26942

Case Details

VAERS ID: 26942 (history)  
Form: Version 1.0  
Age: 24.0  
Sex: Male  
Location: D.C.  
Vaccinated:1990-11-26
Onset:1990-11-27
   Days after vaccination:1
Submitted: 1990-12-05
   Days after onset:8
Entered: 1990-12-10
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1880S / 2 - / SC

Administered by: Private       Purchased by: Private
Symptoms: Deafness, Vestibular disorder
SMQs:, Hearing impairment (narrow), Vestibular disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Prilosec, PPD
Current Illness: Reflux esophagitis
Preexisting Conditions: stuttering
Allergies:
Diagnostic Lab Data: MRI-Negative
CDC Split Type:

Write-up: Pt vaccinated with MMR developed sudden hearing loss rt ear, pt lifts weight regularly, cochleogram consistent w/meniers.


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