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This is VAERS ID 26965

Case Details

VAERS ID: 26965 (history)  
Form: Version 1.0  
Age: 11.0  
Sex: Male  
Location: Michigan  
Vaccinated:1990-08-16
Onset:1990-08-30
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 1990-12-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0218S / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Albuminuria, Condition aggravated, Glomerulonephritis, Hypertension, Hypoproteinaemia, Nephrotic syndrome, Renal impairment, Urine analysis abnormal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Hypertension (narrow), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Proteinuria (narrow), Tubulointerstitial diseases (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Allergies:
Diagnostic Lab Data: Culture DEC80 - negative - Strep; Renal biopsy 21MAY81focal glomerulosclerosis.
CDC Split Type: WAES90110966

Write-up: Pt vaccinated with MMR developed "flu/cold" symptoms, edema. Admitted to hosp w/nephrotic synd. A renal biopsy performed dx focal glomerulosclerosis made. Treated w/cyclophosphamide, Prednisone, Furosemide & spironolactone.


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