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This is VAERS ID 39251

Case Details

VAERS ID: 39251 (history)  
Form: Version 1.0  
Age: 1.5  
Sex: Male  
Location: Unknown  
Vaccinated:1991-12-31
Onset:1992-01-07
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 1992-01-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1558T / UNK - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Febrile convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (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)

Life Threatening? No
Birth Defect? No
Died? No
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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Fever 105 7 days following MMR given SQ; had febrile seizure (2nd one, 1st 2 wk prior);


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