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This is VAERS ID 80851

Event Details
VAERS ID:80851 (history)  Vaccinated:1992-02-28
Age:1.4  Onset:0000-00-00
Gender:Female  Submitted:1996-01-11
Location:Utah  Entered:1996-01-16, Days after submission: 5
Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: in brother, autistic with dtp
Other Medications: none
Current Illness:
Preexisting Conditions: allergy milk
Diagnostic Lab Data: rubella titer
CDC 'Split Type': UT960617
Vaccination
Manufacturer
Lot
Dose
Route
Site
DTP: DTP (TRI-IMMUNOL)LEDERLE LABORATORIES3149603  
HIBV: HIB (HIBTITER)LEDERLE PRAXSISN210HK   
MMR: MEASLES + MUMPS + RUBELLA (NO BRAND NAME)UNKNOWN MANUFACTURER088DT   
OPV: POLIO VIRUS, ORAL (ORIMUNE)LEDERLE LABORATORIES318939   
Administered by: Public     Purchased by: Public
Symptoms: Autism, Otitis media
SMQs:
Write-up: pt recvd vax; became autistic p/ vax; repeated ear infection;

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