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This is VAERS ID 28355

(NOTE: This result is from the 5/14/2017 version of the VAERS database)

Case Details

VAERS ID: 28355 (history)  
Form: Version .0  
Age: 1.4  
Sex: Male  
Location: Florida  
Vaccinated:1991-01-21
Onset:1991-01-29
   Days after vaccination:8
Submitted: 1991-02-15
   Days after onset:17
Entered: 1991-02-18
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 22345 / 0 - / SC

Administered by: Other       Purchased by: Private
Symptoms: Convulsion, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 1 days
   Extended hospital stay? No
Previous Vaccinations: unknown~ ()~~~In patient
Other Medications: none
Current Illness: none
Preexisting Conditions: unknown
Allergies:
Diagnostic Lab Data: Unknown-in patient record not available to me.
CDC Split Type:

Write-up: pt had fever to 106.1 & seizure. May have had lumbar puncture.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20170514&IDNUMBER=28355


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