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This is VAERS ID 59878

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

Case Details

VAERS ID: 59878 (history)  
Form: Version .0  
Age: 1.3  
Sex: Female  
Location: Texas  
Vaccinated:1990-10-12
Onset:1990-10-13
   Days after vaccination:1
Submitted: 1994-02-01
   Days after onset:1207
Entered: 1994-02-19
   Days after submission:18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HIBV: PROHIBIT / CONNAUGHT LABS 0J11070 / 0 L / IM
MMR: MMR II / MSD 0895F / - RL / SC

Administered by: Public       Purchased by: Unknown
Symptoms: FEVER, MENTAL RETARD
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: NONE
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC Split Type: NONE

Write-up: pt recvd vax & exp fever & was dx as developmentally delayed;


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20031231&IDNUMBER=59878


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