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This is VAERS ID 26846

(NOTE: This result is from the 6/14/2018 version of the VAERS database)

Case Details

VAERS ID: 26846 (history)  
Form: Version 1.0  
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 / UNK 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), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (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: ~ ()~~~In patient
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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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20180614&IDNUMBER=26846


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