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This is VAERS ID 37513

Case Details

VAERS ID: 37513 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Male  
Location: Florida  
Vaccinated:1989-03-20
Onset:1989-06-01
   Days after vaccination:73
Submitted: 0000-00-00
Entered: 1992-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1433P / 1 - / -

Administered by: Private       Purchased by: Private
Symptoms: Guillain-Barre syndrome, Neuritis
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Demyelination (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: pt''s sibling devel GBS @ 21mos w/MMR #1 dose;~ ()~~~In Sibling
Other Medications:
Current Illness:
Preexisting Conditions: seizure disorder; breathing pattern abn;
Allergies:
Diagnostic Lab Data: no relevant data;
CDC Split Type: WAES91100415

Write-up: pt recvd MMR vax on 20MAR89 & approx 3 months following vax pt devel polyneuritis & was sent to a med ctr; pt dx w/GBS & hospitalized; MD stated that neither he nor the other MD''s who examined the pt felt exp was related to vax;


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