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This is VAERS ID 37512

(NOTE: This result is from the 12/31/2003 version of the VAERS database)

Case Details

VAERS ID: 37512 (history)  
Form: Version .0  
Age: 1.5  
Sex: Male  
Location: Florida  
   Days after vaccination:73
Submitted: 0000-00-00
Entered: 1992-08-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 1433P / 0 - / -

Administered by: Private       Purchased by: Unknown

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations: pt sibling devel GBS @ 21mos w/MMR #1 dose;
Other Medications:
Current Illness:
Preexisting Conditions: sz disorder; breathing pattern abn;
Diagnostic Lab Data: no relevant data;
CDC Split Type: sz disorder; breathing pattern abn;

Write-up: pt recvd MMR vax on 20MAR89 & approx 3 months following vax pt devel polyneuritis & was sen to a med ctr; dx w/GBS & hospitalized; MD stated neighter he nor the other MD who examined pt believed exp was related to vax;

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