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This is VAERS ID 26211

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

Case Details

VAERS ID: 26211 (history)  
Form: Version .0  
Age: 1.3  
Sex: Female  
Location: Minnesota  
Vaccinated:1989-08-31
Onset:1989-09-07
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 1990-10-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 38091/0592P / - - / SC

Administered by: Private       Purchased by: Unknown
Symptoms: AGITATION, FEVER, HYPERTONIA, HYPOKINESIA, HYPOTONIA
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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: hx of otitis media, pharyngitis
Allergies:
Diagnostic Lab Data: 8Sep89 WBC count-45000, 11Sep90 WBC count-2800, 11Sep89 platelet count- 80000
CDC Split Type:

Write-up: 15 mon. pt /w hx of OM & pharyngitis, vax /w MMRII dev fever, macular rash, WBC dec to 2800, dev stiffness legs, lethargy, irritability. Has severe dev delay w/ poor speech, fluct. muscle tone, po6r motor & head control, spacticity.


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=26211


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