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This is VAERS ID 26846

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 26846 (history)  
Form: Version .0  
Age: 4.0  
Sex: Female  
Location: New York  
Vaccinated:1990-11-01
Onset:1990-11-05
   Days after vaccination:4
Submitted: 1990-11-27
   Days after onset:22
Entered: 1990-11-30
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1707S / - LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Convulsion, Hypotonia, Muscle twitching
SMQs:, Peripheral neuropathy (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Dyskinesia (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: asthmatic bronchitis
Allergies:
Diagnostic Lab Data: EEG-Abnormal
CDC Split Type:

Write-up: Pt vaccinated with MMR/Rubella 4 days after became limp, twitching of hand & leg & clenching of teeth. Noted post ictal for few hrs. Duration of episode few min.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=26846


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