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This is VAERS ID 33004

Case Details

VAERS ID: 33004 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: New Jersey  
Vaccinated:1990-04-12
Onset:1990-04-26
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 2260R / 1 - / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: CSF test abnormal, Convulsion, Encephalitis, Extensor plantar response, Febrile convulsion, Hemiplegia, Infection, Stupor
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), 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? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: None
Current Illness:
Preexisting Conditions: Hx of asthma
Allergies:
Diagnostic Lab Data: WBC - 4/26, 13.4; Hemoglobin - 4/26, 9.3; Hematocrit - 4/26, 28.9;Neutrophils - 4/26, 16%; Bands - 4/26, 1%; Lymphocites - 70%; ESR - 4/26 - 7; WBC - 4/27, 11.4; Neutrophils - 4/27, 36%; Bands - 4/27, 4%; See worm...
CDC Split Type: WAES90050250

Write-up: 12Apr90 pt vax; 26apr90 devel fever, focal rt sided seizures for 25-30 minutes. Tx w/ Valium and admitted to ER. MD felt that seizures due to viral infection or vax. Tx w/ Ferusal for iron deficiency anemia. See worm...


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