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This is VAERS ID 26358

Case Details

VAERS ID: 26358 (history)  
Form: Version 1.0  
Age: 1.3  
Sex: Male  
Location: Unknown  
Vaccinated:1986-08-19
Onset:1986-08-30
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 1990-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 2 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Bone disorder, Encephalopathy, Neuropathy, Personality disorder, Psychotic disorder
SMQs:, Peripheral neuropathy (narrow), Systemic lupus erythematosus (broad), Dementia (broad), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Hostility/aggression (broad), Chronic kidney disease (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES90091043

Write-up: Pt vaccinated MMR experienced nervous system damage which included encephalopathy, which resulted in internal, neurological, orthopeidc, psychological, & psychiatric injuries.


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