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| VAERS ID: | 77558 (history) | Vaccinated: | 1992-03-04 | | Age: | 4.0 | Onset: | 0000-00-00 | | Gender: | Male | Submitted: | 1995-09-11 | | Location: | Foreign | Entered: | 1995-09-18, Days after submission: 7 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? Yes |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: | | Current Illness: | | Preexisting Conditions: no relevant hx | | Diagnostic Lab Data: no relevant data | | CDC 'Split Type': WAES95085057 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | MMR: MEASLES + MUMPS + RUBELLA (MMR II) | MERCK & CO. INC. | | | IM | | |
| Administered by: Unknown Purchased by: Unknown | Symptoms: Autism,
Deafness,
Neuropathy
SMQs:, Peripheral neuropathy (narrow), Guillain-Barre syndrome (broad), Hearing impairment (narrow)
| | Write-up: pt recv vax;few months later was dx as being autistic; a dx of bilateral severe nerve deafness was also made; pt had previously been nl;autism & nerve deafness persisted; addtl info not expected; |
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