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This is VAERS ID 31011

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

Case Details

VAERS ID: 31011 (history)  
Form: Version .0  
Age: 1.3  
Sex: Male  
Location: Florida  
Vaccinated:1990-03-02
Onset:1990-03-12
   Days after vaccination:10
Submitted: 1991-05-10
   Days after onset:423
Entered: 1991-06-05
   Days after submission:26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1673R / 0 LL / -

Administered by: Private       Purchased by: Other
Symptoms: Delirium, Encephalopathy, Red blood cell sedimentation rate increased
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (narrow), Noninfectious meningitis (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? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: brain CT showed cortical atrophy 7 enlarged ventricles for age; ESR 85, CAT SCAN leukoencephalopathy; poss no true damage to myelin but only edema;
CDC Split Type:

Write-up: 10 days post vax pt stopped walking, overnight; could not crawl, turn fr back to front or front to back, or hold up head; ESR ele @ 85, brain CT showed cortical atrophy & enlarged ventricles for age; Admitted to hosp; poss edema


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