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This is VAERS ID 25960

Case Details

VAERS ID: 25960 (history)  
Form: Version 1.0  
Age: 1.2  
Sex: Female  
Location: Kentucky  
Vaccinated:1990-08-31
Onset:1990-09-08
   Days after vaccination:8
Submitted: 1990-09-11
   Days after onset:3
Entered: 1990-09-17
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 16985 / UNK RA / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Convulsion, Otitis media, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (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), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: Healthy Child
Allergies:
Diagnostic Lab Data: EEG - Normal 10SEP90
CDC Split Type:

Write-up: Pt vaccinated with MMR experienced generalized seizure associated with fever - otitis media 8 days after MMR administration.


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