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This is VAERS ID 38811

Case Details

VAERS ID: 38811 (history)  
Form: Version 1.0  
Age: 1.2  
Sex: Female  
Location: Texas  
Vaccinated:1989-12-19
Onset:1989-12-29
   Days after vaccination:10
Submitted: 1991-08-01
   Days after onset:579
Entered: 1992-01-14
   Days after submission:166
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0818P / 1 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Convulsion, Encephalitis, Infection, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (narrow), 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? Yes
   Date died: 1989-12-31
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: UNK~ ()~~~In patient
Other Medications:
Current Illness: UNK
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 12 days p/vax had sz, @ hosp;


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