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This is VAERS ID 33187

Case Details

VAERS ID: 33187 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Female  
Location: New Jersey  
Vaccinated:1983-01-07
Onset:1983-01-15
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 1991-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / UNK - / -

Administered by: Unknown       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? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: Unknown
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: No relevant data
CDC Split Type: WAES90060351

Write-up: 07Jan83 pt vax; 15Jan83 devel high fever & exp convulsion. At age 9 pt seen by MD for hypersensitivity.


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