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This is VAERS ID 59394

Case Details

VAERS ID: 59394 (history)  
Form: Version 1.0  
Age: 48.0  
Sex: Male  
Location: D.C.  
Vaccinated:1992-02-03
Onset:1992-02-05
   Days after vaccination:2
Submitted: 1994-01-27
   Days after onset:722
Entered: 1994-01-31
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1370T / UNK LA / -

Administered by: Private       Purchased by: Other
Symptoms: Asthenia, Confusional state, Convulsion, Encephalitis, Insomnia, Somnolence, Tachycardia, Thinking abnormal
SMQs:, Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Convulsions (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (narrow), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (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, 4 days
   Extended hospital stay? No
Previous Vaccinations: NONE~ ()~~~In patient
Other Medications: 2-3 ASA per wk @ that time;
Current Illness: NONE
Preexisting Conditions: 1960 Benichin scan over loss of walnut-sized piece of lt form cortex & tip of temporal lob following chemistry explosion;
Allergies:
Diagnostic Lab Data: MRI, EEG, BLood tests, etc. convulsion Brain scan & MMR resulted in monophasic complex partial sz;
CDC Split Type:

Write-up: pt lost consciousness but remained walking & talking; feeling cold chills, fatigue, slept 15 hrs 5FEB92; 6 & 7FEB92 no sleep, muscles felt tight & heart racing; 3" diameter pink area to lt of nose; 26NOV92 lost consciousness w/o forwarning;


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