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This is VAERS ID 25554

Case Details

VAERS ID: 25554 (history)  
Form: Version 1.0  
Age: 10.0  
Sex: Male  
Location: New York  
Vaccinated:1990-06-07
Onset:1990-06-20
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 48381/0691S / UNK - / -

Administered by: Private       Purchased by: Private
Symptoms: Convulsion
SMQs:, Systemic lupus erythematosus (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: unknown
Current Illness: no relevant history
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: no relevant data
CDC Split Type: WAES90060998

Write-up: R.Ph reported 10 y.o. was given vaccine & 13 days later had a seizure.


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