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This is VAERS ID 26180

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 26180 (history)  
Form: Version .0  
Age: 12.0  
Sex: Male  
Location: Unknown  
Vaccinated:1972-11-29
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1990-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD - / - - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: CONVULS, DIZZINESS, FEBRILE SEIZURE, FEVER, MENTAL RETARD
SMQs:

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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC 7DEC72 Normal; Urinalysis 7DEC72 Normal; EEG 5SEP73 Normal; EEG 74 Abnormal; EEG 76 Rt temporal lobe epileptogenic; CT scan 9Apr90 Normal; EEG clear Rt temporal focus.
CDC Split Type:

Write-up: Pt vaccinated with MMR experienced severe teething & nasal congestion. High fever had a seizure lasted approx 30 to 60 min. Seen in ER w/temp of 104.4 rt sided weakness consistent w/Todds paralysis. See WORM for more details.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=26180


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