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This is VAERS ID 33513

Case Details

VAERS ID: 33513 (history)  
Form: Version 1.0  
Age: 1.8  
Sex: Female  
Location: Nebraska  
Vaccinated:1990-08-31
Onset:1990-09-09
   Days after vaccination:9
Submitted: 0000-00-00
Entered: 1991-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1313S / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Dementia, Encephalitis, Hemiplegia, Herpes simplex, Infection, Neuropathy, Personality disorder, Visual field defect
SMQs:, Peripheral neuropathy (narrow), Dementia (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), Hostility/aggression (broad), Optic nerve disorders (broad), Retinal disorders (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (narrow), 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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: UNK
Current Illness:
Preexisting Conditions: No relevant hx
Allergies:
Diagnostic Lab Data: MRI 26SEP90: significant damage to lt hemisphere of brain; MRI 07OCT91: brain-severe brain atrophy; EEG 14MAY92 abnormal;
CDC Split Type: WAES90100863

Write-up: Pt recvd MMR vax 31AUG90; On 09SEP90 pt was hospitalized w/focal encephalitis believed due to herpes virus infect;16OCT90 pt cont to exp bilateral blindness,devel delay,&a stroke synd involving rt side of body;MD didn''t attribute exp to vax


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