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This is VAERS ID 65611

Case Details

VAERS ID: 65611 (history)  
Form: Version 1.0  
Age:   
Sex: Male  
Location: Kansas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 1994-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Deafness
SMQs:, Hearing impairment (narrow)

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: ~ ()~~~In patient
Other Medications:
Current Illness:
Preexisting Conditions: otitis media, hx
Allergies:
Diagnostic Lab Data: No relevant data;
CDC Split Type: WAES93081156

Write-up: pt recvd vax in 1983 & devel a hearing loss; it was uncertain as to whether the hearing loss was a pre-existing condition, No further details were provided;


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